“Building on extensive real-life experience with EBP, this expert team from University of Iowa Hospitals & Clinics provides vital guidance to clinicians at the cutting edge of care improvement.” –Kathleen R. Stevens, EdD, MS, RN, ANEF, FAAN Castella Endowed Distinguished Professor School of Nursing and Institute for Integration of Medicine & Science (CTSA) University of Texas Health Science Center San Antonio “This new edition is essential for all who want to deliver evidence-based care. Beautifully organized, it is readable, practical, and user-friendly.” –Kathleen C. Buckwalter, PhD, RN, FAAN Professor Emerita, University of Iowa College of Nursing Distinguished Nurse Scientist in Aging, Reynolds Center Oklahoma University Health Sciences Center, College of Nursing “Evidence-Based Practice in Action, Second Edition, will continue to ensure high-quality, evidence-based care is implemented in healthcare systems across the country — and the world. It should also be a well-worn tool in every implementation scientist’s toolkit. –Heather Schacht Reisinger, PhD Professor, Department of Internal Medicine Associate Director for Engagement, Integration and Implementation Institute for Clinical and Translational Science, University of Iowa Translate knowledge, research, and clinical expertise into action. The biggest barrier to effective evidence-based practice (EBP) is the failure to effectively translate available knowledge, research, and clinical expertise into action. This failure is rarely due to lack of information, understanding, or experience. In fact, it usually comes down to a simple lack of tools and absence of a clear plan to integrate EBP into care. Problem solved: Evidence-Based Practice in Action, Second Edition, is a time-tested, application-oriented EBP resource for any EBP process model and is organized based on The Iowa Model Revised: Evidence-Based Practice to Promote Excellence in Health Care. This book offers a proven, detailed plan to help nurses and healthcare professionals promote and achieve EBP implementation, adoption, sustained use. TABLE OF CONTENTS Chapter 1: Identify Triggering Issues/Opportunities Chapter 2: State the Question or Purpose Chapter 3: Is This Topic a Priority? Chapter 4: Form a Team Chapter 5: Assemble, Appraise, and Synthesize Body of Evidence Chapter 6: Is There Sufficient Evidence? Chapter 7: Design and Pilot the Practice Change Chapter 8: Evaluation Chapter 9: Implementation Chapter 10: Is Change Appropriate for Adoption in Practice? Chapter 11: Integrate and Sustain the Practice Change Chapter 12: Disseminate Results Appendix A: The Iowa Model Revised: Evidence-Based Practice to Promote Excellence in Health Care Appendix B: Iowa Implementation for Sustainability Framework Appendix C: Select Evidence-Based Practice Models Appendix D: Glossary

Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice, 5th Edition, is a bestselling, easy-to-use guide to translating research findings to nursing practice and applying practice data for superior clinical decision-making. Using conversational writing, inspiring quotes, and an enhanced, case-based approach, AJN award-winning authors Bernadette Melnyk and Ellen Fineout-Overholt demystify evidence-based practice to help students deliver optimal patient care and become better nurses.

Helps readers to grasp the language and process of research with ease With updated content and new references throughout, the fourth edition of this quick-access resource delivers key information on the foundations of evidence-based practice (EBP) and fundamental nursing research concepts. Readers of the new edition will benefit from information on the newest trends in EBP, new case studies demonstrating how evidence can be translated into practice, expanded coverage of EBP models, and end-of-chapter study questions with rationales to promote learning. Written for students of EBP and practicing nurses who wish to integrate research-based theory into their daily practice, this resource outlines different types of research in easy-to-understand language with the goal of applying EBP into daily practice. New to the Fourth Edition: Updated throughout with new information and references Includes case studies demonstrating how evidence can be translated into practice Provides expanded coverage of EBP models Offers study questions with rationales at the end of each chapter Key Features: Describes step by step how EBP can be implemented to improve patient care Written in abbreviated "Fast Facts" style with brief, bulleted information Includes examples of how hospitals and healthcare providers are integrating EBP into their practice Advises students on developing and completing EBP projects

Evidence-Based Practice: An Integrative Approach to Research, Administration, and Practice, Third Edition focuses on how research-based evidence drives scholarly practice.

