Overview

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

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9781948057950

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Reviews

Building on extensive real-life experience with EBP, this expert team from University of Iowa Hospitals & Clinics provides vital guidance to clinicians at the cutting edge of care improvement. The advice is both practical and scientifically grounded. The authors detail an action-oriented and trustworthy framework that is connected to current advances in translational and implementation science. This book is sure to be a key resource for achieving scholarship in nursing practice. -Kathleen R. Stevens, EdD, MS, RN, ANEF, FAAN Castella Endowed Distinguished Professor School of Nursing and Institute for Integration of Medicine & Science (CTSA) University of Texas Health Science Center San Antonio This second edition of Evidence-Based Practice in Action offers readers updated strategies to support EBP practice focused on hospital-based nursing. Packed with graphic tools and tips, it outlines a thoughtful, systematic approach that will enhance nursing practice and support the use of EBP. The authors are experienced nurses with expertise in leading evidence-based practice change, and they have updated and infused this second edition with valuable new approaches. -Anne Sales, PhD, RN Professor, Sinclair School of Nursing and Department of Family and Community Medicine University of Missouri Adjunct Professor, Department of Learning Health Sciences, University of Michigan Medical School Research Scientist, Center for Clinical Management Research, VA Ann Arbor Healthcare System Co-Editor-in-Chief, Implementation Science Communications I thought it was impossible to top the first edition of Evidence-Based Practice in Action, but the authors have done it! This new edition is essential for all who want to deliver evidence-based care. Beautifully organized, it is readable, practical, and user-friendly. Based on the Iowa Model and grounded in evaluation and implementation frameworks, this edition targets local needs and care contexts. I love the bulleted tips and key points, real-world examples, and tools at the conclusion of each chapter. Readers will, too! -Kathleen C. Buckwalter, PhD, RN, FAAN Professor Emerita, University of Iowa College of Nursing Distinguished Nurse Scientist in Aging, Reynolds Center Oklahoma University Health Sciences Center, College of Nursing Evidence-Based Practice in Action, Second Edition, will continue to ensure high-quality, evidence-based care is implemented in healthcare systems across the country-and the world. It should also be a well-worn tool in every implementation scientist's toolkit. The implementation strategies are laid out in the Iowa Implementation for Sustainability Framework, followed by concrete definitions, specifications, evidence, and examples. As the field of implementation science continues to grow, this level of detail is critical for being able to specify, track, and test what works best to ensure that the evidence base is practiced and sustained. -Heather Schacht Reisinger, PhD Professor, Department of Internal Medicine Associate Director for Engagement, Integration and Implementation Institute for Clinical and Translational Science, University of Iowa

"""Building on extensive real-life experience with EBP, this expert team from University of Iowa Hospitals & Clinics provides vital guidance to clinicians at the cutting edge of care improvement. The advice is both practical and scientifically grounded. The authors detail an action-oriented and trustworthy framework that is connected to current advances in translational and implementation science. This book is sure to be a key resource for achieving scholarship in nursing practice."" -Kathleen R. Stevens, EdD, MS, RN, ANEF, FAAN Castella Endowed Distinguished Professor School of Nursing and Institute for Integration of Medicine & Science (CTSA) University of Texas Health Science Center San Antonio ""This second edition of Evidence-Based Practice in Action offers readers updated strategies to support EBP practice focused on hospital-based nursing. Packed with graphic tools and tips, it outlines a thoughtful, systematic approach that will enhance nursing practice and support the use of EBP. The authors are experienced nurses with expertise in leading evidence-based practice change, and they have updated and infused this second edition with valuable new approaches."" -Anne Sales, PhD, RN Professor, Sinclair School of Nursing and Department of Family and Community Medicine University of Missouri Adjunct Professor, Department of Learning Health Sciences, University of Michigan Medical School Research Scientist, Center for Clinical Management Research, VA Ann Arbor Healthcare System Co-Editor-in-Chief, Implementation Science Communications ""I thought it was impossible to top the first edition of Evidence-Based Practice in Action, but the authors have done it! This new edition is essential for all who want to deliver evidence-based care. Beautifully organized, it is readable, practical, and user-friendly. Based on the Iowa Model and grounded in evaluation and implementation frameworks, this edition targets local needs and care contexts. I love the bulleted tips and key points, real-world examples, and tools at the conclusion of each chapter. Readers will, too!"" -Kathleen C. Buckwalter, PhD, RN, FAAN Professor Emerita, University of Iowa College of Nursing Distinguished Nurse Scientist in Aging, Reynolds Center Oklahoma University Health Sciences Center, College of Nursing ""Evidence-Based Practice in Action, Second Edition, will continue to ensure high-quality, evidence-based care is implemented in healthcare systems across the country-and the world. It should also be a well-worn tool in every implementation scientist's toolkit. The implementation strategies are laid out in the Iowa Implementation for Sustainability Framework, followed by concrete definitions, specifications, evidence, and examples. As the field of implementation science continues to grow, this level of detail is critical for being able to specify, track, and test what works best to ensure that the evidence base is practiced and sustained."" -Heather Schacht Reisinger, PhD Professor, Department of Internal Medicine Associate Director for Engagement, Integration and Implementation Institute for Clinical and Translational Science, University of Iowa"

Author Information

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. 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. 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.

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