Written in response to numerous requests by nurse practitioners and other graduate faculty for a nursing literature resource, this new two-color book is based on the Users' Guides to the Medical Literature: A Manual for Evidence-Based Practice by Dr. Gordon Guyatt and Dr. Drummond Rennie, published in 2001 by the AMA. Revised for the nursing audience, Evidence-Based Nursing is a reader-friendly, accessible guide that features plentiful examples from the nursing literature and the addition of specific nursing issues such as qualitative research, with direct application for clinical practice. Drs. DiCenso, Ciliska, and Guyatt are three of the leaders in the evidence-based nursing community and command worldwide recognition. Evidence-Based Nursing will enable nurses to frame their clinical questions in a way that will help them find and distinguish between strong and weak evidence; clearly understand study results; weigh the risks and benefits of management options; and apply the evidence to their individual patients to improve outcomes.
This is the only book of its kind that helps nurses use the nursing literature effectively to solve patient problems.
Three-step approach to dissecting a problem - to help find the best evidence and improve patient care, most questions can be divided into three parts: (1) Are the results valid? (2) What are the results? and (3) How can I apply the results to patient care?
Part One - The Basics: Using the Nursing Literature provides a basic approach to the problems faced by nurses when determining optimal care, predicting patient progress, and protecting patients from potentially harmful side effects and includes a literature assessment summary and management recommendations.
Part Two - Beyond the Basics: Using and Teaching the Principles of Evidence-Based Nursing expands on Part One, providing concrete examples through the presentation of cases.
Two-part organization helps both beginners and those more accomplished at using the nursing literature.
Clinical Scenario provides a brief but detailed description of a clinical situation that requires the application of research through a critical thinking process.
Using the Guide examines a clinical scenario, and then evaluates the way in which research findings are collected, analyzed, and applied to the resolution of the problem presented in the scenario.
Free CD-ROM contains everything found in the book, allowing for electronic outlining, content filtering, full-text searching, and alternative content organizations.
PART I - The Basics: Using the Nursing Literature Chapter 1: Introduction to Evidence-Based Nursing Chapter 2: Finding the Evidence Chapter 3: Health Care Interventions and Harm: An Introduction Chapter 4: Health Care Interventions Chapter 5: Harm Chapter 6: Diagnosis Chapter 7: Prognosis Chapter 8: Qualitative Research Chapter 9: Summarizing the Evidence Through Systematic Reviews Chapter 10: Moving from Evidence to Action Using Clinical Practice Guidelines Chapter 11: Changing Nursing Practice in an Organization
PART II - Beyond the Basics: Using and Teaching the Principles of Evidence-Based Nursing Unit I: Health Care Interventions Chapter 12: Quality of Life Chapter 13: Surrogate Outcomes Chapter 14: Surprising Results of Randomized Controlled Trials Chapter 15: The Principle of Intention-to-Treat Chapter 16: When to Believe a Subgroup Analysis
Unit II: Health Services Research Chapter 17: Health Services Interventions Chapter 18: Economic Evaluation Chapter 19: Computer Decision Support Systems
Unit III: Diagnosis Chapter 20: Clinical Manifestations of Disease Chapter 21: Differential Diagnosis Chapter 22: Clinical Prediction Rules
Unit IV: Summarizing the Evidence Through Systematic Reviews Chapter 23: Publication Bias Chapter 24: Evaluating Differences in Study Results Chapter 25: Fixed-Effects and Random-Effects Models
Unit V: Understanding the Results Chapter 26: Bias and Random Error Chapter 27: Measures of Association Chapter 28: HypothesisTesting Chapter 29: Confidence Intervals Chapter 30: Measuring Agreement Beyond Chance Chapter 31: Regression and Correlation
Unit VI: Moving from Evidence to Action Chapter 32: Number Needed to Treat Chapter 33: Applying Results to Individual Patients Chapter 34: Incorporating Patient Values Chapter 35: Interpreting Levels of Evidence and Grades of Health Care Recommendations Chapter 36: Recommendations about Screening
Appendix Glossary Index CD-ROM Installation Instructions
By Alba DiCenso, RN, PhD, Professor, Nursing & Clinical Epidemiology & Biostatistics, CHRSF/CIHR Nursing Chair in Advanced Practice Nursing, McMaster University, Hamilton, Ontario, Canada; Gordon Guyatt, MD, MSc, Chair, Evidence-Based Medicine Working Group; Professor, Clinical Epidemiology and Biostatistics and Medicine, McMaster University, Hamilton, Ontario, Canada; and Donna Ciliska, RN, PhD, Professor, Nursing, McMaster University, Hamilton, Ontario, Canada