“This is a must-read for all healthcare organizational leaders where advanced practice registered nurses (APRNs) and physician assistants (PAs) are a part of the healthcare team. Being able to understand how to best support and utilize this workforce is crucial in the success of any healthcare delivery system. The authors of this book have brilliantly laid out a blueprint to build a strong and engaged APRN/PA staff.” –Risa Zimmerman, MBA, MPAS, PA-C, DFAAPA Director, Office of Advanced Practice Nebraska Medicine “Within these pages lies a treasure trove of evidence-based tools, templates, pitfalls to avoid, and more for anyone who is interested in advanced practice in healthcare. Maria Lofgren and the Iowa team, with learnings from 15+ years creating a sustainable APP model, have given a huge gift to healthcare delivery globally. I’m especially excited about the thoughtful reflections on staying attuned to relationships between providers as well as the figures and sidebars that highlight policy implications and provide specific examples for implementation.” –Ann Williamson, PhD, RN, NEA-BC Former Chief Nurse and Healthcare Executive “With the rapid expansion of advanced practice providers (APPs) nationwide, new APP leaders seek guidance and insight on building a program of fully optimized providers. Lofgren et al. have accomplished this task, providing a complete and comprehensive road map for C-suites and APP leaders to follow, creating the pillars of supporting practice from student to expert for healthcare organizations.” –Bonnie Proulx, DNP, APRN, PNP-BC, FAAN Senior Vice President Physician Enterprise Kaufman Hall Healthcare Management and Consulting Advanced practice providers (APPs) are a quickly growing part of the healthcare workforce, helping to bridge the gap between the demand for physicians and nurses and keeping healthcare costs lower while maintaining a high quality of care. As hospitals, clinics, and healthcare organizations integrate APRNs and PAs into their clinical operations, healthcare leaders need direction on operationalizing these APPs into practice. Advanced Practice Providers: An Operational Guide for Workforce Integration provides a blueprint for organizations—academic, hospital, and clinic-based —as well as academic programs teaching APRNS and PAs to assimilate the uniqueness of the APP group into existing infrastructures, effectively using resources within organizations to help advance healthcare toward higher quality care, patient safety goals, and team care initiatives. TABLE OF CONTENTS Chapter 1: Comparison of Medicine and Nursing Infrastructures and the Growing APP Workforce Chapter 2: Understanding the Organizational Blueprint Chapter 3: Establishing an Infrastructure Chapter 4: APRN and PA Scope of Practice Chapter 5: Establishing an APP Workforce Chapter 6: APP Onboarding Chapter 7: Operationalizing Telehealth Chapter 8: APRN and PA Students Chapter 9: APP Business Pro Forma Chapter 10: Credentialing and Privileging Chapter 11: Organizational Compliance Chapter 12: Professional Development Chapter 13: Mentoring Chapter 14: Metrics That Matter Chapter 15: Team-Based Care Chapter 16: Patient Access Center Chapter 17: Organizational Initiatives Chapter 18: Looking to the Future Appendices ABOUT THE AUTHORS Maria Lofgren, DNP, ARNP, NNP-BC, CPNP, FAANP, is a Clinical Associate Professor and Director of Faculty Practice at the University of Iowa College of Nursing and the Director of Advanced Practice Providers at University of Iowa Health Care. Christine Gust, MBA, PHR, SHRM-CP, is Human Resources Generalist at University of Iowa Health Care, Carver College of Medicine, Office of Advanced Practice Providers. Her work has led to aligning HR strategies to advanced practice provider organizational objectives, policies, programs, and initiatives. Douglas Van Daele, MD, FACS, is a Professor in the Department of Otolaryngology, Head and Neck Surgery at the University of Iowa Carver College of Medicine and is affiliated with the Iowa City Veterans Affairs Health Care System.

