EBP has developed from Evidence-Based Medicine (EBM), expanded to include other health professions.
Sackett, et al. defined Evidence-Based Medicine (EBM) as "integrating individual clinical expertise with the best available external clinical evidence from systematic research...[and the] use of individual patients' predicaments, rights, and preferences in making clinical decisions about their care."
-- Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson WS. Evidence based medicine: what it is and what it isn't. BMJ. 1996;312(7023):71-72. doi:10.1136/bmj.312.7023.71
Clinical practice is an ongoing process, which is why evidence-based practice is often represented as a cycle. When you've reached the end of the cycle you may find yourself adjusting your question and starting over.
There are 5 Steps to EBP that can be repeated as necessary.
Assess the patient/problem.
Assess the results.
You start with a patient and/or clinical problem.
A new question can come from working on a previous one.
|ASK||Ask an answerable question.||Based on the case, build a relevant and answerable question.|
|ACCESS||Access the evidence.||Conduct a search in appropriate resources.|
|APPRAISE||Appraise the evidence.||Evaluate evidence for validity, risk of bias, and applicability.|
|APPLY||Apply the evidence to patient care.||Combine the evidence with clinical expertise and patient preferences. Apply it to your practice and assess the results.|
-- Table adapted from Cantrell, S., von Isenburg, M. Evidence-based practice for the medical librarian [Course content]. Medical Library Association & University of North Carolina at Chapel Hill School of Information and Library Science, Sakai. http://www.medlib-ed.org/products/1123/evidence-based-medicine-for-the-medical-librarian
Downers Grove Campus Library (630) 515-6200
555 31st St. Downers Grove, IL 60515
Map and Driving Directions - IL
Glendale Campus Library (623) 572-3308
19555 N. 59th Ave. Glendale, AZ 85308
Map and Driving Directions - AZ