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Evidence-Based Practice: Apply

Criteria to Consider

Apply the valid research evidence by incorporating your clinical expertise along with the values and preferences of your patient(s).

You may want to consider the following categories of issues when making your clinical decision:

  • Biological: Including pathophysiologic differences and patient differences
  • Sociological: Including, but not limited to, patient literacy, income, and access to health insurance and drugs
  • Epidemiological: Including comorbid conditions that the patient may have
  • Economical: Including the feasibility of implementing the practice

When analyzing the evidence, take into account if the recommended practice change is based on the consistent findings from several sources of evidence.

Reference
DiCenso, A., & Guyatt G. (2005). Applying results to individual patients. In: A. DiCenso, G. Guyatt, & D. Ciliska, Evidence-based nursing: a guide to clinical practice (pp. 481-489). St. Louis, MO: Elsevier Mosby. (UH Manoa Hamilton RT41 .E92 2005)

DiCenso, A., & Guyatt G. (2005). Incorporating patient values. In: A. DiCenso, G. Guyatt, & D. Ciliska, Evidence-based nursing: a guide to clinical practice (pp. 490-507). St. Louis, MO: Elsevier Mosby. (UH Manoa Hamilton RT41 .E92 2005)

Titler, M. G. (2006). Developing an evidence-based practice. In: G. LoBiondo-Wood & J. Haber (Eds.), Nursing research: Methods and critical appraisal for evidence-based practice (6th ed., pp. 439-481). St. Louis, Missouri: Mosby Elsevier. (UH Manoa Hamilton RT81.5 .N8665 2006)

Options for Applying the Evidence

After appraising and synthesizing the evidence, one of the following will result:

  • No change is necessary because the evidence supports the current practice;
  • Make minor practice modifications;
  • Undertake major practice changes;
  • Develop a new area of practice.

In organizational settings, the findings and decisions should be documented to communicate that the practice is based on evidence and the type of evidence used in developing the practice standard.

Reference
Titler, M. G. (2006). Developing an evidence-based practice. In: G. LoBiondo-Wood & J. Haber (Eds.), Nursing research: Methods and critical appraisal for evidence-based practice (6th ed., pp. 439-481). St. Louis, Missouri: Mosby Elsevier. (UH Manoa Hamilton RT81.5 .N8665 2006)

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