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Evidence-based practice is a clinical decision-making process that integrates the best research evidence with clinical expertise and patient values and preferences to improve care. At Mass General, we use the Johns Hopkins Model of Evidence-Based Practice (Dearholt & Dang, 2012) and utilize their EBP toolkit to guide the process.
The conceptual model has research and discovery along with other types of evidence as its foundation. It acknowledges the links among practice, education, research, and translation and the fluidity of these relationships. All of these elements are influenced by factors that are inherent in the organization, as well as by external factors that exist at the local, state, and national levels.
The Hopkins process for EBP relies on three elements, Practice Question, Evidence, and Translation,
and is known as the PET Process.
To develop a practice question, we use the P-I-C-O method.
P = patient, population, problem
I = Intervention
C = Comparison
O = Outcome
PICO question example:
In critical care patients (P) are Allevyn foam dressings (I) more effective than Mepilex foam dressings (C)
at preventing sacral pressure ulcers (O)?
June 2016 Education Session
Below are the slides used in the June 2016 educational session, "Advancing Evidence-Based Practice," held on June 28, 2016. This was a four-hour training session for 50 inter-professional participants. Program faculty included Tam Nguyen,RN, assistant professor, Boston College, and Lisa Liang Philpotts, RN, knowledge specialist for Research & Instruction, Treadwell Virtual Library.
MGH EBP Toolkit
The MGH EBP Toolkit provides EBP teams with the necessary resources to conduct an EBP project.
Hopkins Model Tools
The Hopkins Model tools are used to guide teams through project management, from PICO question development through literature critique and synthesis.
The Hopkins Model textbooks are available as eBooks via the Treadwell Virtual Library and are great references for EBP teams.
If you have an idea for an EBP project request a consultation with a nurse scientist from the Munn Center here.
Newborn Intensive Care Units:
What is the best method to verify feeding tube placement prior to feeding a preterm infant?
What measurement method is the most precise in determining length of feeding tube for placement in the preterm infant’s stomach?
Ellison 9, Cardiac ICU/ Blake 8, Cardiac Surgical ICU:
Is moral distress influenced by nurses’ perceptions of their inclusion in the decision-making process or their understanding of the decision-making process?
Ellison 4, Surgical ICU/ Blake 12:
As compared to Mepilex foam dressings (C), do Smith & Nephew Allevyn foam dressings (I) [prevent or ]reduce the incidence of hospital-acquired pressure ulcers (O) on the sacrum / coccyx of critically ill patients (P)? View poster
Does implementation of the nurse-driven protocol for indwelling urinary catheter removal decrease the dwell time and rate of CAUTI?\
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