EBP strategies allow NPs and other health care providers to translate research findings into clinical practice. This discussion highlights some of the responses and initiatives that those in the profession of nursing have taken to maximize the valuable contributions that nurses have made, can make, and will make, to deliver on the promise of EBP. Rather than having clinicians submersed in the volume of research reports, a more efficient approach is for the clinician to access a summary of all that is known on the topic. (2008a). The practice of evidence based medicine means integrating individual clinical . Institute of Medicine (IOM). Nurses are involved in each of the 60 CTSAs that were funded across the nation, contributing from small roles and large roles, ranging from advisor and collaborator to principal investigator. The ACE Star Model, competencies, and ERI have been adopted into practice settings as nurses strategize to employ EBP. In a Bachelor of Science in Nursing (BSN) program, nurses learn about evidence-based practice (EBP), which aids them in pinpointing care strategies that can help their patients.In recent decades, EBP has become a key component of exceptional patient care. Journal of the American Medical Association, 299(10), 1182-1184. Following the influential Crossing the Quality Chasm report (IOM, 2001), experts emphasized that the preparation of health professionals was crucial to bridging the chasm (IOM, 2003). A key recommendation from the nation’s experts was to employ evidence-based practice. Figure 1. View all blog posts under Doctor of Nursing Practice. Fueled by the demand for accountability in healthcare, the intended effect of EBP is to create standard healthcare practices tied back to the best evidence, reducing any “illogical variation” in care, writes Kathleen R. Stevens, EdD, RN, in “The Impact of Evidence-Based Practice in Nursing and the Next Big Ideas.”. In this wide-ranging effort, another significant player was added…the policymaker. (2013). Never before in healthcare history has the focus and formalization of moving evidence-into-practice been as sharp as is seen in today’s research on healthcare transformation efforts. Persistence in educating the future workforce, and retooling the current workforce, with awareness, skills, and power to improve the systems of care. NIH Dissemination & Implementation (D&I) Grants. Teaching IOM: Implications of the IOM reports for nursing education. View all blog posts under Articles | These resources are outlined in Table 1. Washington, DC: National Academy Press. Two additional federal initiatives exemplify what may be called the next big ideas in EBP—each underscoring evidence-based quality improvement. The definition of evidence-based nursing, as accepted by the National Council of State Boards of Nursing, is a Evidence based nursing is a part of the larger scope of evidence based practice. Additional information has been added at the request of the author. Continuing work with using the ACE Star Model as a framework laid a pathway to one of the “next big ideas:” to move from EBP to the study of strategies for achieving EBP (Stevens, 2012). These three competencies are important to EBN. The new NIH D&I grant resources and the ISRN collaboratory are “the next big ideas” in advancing EBP today. Rather than referring to outdated academic texts or facility traditions to make decisions about patient care, evidence-based practice allows nurses to contribute research to the science of nursing and apply the most recent research and practices while discarding unproven methods. 1. Likewise, rather than requiring frontline providers to master the technical expertise needed in scientific critique, their point-of-care decisions would be better supported by evidence-based recommendations in the form of clinical practice guidelines. Educating nurses in EBP competencies was catapulted forward with the publication of Teaching IOM (Finkleman & Kenner, 2006). Institute of Medicine (IOM). Evidence-based medicine includes three key components (Figure 1): research-based evidence, clinical expertise (i.e., the clinician’s accumulated experience, knowledge, and clinical skills),andthe patient’s values and preferences. While this early definition of EBP has been paraphrased and sometimes distorted, the original version remains most useful and is easily applied in nursing, successfully aligning nursing with the broader field of EBP. Evidence-based practice (EBP) is the process of collecting, processing, and implementing research findings to improve clinical practice, the work environment, or patient outcomes. E-mail: STEVENSK@uthscsa.edu. While there are benefits to both as the evidence is gathered and applied, the true benefit goes to the patient. Tinkle, M., Kimball, R., Haozous, E.A., Shuster, G., & Meize-Grochowski, R. (2013). Three areas of research competence are: interpreting and using research, evaluating practice, and conducting research. According to Beyea and Slattery, the advantages of EBP include: It takes an average of 17 years for research findings to move into practice, according to Bernadette Mazurek Melnyk, PhD, and Ellen Fineout-Overholt, PhD, authors of “Evidence-Based Practice in Nursing & Healthcare.” Implementing EBP negates that delay and ensures the provider is delivering innovative patient care. Between 10 and 32 specific competencies are enumerated for each of four levels of nursing education which were published in Essential Competencies for EBP in Nursing (Stevens, 2009). Directions in nursing education in the 1960s established nursing as an applied science. To that end, the need for evidence-based practices has become increasingly important both in operational structure as well as for improving patient care and achieving those positive outcomes. 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