Skip to Main Content
It looks like you're using Internet Explorer 11 or older. This website works best with modern browsers such as the latest versions of Chrome, Firefox, Safari, and Edge. If you continue with this browser, you may see unexpected results.

Evidence-Based Practice: Overview

Information and resources on EBP including PICO

Welcome

This LibGuide is meant to provide an overview of Evidence Based Practice, including links, worksheets, and other relevant information related to each of the steps of the EBP process. This guide provides definition and scope of EBP, resources for finding the best available evidence, analyzing the evidence, and applying it to practice.

 

Your Librarian,

Lindsay Boyce
Research Informationist III
boycel@mskcc.org

What is Evidence Based Practice (EBP)

Evidence-based practice (EBP) is the process of collecting, processing, and implementing research findings to improve clinical practice, the work environment, or patient outcomes. It is a problem solving approach to clinical practice that incorporates high-quality evidence from well-designed studies along with the patient's values and desires, and the clinician's knowledge and expertise to make decisions about a patient's care.

 

EBP Venn Diagram

Image: Evidence Based Practice Resources Subject Guide, UC Davis Libraries, https://www.library.ucdavis.edu/guide/ebp-resources/

MSK achieved Magnet® recognition on February 17, 2016. A significant aspect of Magnet® is that nursing care must be rooted in evidence-based practice. MSK's N-CARE Program fulfills part of the evidence-based practice philosophy by requiring nurses to complete evidence-based clinical research questions based on the PICO(T) framework.

PICO(T) Search Form

The Seven Steps of Evidence-Based Practice

7-Step EBP Process

Image: Cultivating Curiousity Module, McGill University Libraries, https://www.youtube.com/watch?v=C8VCu-peFm4

 

Step 0 - Cultivate a spirit of inquiry within an EBP culture and environement

Step 1 - Ask the burning clinical question in PICOT format

Step 2 - Search for and collect the most relevant best evidence

Step 3 - Critically appraise the evidence (i.e. rapid critical appraisal, evaluation, synthesis, and recommendations)

Step 4 - Integrate the best evidence with one's clinical expertise and patient preferences and values in making a practice decision or change

Step 5 - Evaluate outcomes of the practice decision or change based on evidence

Step 6 - Disseminate the outcomes of the EBP decision or change


Source: Melnyk BM. Implementing the Evidence-Based Practice (EBP) Competencies in Healthcare : A Practical Guide to Improving Quality, Safety, and Outcomes. ; 2016. (Table 1.2, p. 11)

Evidence Based Practice Textbooks

Evidence Based Practice Literature

Evidence Based Practice Resources