Evidence-Based Practice Blueprint

1. Identify problem or knowledge focused triggers that prompt PICOT question.

2. Is topic a priority for the organization? 3. Form an EBP Change Team consisting of

opinion leaders, change champions, and a core group; include key stakeholders.

4. Assemble relevant literature search. 5. Conduct critical appraisal of literature and

identify level of evidence. 6. Is there a sufficient base of evidence to pilot

the change in practice? 7. Pilot the practice change or new innovation by

selecting measureable outcomes, collecting baseline data, designing the EBP guideline, implementing, and evaluating the process and outcomes.

8. Is change appropriate for adoption in practice? 9. Institute the change in practice. 10. Monitor and analyze structure, process, and

outcomes data. 11. Disseminate results.

Introduction

The Evidence-Based Practice & Research Fellowship Program provides the structure and process to translate new knowledge and innovations to improve clinical practice and facilitate learning the essential steps of evidence-based practice and the conduct of nursing research.

Nursing Research Blueprint

Phase I: Conceptual Phase • Define purpose of study • Develop research question • Perform literature search and review • Select conceptual/theoretical framework • Hypothesis development Phase II: Design and Planning Phase • Select a research design • Choose setting where research will be

conducted • Choose sample:

o Determine sample size o Select inclusion/exclusion criteria

• Develop intervention protocols: o Design sampling plan o Create Procedure Manual o Set alpha and beta o Determine type of inferential

statistical tests o Ensure methods to safeguard

subjects • Measure research variables:

o Design/select measurement tool o Ensure validity and reliability o Develop data collection

spreadsheet o Select and train research team o Obtain IRB approval

Phase III: Data Collection • Collect data • Develop coding system • Verify/clean data • Prepare data for analysis Phase IV: Data Analysis • Analyze data • Interpret results • Create tables and figures Phase V: Dissemination Phase • Communicate findings • Identify limitations of study • Find implications of findings for nursing practice • Identify further research opportunities

1. Cavalieri, R.J., Rupp, M.E. (2013). Clinical Research Manual: Practice Tools and Templates for Managing Clinical Research. Indianapolis, IN: Sigma Theta Tau International.

2. Hulley, S.B., Cummings, S.R., Browner, W.S., Grady, D.G., Newman, T.B. (2007). Designing Clinical Research, Third Edition. Philadelphia, PA: Lippincott Williams & Wilkins.

3. Polit, D. F., Beck, C. T. (2012). Nursing Research: Generating and Assessing Evidence for Nursing Practice, Ninth Edition. Philadelphia, PA: Lippincott Williams & Wilkins.

4. Titler, M. G., Kleiber, C., Steelman, V. J., Rakel, B., Budreau, G., Everett, L. Q., Buckwalter, K. C., Tripp-Reimer, T., Goode, C. J. (2001). The Iowa Model of Evidence-Based Practice to Promote Quality Care. Critical Care Nursing Clinics of North America, 13(4), 497-509.

Using Blueprints to Engineer Nurses into EBP & Research Champions Elisa C. Jang, RN, MS, CNS

NorthBay Healthcare, Fairfield, CA

Step 1

Conduct literature search to answer PICOT

question

Step 2A: EBP Implementation

of practice change

Step 2B:

Research Creation of new

knowledge

When there is a sufficient base of

evidence

When there is NOT a sufficient base of

evidence

References

The Iowa Model of

Evidence-Based Practice to Promote Quality Care

Problem Focused Triggers

1. Risk Management Data

2. Process Improvement Data

3. Internal/External Benchmarking Data

4. Financial Data

5. Identification of Clinical Problem

Knowledge Focused Triggers

1. New Research or Other Literature

2. National Agencies or Organizational

Standards & Guidelines

3. Philosophies of Care

4. Questions from Institutional Standards Committee

Is this Topic

a Priority

For the

Organization?

Form a Team

Assemble Relevant Research & Related Literature

Critique & Synthesize Research for Use in Practice

Is There

a Sufficient

Research

Base?

Consider

Other

Triggers

Pilot the Change in Practice

1. Select Outcomes to be Achieved

2. Collect Baseline Data

3. Design Evidence-Based

Practice (EBP) Guideilne(s)

4. Implement EBP on Pilot Unit(s)

5. Evaluate Process & Outcomes

6. Modify the Practice Guideline

Base Practice on Other Types of Evidence:

1. Case Reports

2. Expert Opinion

3. Scientific Principles

4. Theory

Conduct

Research

Is Change

Appropriate for

Adoption in

Practice?

Institute the Change in PracticeContinue to Evaluate Quality

Of Care and New Knowledge

Disseminate Results

Monitor and Analyze Structure,

Process, and Outcome Data

- Environment

- Staff

- Cost

- Patient and Family

DO NOT REPRODUCE WITHOUT PERMISSION

REQUESTS TO:

Marita Titler, PhD, RN

Office of Nursing Research

The University of Iowa Hospitals and Clinics

Iowa City, IA 52242-1009

Revised April 1998 © UIHC

= a decision point

Reference

Titler, M.G., Kleiber, C., Steelman, V., Rakel, B., Budreau, G., Everett, L.Q., Buckwalter, K.C.,

Tripp-Reimer, T., & Goode, C. (2001). The Iowa Model of Evidence-Based Practice to Promote

Quality Care. Critical Care Nursing Clinics of North America, 13(4), 497-509.

Yes

Yes

No

No Yes

No

Address: 1200 B Gale Wilson Blvd., Fairfield, CA 94533 Telephone: (707) 646-4032 Email Address: Ejang@NorthBay.org Contact Information: