Evidence-based practice is the process by which nurses and other healthcare workers assess, review, analyze, and translate the
best and latest scientific research or evidence and incorporate it into everyday clinical practice. This evidence based paper helps
make informed patient-care judgment calls and improves patient outcomes.
The types of nursing evidence based writing papers can be broadly categorized into primary and secondary sources. They can
be broadly categorized into four broad categories depending on the credibility of information.
There are four key guiding principles to EBP in nursing. These include:
Nurses conduct research based on the latest scientific knowledge available and integrate it into their daily practice. They
incorporate these research findings into the major processes such as;
Ideally, both of these should complement each other. In practice, nursing theory gives a foundation and explanation to the
practices and processes involved in EBP. For instance, nursing theory helps patients understand the potential opportunities
available to them in EBP medical care process.
EBP combines the nurse practitioner’s expertise with current research to develop evidence-based care procedures. Individualized
patient care allows nurse practitioners to ensure improved outcomes of patients. The improved decision-making process boosts the
efficiency of a nurse practitioner in patient care. Efficiency and effectiveness of care delivery reduced the cost of healthcare for
EBP addresses individual patient needs, operational or systemic issues, and safety and quality issues. Quality improvements
projects design and develop new processes or structures that are geared to specific practices. Nurses are the bridge between EBP
and QI as they use the principles of EBP to make quality improvements to patient care.
The main role of a nurse in EBP is to apply and implement fully the EBP process. Nurses are required to undertake their normal
nursing work and go beyond their basic skills to identify knowledge gaps that exist in practice. They are required to formulate
relevant questions, conduct in-depth research on the same, and determine the validity of the research using the rules of evidence.
Finally, they have the role of applying the findings of the research in practice to solve the identified problem and include the
patient’s input in the final clinical decision.
One major problem with EBP in nursing is lack of knowledge and skills to fully implement the practice. There are also unreliable
sources of evidence in EBP. Most organizations shy away from EBP due its costly nature. The decision to adopt and implement an
EBP innovation made by management is not readily accepted by employees. These challenges associated with EBP lead to lack of
motivation and commitment to implement EBP.
In evidence-based practice nursing, the questions take the PICO(T) format. The first thing is understanding the population or
patient of target. Identifying the intervention intended to be used to solve the problem of the population. Afterwards, identifying
the alternative intervention and the goal or outcome intended.
Pick a relevant topic from various sources such as your own nursing coursework, previously published works, and interactions
with peers. Topic that resonates with your passion and interests practice.
Collaboration with instructor and getting feedback is key in nursing education. Incorporate feedback with research conducted to
come with a feasible topic
A good title is clear, concise, and calibrated. If the topic is a question, then it should be in PICO format.
A thesis statement is the blueprint or foundation of the whole paper. It is not a hypothesis but can be an implied argument.
Includes background of the research question, brief problem statement, rationale, and thesis statement.
Includes the specific data collection methods from literature, the databases searched, inclusion-exclusion criteria, and level of
A review of the literature is aimed at exploring the relationship between evidence and the research question. Also, it is aimed at
knowledge gaps in the explored nursing studies.
A discussion of the findings and changes in practice, implementation approach, and evaluation process.
Summary of the EBP paper, and a revamped thesis statement.
EBP offers opportunity to streamline and individualize care by improving clinical decision making process.
EBP traces its roots to Florence Nightingale in the 1800s
To write an EBP question, you can follow the PICO format, which stands for:
P: Patient, population, or problem
I: Intervention or exposure
C: Comparison (optional)