In the article “The Seven Steps of Evidence-Based Practice”, Bernadette M. Melnyk, distinguished foundation professor of nursing at the University of Arizona outlines the argument that despite of proven positive outcomes such as “improved patient outcome, reduced cost, and greater nurse satisfaction” of implementing the evidence-based practice, majority of nurses still remain reluctant in using EBP or use it in the irregular manner. The author suggests to implement the seven step EBP approach using the “PICOT” method. As the author claims that because of financial deficits, not all hospital able to adopt EBP; even if patients have achieved positive outcomes because of implementation of the EBP, majority of nurses refuse to share their experiences with other colleges; even if EBP brought positive outcomes during trials, there is no prove that it may be actual for clinical practice. In conclusion, the author suggests to create sort of feedback team to report EBP results to other health care organizations through local meetings, press conferences, or professional publications. …show more content…
Stillwell, clinical associate professor at the Arizona State University in Phoenix, informs the reader to formulate a question correctly to help guide in finding a right literature. There are two types of questions exist: “background” which is broad question, and “foreground” which is actual for the given clinical situation. The authors suggest to use previous type of questions in a PICOT format, but also remained that those questions and a PICOT format may not always go hand-in-hand.
Igniting a Spirit of Inquiry: Essential Foundation for Evidence-Base Practice