Ana evidence based practice

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American Nurses Association Incorporates AHRQ Information Into Research Toolkit

The American Nurses Association (ANA) has incorporated evidence-based information from AHRQ's Effective Health Care (EHC) Program into a toolkit that members are using in both academic and practice research. The toolkit gives nurses who belong to ANA, the largest nursing association in the country, access to data, tools, and resources such as continuing education credits from the EHC Program.

The toolkit consists of 15 topic areas that provide information to help users translate evidence into practice, so they can provide evidence-based care that promotes quality health outcomes for individuals, families, communities, and health care systems.

The two AHRQ-related topic areas in the toolkit are "Education About Evidence-Based Practice and Research" and "Comparative Effectiveness Research/Patient-Centered Outcomes Research." Users can learn about opportunities from AHRQ for free continuing education credits on comparative effectiveness research. Users can also view research summaries on various health conditions for consumers, clinicians, and policymakers.

ANA created the toolkit primarily to serve the nurse researcher segment of its ,member organization, a key membership market for ANA, and also to be useful to nursing students, according to Katie Brewer, MSN, RN, Senior Policy Analyst for ANA. The organization periodically informs members about AHRQ resources, particularly literature reviews or syntheses, and the toolkit includes AHRQ information because its creator is an experienced nurse researcher who is aware of the "excellent resources" available from AHRQ, says Brewer.

ANA's data indicate that the toolkit's users value the information it contains. As of March , the toolkit's Web page has had more than 16, visitors and more than 38, unique page views, indicating that each visitor viewed it more than once. The AHRQ portion of the toolkit has had 1, visitors. Visitors to the Web page stayed an average of 8 minutes, which Brewer says is "a significant amount of time for a Web page." Data are not available on how many visitors went on to obtain continuing education credits through AHRQ.

While ANA does not have qualitative data on the toolkit's effect on nursing practice or patient outcomes, several members have said they were excited about the content and were using it in both academic and practice research, says Brewer.

The toolkit, available at, will be maintained as an enduring part of the ANA Web site.


Developing Competency to Sustain Evidence-Based Practice

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ANA Annual Conference

March 09 - 11,

The purpose of this study was to evaluate factors that determine the readiness of registered nurses to adopt evidence based practices and research outcomes in their nursing practice using an electronic tool which measured both attitudes toward and knowledge of Evidence-based Practice.

As organizations struggle to strengthen the implementation of Evidence-Based Practice key elements have been identified in the literature as contributing to implementation success including characteristics of the individual nurse and the organization, access to evidence itself, and the overall practice environment. Evidence-based practice was identified as a key educational goal for this facility and it was determined that prior to implementation, specific areas to target should be identified.

A cross�sectional design was used. The target population was registered nurses in a Magnet-recognized� bed tertiary care hospital.Answers to the survey questions were aggregated by Survey Monkey and analyzed by the researchers using descriptive and inferential statistics. Attitudes toward and knowledge of EBP were analyzed by obtaining the mean of the 12 nursing beliefs and converting these into a scale. Pearson correlation showed statistically significant results in membership in a professional organization, ability to perform a literature search, participation in research, ability to identify research problems and utilization of research in practice.

Response rate was 25% with greater than half of the respondents having at least a Baccalaureate degree. Nurses reported adequate or more than adequate resources in their work area related to print materials. Over two thirds of the nurses reported needing information daily or occasionally to support their nursing role and were either expert or proficient in use of a computer, use of windows operating system, and use of other computer programs. Nurses reported the three primary organization constraints were budget for training in resource utilization, difficulty in recruiting and retaining staff, and presence of other goals with a higher priority.

Conclusions and Implications for Practice:
Results will be used to design targeted educational strategies to facilitate implementation of EBP in nursing practice. Among these will be familiarizing nurses with resources that currently exist in our hospital that are underutilized including library services and Nursing Resource Center.

What is Evidence-Based Practice?

