Evidence-Based Nursing

1st Edition

A Guide to Clinical Practice


Key Features

  • 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.

Table of Contents

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 Va


No. of pages:
© 2005
eBook ISBN:
Print ISBN:

About the authors

Alba DiCenso

Affiliations and Expertise

Professor, Nursing & Clinical Epidemiology & Biostatistics, CHRSF/CIHR Nursing Chair in Advanced Practice Nursing, McMaster University, Hamilton, Ontario, Canada

Gordon Guyatt

Affiliations and Expertise

Chair, Evidence-Based Medicine Working Group; Professor, Clinical Epidemiology and Biostatistics and Medicine, McMaster University, Hamilton, Ontario, Canada

Donna Ciliska

Affiliations and Expertise

Professor, Nursing, McMaster University, Hamilton, Ontario, Canada