Table Of ContentTEACHING
EVIDENCE-BASED
PRACTICE IN NURSING
A Guide for Academic
and Clinical Settings
Dr. Rona F. Levin, PhD, RN, is Professor
andProjectDirectorfortheJoanM.Stout,
RNEvidence-BasedPracticeInitiativeatthe
Lienhard School of Nursing, Pace Univer-
sity, and is Visiting Faculty Member at the
VisitingNurseServiceofNewYork.Sheis
Professor Emeritus at Felician College,
Lodi, New Jersey, where she was director
ofthedivisionofnursingandsubsequently
director of the division of health sciences.
ShereceivedherAASdegreeinnursingfrom
Queens College, her BS and MS degrees
fromAdelphiUniversity,andherPhDfrom
NewYorkUniversity.DuringhercareerDr.
Levinhasheldpositionsasstaffnurse,headnurse,educator,researcher,
andeducationaladministrator.Shehasconductedandpublishedresearch
onpainmanagement,nursingdiagnoses,anddiagnosticcompetenciesof
nurses,andhaswrittenonawidevarietyofnursingresearchandeduca-
tionalissues.Shepresentslocally,regionally,nationally,andinternation-
ally on evidence-based practice (EBP) in relation to curriculum
development and research on mentoring nurses to integrate EBP into
their clinical practice.
Harriet R. Feldman, PhD, RN, FAAN,
is dean and professor of the Lienhard
SchoolofNursing,PaceUniversity.Shere-
ceivedherBSandMSdegreesfromAdelphi
University, and PhD from New York Uni-
versity.Shehasheldpositionsinadministra-
tion, teaching, and clinical practice. From
1997to2005,shewastheeditorofNursing
LeadershipForum.HerbookNursesinthe
PoliticalArena:ThePublicFaceofNursing,
coauthoredwithSandraLewensonin2000,
received an AJN Book of the Year and
Sigma Theta Tau International Nursing
Print Media awards. Recent edited
books are The Nursing Shortage: Strategies for Recruitment and Reten-
tion in Clinical Practice and Education (2003) and with Martha J.
Greenberg,EducatingNursesforLeadership(2005).Dr.Feldmanholds
the following appointments: Board of the Commission on Collegiate
NursingEducation;PublicPolicyChairoftheGreaterNewYork/Nassau/
SuffolkOrganizationofNurseExecutives;andHealthAdvisoryCommit-
tee to US Representative Nita Lowey. She is a Fellow of the American
AcademyofNursingandFellowoftheNewYorkAcademyofMedicine.
TEACHING
EVIDENCE-BASED
PRACTICE IN NURSING
A Guide for Academic and
Clinical Settings
Rona F. Levin, PhD, RN
and
Harriet R. Feldman, PhD, RN, FAAN
Editors
New York
Copyright © 2006 Springer Publishing Company, Inc.
All rights reserved.
No part of this publication may be reproduced, stored in a retrieval
system,ortransmittedinanyformorbyanymeans,electronic,mechani-
cal,photocopying,recording,orotherwise,withoutthepriorpermission
of Springer Publishing Company, Inc.
Springer Publishing Company, Inc.
11 West 42nd Street
New York, NY 10036
Acquisitions Editor: Ruth Chasek
Production Editor: Sara Yoo
Cover design: Joanne Honigman
Composition: International Graphic Services, Newtown, PA
06 07 08 09 10/ 5 4 3 2 1
Library of Congress Cataloging-in-Publication Data
Teaching evidence-based practice in nursing: a guide for academic and
clinical settings / [edited by] Rona F. Levin and Harriet R. Feldman.
p. ; cm.
Includes bibliographical references and index.
ISBN 0-8261-3155-7
1. Nursing—Study and teaching. 2. Evidence-based medicine.
[DNLM: 1. Nursing Education Research—education. 2. Evidence-
Based Medicine—education. 3. Nursing Education Research—
methods. WY 18 T2516 2006] I. Levin, Rona F. II. Feldman,
Harriet R.
RT71.T335 2006
610.73'071'1—dc22 2005022198
Printed in the United States of America by
ForSebastianBryce,TylerReardon,andEmersonRaewithloveandmy
hope that you will become all that you want to be.
“Mimi”
To my family, who keeps me grounded in reality yet encourages me to
dream, and especially to my husband, Ron, and mother, Florence, who
are always supportive and take pride in all that I do.
Harriet
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Contents
Contributors xi
Preface xv
Acknowledgments xvii
Foreword by Bernadette Mazurek Melnyk xix
Part 1 Setting the Stage
Introduction to Part 1 3
Harriet R. Feldman
1. Evidence-Based Practice in Nursing: What Is It? 5
Rona F. Levin
2. Our Approach to Teaching/Learning EBP: The Talking 15
Head Versus the Dancing Feet
Harriet R. Feldman and Rona F. Levin
Part 2 The Basics of Teaching/Learning Evidence-Based Practice
Introduction to Part 2 25
Harriet R. Feldman
3. Teaching Students to Formulate Clinical Questions: 27
Tell Me Your Problems and Then Read My Lips
Rona F. Levin
4. Strategies to Teach Evidence Searching: It Takes a 37
Library
Rona F. Levin and Helen T. Lane
5. Synthesizing Evidence and Separating Apples From 49
Oranges
Rona F. Levin
6. Teaching Meta-Synthesis: Summarizing Qualitative 59
Research
Teresa L. Panniers
vii
viii Contents
7. Teaching Meta-Analysis: Summarizing Quantitative 99
Research
Michael J. Barnes and Rona F. Levin
8. Creating Clinical Protocols With an Apgar of 10 121
Ellen R. Rich and Jamesetta A. Newland
9. How to Assess Clinical Protocols for an Evidence Base 133
Rona F. Levin and Lillie M. Shortridge-Baggett
10. Evaluating Educational Outcomes: Measuring Success 143
Ellen Fineout-Overholt
Part 3 Teaching/Learning Evidence-Based Practice
in the Academic Setting
Introduction to Part 3 161
Harriet R. Feldman
11. Transforming a Graduate Nursing Curriculum to 165
Incorporate Evidence-Based Practice: The New York
University Experience
Barbara Krainovich-Miller and Judith Haber
12. Incorporating Evidence-Based Practice Into Clinical 193
Education for Nurse Practitioners: The Pace University
Experience
Joanne K. Singleton, Marie Truglio-Londrigan, and
Janet Allan
13. Teaching Evidence-Based Practice to Second-Career 205
Nursing Students
Jeanne T. Grace
14. Teaching Evidence-Based Practice Throughout an 221
Undergraduate Curriculum: Here, There, and Everywhere
Rona F. Levin
15. Teaching How to Make Accurate Nurses’ Diagnoses 229
Using an EBP Model
Dina´ de Almeida Lopes Monteiro da Cruz, Cibele
Andrucioli de Mattos Pimenta, and Margaret Lunney
16. Learning From the Past: Using Nursing History as 247
Evidence
Sandra B. Lewenson
17. Why We Need Evidence-Based Teaching Practices 261
Theresa M. Valiga
Contents ix
Part 4 Teaching/Learning Evidence-Based Practice
in the Clinical Setting
Introduction to Part 4 275
Harriet R. Feldman
18. Teaching Evidence-Based Practice in a Hospital Setting: 279
Bringing It to the Bedside
Patricia Quinlan
19. Making EBP Part of Clinical Practice: The Iowa Model 295
Linda Q. Everett and Marita G. Titler
20. Using Journal Clubs to Introduce Evidence-Based 325
Practice
Ellen Fineout-Overholt
21. Traveling Posters: Communicating on the Frontlines 337
Priscilla Sandford Worral
Glossary of Selected Terms in EBP 347
Annotated Bibliography 355
Relinie Rosenberg
Index 361
