Ika Yuni Widyawati

EBP in Patient Safety

and Occupational
Health & Safety
 What is EBP?
The foundation for providing effective
and efficient health care
To improve:
Implementi 1. Clinical practice
Collecting Analyzing 2. The work environment
ng
3. Patient outcomes

Research Findings

Chrisman, et al. (2014)

 What is EBP
“A lifelong problem-solving approach that integrates the best evidence
from well-designed research studies and evidence-based theories;
clinical expertise and evidence from assessment of the health care
consumer’s history and condition, as well as health care resources; and
patient, family, group, community, and population preferences and
values.”
(American Nursing Association, 2021)
Dearholt, S., Dang, Deborah, & Sigma Theta Tau International (2012)
5 Steps of Evidence Based Practice
1
Ask Question

5 2
Evaluation Search Information

4
3
Implementing
Critical Appraisal
(Integrate)
 Clinical
Expertise
Patient
Best
Values and
Research
Preference
Evidence
s
 • When evaluating EBP nursing research
studies, focus on these four criteria:
• Validity—the legitimacy, accuracy, and
soundness of all aspects of the study
Four Key • Reliability—the extent to which a
Elements measurement's result is consistent
• Relevance—the logical connection between two
ideas, tasks, or events
• Outcome—the conclusions reached through the
process of research.
 Sample selection
Randomization
Blinding
Sample size
Evaluating Description of intervention

Evidence Outcomes
Length of follow-up
Attrition/Reduction
Confounding variables
Statistical analysis
 Misunderstood
communication between
nursing leaders about the
process involved
Barriers to Inability to assess and use
Implementation research evidence
Concern that EBP will lead to
a “cookbook” approach to
nursing while ignoring
individual client needs and
the nurse’s ability to make
clinical decisions
Inferior quality of available
research evidence
Unwillingness of
organizations to fund
research and make decisions
based on evidence
Community-focused nursing
agencies may lack the
resources needed for EBP
implementation
VIDEO
OCCUPATIONAL
HEALTH-SAFETY
IN NURSING
THANK YOU