Evidence-Based Practice in Action, Second Edition

Awarded second place in the 2022 AJN Book of the Year Awards in Nursing Research

The biggest barrier to effective evidence-based practice (EBP) is the failure to effectively translate available knowledge, research, and clinical expertise into action This failure is rarely due to a lack of information, understanding, or experience. In fact, it usually comes down to a simple lack of tools and the absence of a clear plan to integrate EBP into care. Problem solved!

Evidence-Based Practice in Action, Second Edition, is a time-tested, application-oriented EBP resource of The Iowa Model Revised: Evidence-Based Practice to Promote Excellence in Health Care. This book offers a proven, detailed plan to help nurses and healthcare professionals promote and achieve EBP adoption and implementation.

Throughout this practical, easy-to-use manual, the authors supply strategies, tools, and tips that show healthcare leaders how to prepare, apply, and appraise any EBP process model. Inside are valuable recommendations on topic selection, literature searches, research and evidence review, implementation, and evaluation. This new edition includes:

• NEW: An evidence funnel approach that flips the traditional evidence pyramid
• NEW: Updates to the EBP Evaluation Framework (KABOB) that include actionable local data to create sustainable change
• NEW: Revised implementation strategies with clinician and patient examples
• NEW: Focus on engaging patients in the process
• NEW: Ways to de-implement practices that are not evidence-based, are ineffective, or are even harmful

TABLE OF CONTENTS
Chapter 1: Identify Triggering Issues/Opportunities
Chapter 2: State the Question or Purpose
Chapter 3: Is This Topic a Priority?
Chapter 4: Form a Team
Chapter 5: Assemble, Appraise, and Synthesize Body of Evidence
Chapter 6: Is There Sufficient Evidence?
Chapter 7: Design and Pilot the Practice Change
Chapter 8: Evaluation
Chapter 9: Implementation
Chapter 10: Is Change Appropriate for Adoption in Practice?
Chapter 11: Integrate and Sustain the Practice Change
Chapter 12: Disseminate Results
Appendix A: The Iowa Model Revised: Evidence-Based Practice to Promote Excellence in Health Care
Appendix B: Iowa Implementation for Sustainability Framework
Appendix C: Select Evidence-Based Practice Models
Appendix D: Glossary

Laura Cullen, DNP, RN, FAAN, is an Evidence-Based Practice Scientist at University of Iowa (UI) Hospitals & Clinics and Adjunct Faculty at UI College of Nursing. Cullen is known for her innovative educational programs and for supporting adoption of evidence-based practice (EBP) by point-of-care clinicians and teams. Her work has led to the adoption of innovative and evidence-based practices; improved patient safety; improved patient, family, and clinician satisfaction; reduced hospital length of stay and costs; and the transformation of many organizations' infrastructures to support EBP. She has served as the US representative on an international panel for Sigma Theta Tau International Honor Society of Nursing. Her research endeavors include collaborations with engineers to incorporate human factors in healthcare. She worked with Kirsten Hanrahan and Stephanie Edmonds to develop the Iowa Implementation for Sustainability Framework. Cullen has authored numerous publications and has given local, regional, national, and international presentations. She co-authors a regular EBP column in the Journal of Peri-Anesthesia Nursing, is a member of the editorial board of the American Journal of Nursing, and participates on the grant review panel for the DAISY Foundation(TM). Cullen has received numerous awards for her work and is a Fellow in the American Academy of Nursing.<br /><br />Kirsten Hanrahan, DNP, ARNP, CPNP-PC, FAAN, is the Director of Nursing Research and Evidence-Based Practice at UI Hospitals & Clinics, a Certified Pediatric Nurse Practitioner, and Adjunct Faculty at UI College of Nursing. Hanrahan is well-versed in EBP & clinical research. Her research interests include pediatric pain, implementation, and IV management. She has consulted for a National Institutes of Health multi-site study and is co-founder of the Distraction in Action(c) tool that helps parents learn to be a distraction coach for their child during medical pro-cedures. Hanrahan recently served as site principal investigator for the US Clinician Wellbeing Study. She worked with Laura Cullen and Stephanie Edmonds to develop the Iowa Implementation for Sustainability Framework. She has authored numerous publications and has given local, regional, national, and international presentations. She has authored evidence-based guidelines and implemented multiple EBP changes in the clinical setting. Hanrahan is a recipient of the 100 Great Iowa Nurses award, a participant in the Mayday Pain & Society Fellowship: Communicating Science & Improving Care Program, and a Fellow in the American Academy of Nursing.<br /><br />Michele Farrington, BSN, RN, PMGT-BC, is a Program Manager at UI Hospitals & Clinics and is certified in pain management nursing. Previously, Farrington served as a study coordinator, EBP mentor, and staff nurse in pediatrics. She has tremendous experience and expertise in pediatric oncology and EBP, leading or co-leading ini- tiatives since 2003. Farrington's work has been awarded extramural funding, validating the strength of the projects and impact on nursing care. Moreover, Farrington has authored numerous publications related to EBP projects and has given multiple local, regional, national, and international presentations. Farrington is actively involved in multiple professional organizations and is the ORL - Head and Neck Nursing Media Review Column Department Editor. Farrington is a recipient of the UI Nursing Excellence in Clinical Education award, 100 Great Iowa Nurses award, UI Clinical Performance Improvement award, Soci- ety of Otorhinolaryngology and Head-Neck Nurses Honor award, and Ear, Nose and Throat Nursing Foundation Literary awards.