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EXNS 483 Nutrition Care Process I

Evidence Based Practice

The most common definition of Evidence-Based Practice (EBP) is from Dr. David Sackett. EBP is "the conscientious, explicit and jusicious use of current best evidence im making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research." (Sackett D, 1996)

EBP is the integration of clinical expertise, patient values, and the best research evidence into the decision making process for patient care. Clinical expertise refers to the clinician's cumulated experience, education and clinical skills. The patient brings to the encounter his or her own personal preferences and unique concerns, expectations, and values. The best research evidence is usually found in clinically relevant research that has been conducted using sound methodology. (Sackett D, 2002)

The evidence, by itself, does not make the decision, but it can help support the patient care process. The full integration of these three components into clinical decisions enhances the opportunity for optimal clinical outcomes and quality of life. The practice of EBP us usually triggered by patient encounters which generate questions about the effects of therapy, the utility of diagnostic tests, the prognosis of diseases, and/or the etiology of disorders.

Evidence=Based Practice requires new skills of the clinician, including efficient literature searching, and the application of formal rules of evidence in evaluating the clinical literature.  (https://libguides.twu.edu/c.php?g=498761&p=3414910) Viewed 9?15/2019. 

 

What Is Evidence Based Practice? (Duke University Medical Center Library & Archives)

Academy of Nutrition and Dietetics Evidence Analysis Library 

Formulating a Research Question

To search for evidence based information, you first need to develop a well formed clinical question. It is recommended that you use the PICO concept to help you do this.

PICO:  

PATIENT OR PROBLEM
Patient (population or problem) - Who or what are you studying?

INTERVENTION
What main intervention are you considering? What do you want to do with this patient?

COMPARISON
What are you measuring this intervention against? If any. 

OUTCOME
What are you trying to accomplish, measure, improve or affect?

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