Integration of Evidence-Based Practices

Integration of Evidence-Based Practices
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Integration of Evidence-Based Practices
Research studies have shown that Evidence-based practice results in the improvement
of the quality of healthcare in a clinical setting. Evidence-based practice also improves
patient outcome, provide crucial information for nursing practice, and reduce the cost of
health-care. The implementation and integration of EBP are important in avoiding traditional
approaches to healthcare provision. Despite the positive impacts of the EBP, many nurses fail
to integrate the concept into clinical practice (Hanrahan et al., 2015). The implementation of
Evidence-based practice in the clinical environment also faces a lot of barriers. This paper
succinctly describes the eight steps involved in the integration of the EBP in the clinical
setting. Strategies for eliminating the barriers to implementing the EBP are also described in
the paper. Also, many nurses whose education depends on evidence-based practices in their
learning schedule are lacking internet and computer skill in searching the relevant
information. The steps are Important in overcoming such challenges in nursing practice and
overall clinical setup.
Some of the clinical staff have negative attitudes on Evidence-Based Practice,
therefore, interfering with a successful implementation of the model. The integration process
of the EBP requires the active participation of the nurses in the clinical environment to ensure
affective implementation and outcomes. It is important to reframe the EBP using the elements
defining how nurses practice comply with the requirements and concepts of evidence-based
practice. The integration of clinical skills is important in evaluating the unique circumstances
of the patient in the clinical environment.
The Eight Steps to Integrating Evidence-Based Practice into the Clinical Environment
The integration of the Evidence-based practice in the clinical environment involves
various steps that should be analyzed and evaluated appropriately to ensure effective

implementation. The steps are considered to be linear and should be followed stepwise for
effective understanding. The ability to learn and the EBP process and the steps of integration
is pivotal in improving nurses' understanding approaches used in solving clinical problems
and providing appropriate solutions during the decision-making process, therefore, improving
patient outcomes and their nursing skills. The eight steps in the integration of the EBP in the
clinical environment are:
Step 1: Ask Clinical Questions
This is the immediate step in the integration of the Evidence-based practice. It forms
the base for the whole process because the clinical questions are important in searching for
appropriate intervention to solve the complexities and challenges encountered in any clinical
practice. The clinical questions are developed in a PICOT format. The PICOT framework
takes into account the population, intervention, comparison, outcome, and time (Karkada,
2015). In this case, the PICOT framework provides an appropriate format for searching the
information from the electronic databases, therefore, improving the relevancy of the collected
data in the study. In this step, the PICOT model is designed to retrieve relevant information
for the clinical practice. Consideration is based on the rapid response team because they
compare the relevancy of the information collected from the search engine.
Step 2: search for the best evidence
In this step, the use of the PICOT framework is essential in determining the best
evidence for the clinical practice. Looking for the best evidence depends on the type of search
engine used and the database selection for retrieving the information (LoBiondo-Wood &
Haber, 2014). The type of question typed by the nurse in the rapid response team also
determine the relevancy of the evidence.in most cases, the information from the database are

not specific to the clinical environment; therefore, it is important to include key words used in
the study.
Step 3: Gather the selected information
After the development of the PICOT question and determining the best evidence for
clinical practice, the evidence is then gathered for analysis and evaluation. In this case, the
evidence can be collected from the ethical, personal, empirical, or ethical sources. The
information should not be collected for Google search engine, non-reviewed sources, and
non-professional articles as in Wikipedia. Scientific sources like PubMed, Medline, and
nursing journal organizational websites are used in the collection of relevant sources for
clinical practice.
Step 4: Critical appraising of the Evidence
After the selected for analysis and review, critical appraisal is important to determine
the reliability, validity, and relevancy of the information in the clinical environment. The
appraisal process may be laborious, but it is essential in the integration of the EBP due to the
complexity of the clinical problems (Wallis, 2012). In this step, the evidence is appraised
based on the available research results and patient outcomes. The intervention in the provided
in the PICOT question is important in ensuring reliability of and quality outcomes
Step 5: Act
In this step, the nurse in the rapid response team assures other nurses that the clinical
practice has been approved. Confirming the nursing practice involve the application of an
appropriate intervention to provide an opportunity for attaining quality outcomes. A
recommendation is also important in nursing practice to introduce a change. The feasibility
and appropriateness of the recommendation are required in the search methodology applied in
the EBP.