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Evidence-Based Practice
Dr Tina Harris
Lead Midwife for Education
Adapted from a presentation originally
developed by Dr Susan Dyson
Aims
By the end of the session you should be able
to:
Articulate the concept of evidence-based
practice
Appreciate the importance of using
evidence to underpin professional practice
Understand the principles for determining
what is best available evidence
Evidence-Based midwifery
Practice
involves integrating the best
available research evidence with
professional expertise while taking
account of patient preferences
is a complex undertaking that
involves identifying and appraising
different sources of evidence
In more detail
We can extend the concept of EBP
from individuals to groups of
patients, health care services and
policy initiatives (Muir Gray, 2004)
Ongoing research adds to the `body`
of knowledge and ensures the
knowledge base for practice is
constantly evolving
Professional Expertise to
underpin EBP
Professional expertise or `practical`
knowledge (derived from professional
experience) can inform EBP, when used
alongside `technical` or `propositional`
knowledge (derived from research)
Midwives often draw on these sources of
knowledge more often than formal
sources, i.e. published research reports
Hierarchy of Evidence
1.
2.
3.
4.
5.
Characteristics of all
research
All types of research are or aim to be:
Planned
Cautious
Systematic
Reliable
Ways of finding out or deepening
understanding
Examples of Research
Ethnicity Question and Antenatal
Screening (EQUANS)
A Department of Health funded study using
quantitative and qualitative methods to
find out about the efficacy of asking
pregnant women an ethnicity question as
a way of detecting risk of carrying genes
associated with Sickle Cell Disease (SCD)
Project Lead Dr Simon Dyson: Reader in
Applied Social Sciences
RCT and non-RCT
Non experimental
In summary
We should be able to articulate what
evidence-based practice is
We should understand something of the
importance of using evidence in
professional practice
We should understand the principles behind
determining what is best available
evidence
References
Spiby H and Munro J (2009) Evidence
based midwifery: applications in context.
Chichester:Wiley-Blackwell. Chapter 1.
Rees C (2011) Introduction to research
in midwifery. London:Churchill
Livingstone
Cluett R and Bluff R (2006) Principles
and practice of research in midwifery
References
Gerrish, K and Lacey, A (2006) The
Research Process in Nursing (5th Edn)
Blackwell Publishing. Oxford.
Sackett, D.L., Rosenburg, W.M., Muir Gray,
J.A., Haynes, R.B., Richardson, W.S., (1996)
Evidence-Based Medicine: what it is and
what it isnt. British Medical Journal
312: 71-72
Muir Gray, J.A. (2004) Evidence-based
policy making (editorial) British Medical
Journal 329: 988-989