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Evidence-Based Practice is the integration of current best research evidence with clinical expertise and patient values to facilitate clinical decision-making.
Sackett DL, Straus SE, Richardson WS, et al. Evidence-based medicine: how to practice and teach EBM. 2d ed. Edinburgh: Churchill Livingstone, 2000.
See the Evidence Glossary compiled by Health Evidence at McMaster University for definitions.
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The 6S pyramid is a hierarchy of evidence sources: Systems, Summaries, Synopses of Syntheses, Syntheses, Synopses of Studies, and Individual Studies. Based on DiCenso A, Bayley L, Haynes B. Accessing preappraised evidence: fine-tuning the 5S model into a 6S model. ACP J Club. 2009; Vol 151 Issue 3: P1-1. (From Clinical Information Access Portal (CIAP) Education Modules, eHealth, NSW http://www.ciap.health.nsw.gov.au/ education/learning/module4/section_3_3.html) |
Systems - Clinical evidence is integrated into the electronic patient record system.
Summaries - integration of best available evidence into a resource to guide care, ex. clinical guidelines or evidence-based clinical information resources.
See the Practice Guidelines section of the Nursing toolkit for sources of guides.
Syntheses, or systematic reviews, are comprehensive appraisal of evidence available for a specific research question.
Synopses - summarized evidence from systematic reviews (syntheses) or high-quality single studies. Found in evidence-based abstract journals and online resources.
Evidence-Based Abstract Journals
Individual studies can be identified by searching the Library's databases. Which datbase you use will depend on your topic. Here are a few databases to think about using:
The complete list of library databases is available on the library's main website.