NEW! Extensively updated content reflects the most current quantitative and qualitative approaches to nursing research, as well as the most current research tools and techniques used in the digital era. NEW! Updated research examples throughout incorporate the best examples of current literature, with increased emphasis on international examples to reflect the increasingly global nature of nursing research. NEW! Increased use of visuals includes the addition of more illustrations, tables, and boxes to help break up long passages of text for today’s more visually oriented learners of all levels. NEW! Revised chapters offer improved clarity and usability in the areas of research problems and purpose, quantitative research design, quantitative methodology, and qualitative methodology. NEW! Increased emphasis on hospital magnet status reflects the effect this status has on improving nursing competency and quality outcomes. UPDATED! Coverage of certain qualitative research content has been de-emphasized to reflect the decreased use of certain methodologies (e.g., historical research) and to allow the introduction of additional methodologies that are growing in use.

One of the biggest challenges of evidence-based practice (EBP) is translating knowledge, research, and clinical expertise into action. Failure to execute EBP well is rarely due to lack of information, understanding, or experience; rather, it comes down to lack of tools and practicality for implementing EBP into care.Evidence-Based Practice in Action is a unique, application-oriented EBP resource of the latest Iowa Model Revised: Evidence-Based Practice to Promote Excellence in Health Care. This book offers a detailed plan to guide nurses and healthcare leaders in promoting EBP adoption and implementation.This practical, easy-to-use guide directs healthcare leaders through preparing, implementing, and evaluating any EBP process model and provides tools for topic selection, literature searches, research and evidence review, implementation, and evaluation. The authors provide comprehensive building blocks along with strategies, tools, and tips to guide individuals and teams who make the important day-to-day decisions that ultimately affect patient outcomes.

"Cover" -- "Praise" -- "Title Page" -- "Copyright Page" -- "Acknowledgments" -- "About the Authors" -- "Table of Contents" -- "Foreword" -- "The Iowa Model Revised" -- "Overview" -- "Chapter 1_Identifying Triggering Issues/Opportunities" -- "Chapter 2_State the Question or Purpose" -- "Chapter 3_Is This Topic a Priority?" -- "Chapter 4_Form a Team" -- "Chapter 5_Assemble, Appraise, and Synthesize Body of Evidence" -- "Chapter 6_Is There Sufficient Evidence?" -- "Chapter 7_Design and Pilot the Practice Change" -- "Chapter 8_Implementation" -- "Chapter 9_Evaluation" -- "Chapter 10_Is Change Appropriate for Adoption in Practice?" -- "Chapter 11_Integrate and Sustain the Practice Change" -- "Chapter 12_Disseminate Results" -- "References" -- "Appendix A_The Iowa Model Revised: Evidence-Based Practice to Promote Excellence in Health Care" -- "Appendix B_Implementation Strategies for Evidence-Based Practice" -- "Appendix C_UI Hospitals and Clinics Evidence-Based Practice Publications Reporting Use of the Iowa Model" -- "Appendix D_Select Evidence-Based Practice Process Models" -- "Appendix E_Glossary" -- "Index

"Evidence-based practice (EBP) is a process of shared decision-making between clinicians and patients based on research evidence, the patient's experiences and preferences, and the clinician's clinical expertise. We are now well beyond the Institute of Medicine (IOM) goal that 90% of healthcare be evidence-based by 2020 (IOM, 2010), and a gap persists. The need for EBP is more crucial than ever and must consider value-based care; patient preferences; diversity, equity, and inclusion; regulatory standards; costs; and implementation science. EBP in Action addresses the need for a clear EBP process along with precise, accurate, and effective selection of implementation strategies and resources to promote adoption and sustainability of EBP recommendations. In this book, we will inspire you to use the EBP process, think creatively, and engage patients in EBP co-design for improved outcomes"--