Guide To Evidence-Based Practice For Nurses 

In March, the American Nurses Association (ANA) urged the CDC to develop evidence-based COVID guidelines. Evidence-based practice. How many times have you heard that throughout nursingschool and now your nursing career? It's the basis for safe, competent nursing.

Evidence-based practice in nursing is referred to as evidence-based nursing (EBN). According to the honor society of nursing,SigmaNursing, "Evidence-Based Nursing (EBN) is an integration of the best evidence available, nursing expertise, and the values and preferences of the individual, families, and communities who are served."

Simply put, EBN is providing a safe, compassionate, and efficient nursing care plan that's backed by research and patient outcomes. So, with a novel medical challenge like COVID, how do you practice safe nursing? The five steps in the evidence-based nursing cycle apply, even in a pandemic. 

laptop and pen and clipboard with list of protective measures for covid19 on marble table nursing evidence based practice for nurses

Evidence-based Nursing Cycle


The amount of information thrown at nurses during this COVID pandemic is enough to cause even the most seasoned and experienced nurse to panic. It seems every day there's a new development. 

As a nurse, your focus is providing safe, competent, and compassionate care to your patients, while also protecting yourself and preventing transmission. The first step of the EBN cycle is ASK. What clinical concerns do you have? Turn those concerns into a answerable questions:

  • Is this the proper equipment?
  • Do I have what I need to care for this patient safely?
  • Is this the proper treatment?
  • What are the long-term outcomes?
  • What are the common side effects or signs and symptoms?

Think of the questions that arise when you're communicating with patients, coworkers, and patient family members. 


In ACQUIRE, you'll search for evidence to answer your question. This step involves research. Seek out literature and information from:

  • Medical journals
  • Medical associations
  • Reputable healthcare agencies

It's also valuable to seek information from experienced and skilled nursing leaders and administration, such as infection preventionists. In the acquire phase, you'll track down the best evidence to answer your question(s).


How credible and relevant are your sources and the evidence you've found? According to the ClevelandClinic, to APPRAISE the evidence, you'll need to critically review the sources you've found for validity and applicability. You'll want to evaluate your evidence's impact.

Some things to keep in mind: is the data sound (statistically significant), was the research paid for by a biased organization, do other researchers and field experts agree or disagree with the findings, etc.


Once you locate relevant evidence, you may be ready to APPLY it in the form of implementing the findings with your patients. This phase involves integrating your research, your clinical expertise and experiences, and the patient's preferences into your nursing practice.


The final step in the process is to ASSESS. Assessment will help you determine if your intervention was effective. This phase involves evaluating.  

  1. Did you use PICO to ask the right questions? 
  2. Did you use the credible and relevant sources to research?
  3. Did you critically appraise the sources? 
  4. Did you integrate your evidence with your clinical experience and expertise and the patients' preferences?

Current Use of Evidence-Based Nursing

It seems everything you learned went out the window when the coronavirus pandemic struck. Still, nurses play a crucial role in helping to prevent the spread and transmission of diseases by adhering to evidence-based infection-control practices:

  • Keep the patient care environment clean or sterile
  • Use barrier precautions
  • Understand your facility's policies on infection control and prevention
  • Work with your facility to develop new policies by using evidence to improve practice
  • Hand washing is still the single most effective way to prevent the spread of infections

Nurses are still their patients' best advocates. Staying updated on new information and practices is still the best method to educate yourself and keep your patients informed. 

Evidence-based nursing is essential now more than ever. Practicing and staying informed on EBN is important for being a patient advocate and a better nurse. Doing your part, can help improve patient outcomes and provide quality care to patients. By understanding and applying preventative measures and EBN, you’re minimizing the risk of infecting yourself, colleagues, patients, and loved ones.

Are you looking for a new position or role where you can demonstrate your EBP knowledge? We can help you find it!


Practice ana evidence based

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Complementarity: Practice-Based Evidence and Evidence-Based Practice

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