Table of Contents
Unit 1 Steps Zero, One, Two: Getting Started 1
Chapter 1 Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry Bernadette Mazurek Melnyk Ellen Fineout-Overholt 7
Chapter 2 Asking Compelling Clinical Questions Ellen Fineout-Overholt Susan B. Stillwell 33
Chapter 3 Finding Relevant Evidence to Answer Clinical Questions Tami A. Hartzell Ellen Fineout-Overholt 55
Unit 1 Making EBP Real: A Success Story. Using an Evidence-based, Autonomous Nurse Protocol to Reduce Catheter-Associated Urinary Tract Infections in a Long-term Acute Care Facility 93
Unit 2 Step Three: Critically Appraising Evidence 99
Chapter 4 Critically Appraising Knowledge for Clinical Decision Making Ellen Fineout-Overholt Kathleen R. Stevens 109
Chapter 5 Critically Appraising Quantitative Evidence for Clinical Decision Making Dónal P. O'Mathúna Ellen Fineout-Overholt 124
Chapter 6 Critically Appraising Qualitative Evidence for Clinical Decision Making Mikki Meadows-Oliver 189
Chapter 7 Integration of Patient Preferences and Values and Clinician Expertise into Evidence-Based Decision Making Ellen Fineout-Overholt Lisa English Long Lynn Gallagher-Ford 219
Chapter 8 Advancing Optimal Care With Robust Clinical Practice Guidelines Doris Grinspun Bernadette Mazurek Melnyk Ellen Fineout-Overholt 233
Unit 2 Making EBP Real: A Success Story. Intradermal Lidocaine Intervention on the Ambulatory Unit: An Evidence-Based Implementation Project 257
Unit 3 Steps Four and Five: Moving From Evidence to Sustainable Practice Change 265
Chapter 9 Implementing Evidence in Clinical Settings Cheryl C. Rodgers Terri L. Brown Marilyn J. Hockenberry 269
Chapter 10 The Role of Outcomes and Evidence-Based Quality Improvement in Enhancing and Evaluating Practice Changes Anne W. Alexandrov Tracy L. Brewer Barbara B. Brewer 293
Chapter 11 Implementing the Evidence-Based Practice Competencies in Clinical and Academic Settings to Ensure Healthcare Quality and Improved Patient Outcomes Bernadette Mazurek Melnyk Lynn Gallagher-Ford Cindy Zellefrow 313
Chapter 12 Leadership Strategies for Creating and Sustaining Evidence-Based Practice Organizations Lynn Gallagher-Ford Jacalyn S. Buck Bernadette Mazurek Melnyk 328
Unit 3 Making EBP Real: A Success Story. Improving Outcomes for Depressed Adolescents With the Brief Cognitive Behavioral COPE Intervention Delivered in 30-Minute Outpatient Visits 344
Unit 4 Creating and Sustaining a Culture and Environment for Evidence-Based Practice 349
Chapter 13 Innovation and Evidence: A Partnership in Advancing Best Practice and High Quality Care Kathy Malloch Tim Porter-O'Grady 355
Chapter 14 Models to Guide Implementation and Sustainability of Evidence-Based Practice Deborah Dang Bernadette Mazurek Melnyk Ellen Fineout-Overholt Jennifer Yost Laura Cullen Maria Cvach June H. Larabee Jo Rycroft-Malone Alyce A. Schultz Cheryl B. Stetler Kathleen R. Stevens 378
Chapter 15 Creating a Vision and Motivating a Change to Evidence-Based Practice in Individuals, Teams, and Organizations Bernadette Mazurek Melnyk Ellen Fineout-Overholt 428
Chapter 16 Teaching Evidence-Based Practice in Academic Settings Ellen Fineout-Overholt Susan B. Stillwell Kathleen M. Williamson John F. Cox III 445
Chapter 17 Teaching Evidence-Based Practice in Clinical Settings Ellen Fineout-Overholt Martha J. Giggleman Katie Choy Karen Balakas 497
Chapter 18 ARCC Evidence-Based Practice Mentors: The Key to Sustaining Evidence-Based Practice Ellen Fineout-Overholt Bernadette Mazurek Melnyk 514
Unit 4 Making EBP Real: A Success Story. Mercy Heart Failure Pathway 527
Unit 5 Step Six: Disseminating Evidence and Evidence-Based Practice Implementation Outcomes 531
Chapter 19 Using Evidence to Influence Health and Organizational Policy Jacqueline M. Loversidge Cheryl L. Boyd 533
Chapter 20 Disseminating Evidence Through Presentations, Publications, Health Policy Briefs, and the Media Cecily L. Betz Kathryn A. Smith Bernadette Mazurek Melnyk Timothy Tassa 547
Unit 5 Making EBP Real: A Success Story. Research Projects Receive Worldwide Coverage 598
Unit 6 Generating External Evidence and Writing Successful Grant Proposals 603
Chapter 21 Generating Evidence Through Quantitative and Qualitative Research Bernadette Mazurek Melnyk Dianne Morrison-Beedy Denise Cote-Arsenault 607
Chapter 22 Writing a Successful Grant Proposal to Fund Research and Evidence-Based Practice Implementation Projects Bernadette Mazurek Melnyk Ellen Fineout-Overholt 654
Chapter 23 Ethical Considerations for Evidence Implementation and Evidence Generation Dónal P. O'Mathúna 681
Unit 6 Making EBP Real: Selected Excerpts From A Funded Grant Application. COPE/Healthy Lifestyles for Teens: A School-Based RCT 700
Appendix A Question Templates for Asking PICOT Questions 706
Appendix B Rapid Critical Appraisal Checklists 708
Appendix C Evaluation Table Template and Synthesis Table Examples for Critical Appraisal 723
Appendix I ARCC Model Timeline for an EBP Implementation Project 728
Appendix J Sample Instruments to Evaluate EBP in Educational Settings 731
Appendix K Sample Instruments to Evaluate EBP in Clinical Settings 741
Glossary 749
Index 764
Appendices Available On the Point®
Appendix D Walking the Walk and Talking the Talk: An Appraisal Guide for Qualitative Evidence
Appendix E Example of a Health Policy Brief
Appendix F Example of a Press Release
Appendix G Example of an Approved Consent Form for a Study
Appendix H System-Wide ARCC Model Evidence-Based Practice Mentor Role Description
