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Evidence-Based Practice, Step by Step

I’m thinking quite a bit today about Evidence-Based Practice and figured I’d share a resource. We throw this word around a lot, but I find in talking with many clinicians that there is a fundamental difficulty in describing exactly what that means and how to ensure that your practice is indeed evidence-based. The American Journal of Nursing has a pretty comprehensive series on this subject, Evidence-Based Practice, Step by Step. The collection has 12 articles, and 10 are free full-text. There are also 4 CE opportunities attached to the collection (for a fee). Hopefully that will give folks some resources to look more closely at their own practices, if needed.

{Don’t forget: we also have the Understanding Research clinical guide to help with this topic, as well}

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When to Make a Change (a Flowchart)

In light of last week’s post on my observations from court and the recent activity on a couple of the listservs to which I belong, I thought I would expand a bit on the issue of making changes to your practice. I find that people float a lot of ideas out there and some folks are awfully quick to up and make changes based on what they read without necessarily having much evidence to do so (especially when it’s a bright and shiny new toy or a well-known name attached to a particular idea). But the thing is, when you are trying to provide the best possible care to patients AND you will need to be able to explain and defend the clinical decisions you make with those patients in court from time to time, there needs to be actual evidence to support changes you ultimately make to your practice.