ABHILASHI COLLEGE OF NURSING

SUBJECT :- NURSING EDUCATION

LESSON PLAN ON:- EVIDENCE BASED PRACTICES

SUBMITTED TO :- SUBMITTED BY:-

Ms. Reena Chaudhary Mrs. Swati Sharma

Assist.Professor(OBG) MSc (N) 1ST year

Submitted on- 26/9/22

TITLE OF THE COURSE : Mental health Nursing

 UNIT : unit

TOPIC : Evidence based practice

STUDENT TEACHER : Mrs. Swati Sharma

DURATION : 1 hr

DATE : 26.9.2022

PLACE : B.Sc 3rd year classroom

GROUP OF STUDENTS : B.Sc 3rd year students

METHOD OF TEACHING : Lecture cum Discussion

TEACHING MEDIA : Powerpoint Presentation, Blackboard, chart

EVALUATOR : Ms. Reena Chaudhary

PREVIOUS KNOWLEDGE ABOUT TOPIC : The students have the previous knowledge regarding about evidence based
practices

STUDENT-TEACHER OBJECTIVES:-
 GENERAL OBJECTIVES:-At the end of the teaching the students will be able to explain the guidance and counseling

SPECIFIC OBJECTIVES:-

 To introduce self
 To introduce the topic
 To review of previous knowledge
 To introduce the evidence based practice
 To know the process of EVP
 To know the aims of EVP
 To explain objectives of EVP
 To know the needs of EVP
 To enlist the steps of EVP
 To explain the models for evidence based practices
 To list the barriers of EVP
 To list the advantages of EVP
 To summarize the topic

S.N. SPECIFIC CONTENT MATTER TIME TEACHING TEACHING EVALUATI

OBJECTIVE MEDIA LEARNING ON
 ACTIVITIES
1. To introduce My self,Swati Sharma student of M.Sc. Nursing 1 st
1min.
self year of Abhilashi college of nursing Tanda, Mandi

2. To introduce Today, I am going to discuss with you regarding

the topic evidence based practice. 1min.

3. To review of
previous Do you have any idea regarding evidence based
knowledge practice 3 min.

4. To introduce INTRODUCTION:-
2 min. PPT Lecture cum What do you
the evidence  Evidence based practice is an approach that discussion mean by
based practice enables clinicians to provide the highest quality evidence
(EBP) of care in meeting the multiphase needs to their based
parents and family. practice?

5.
To define the DEFINITION :- 2 min. PPT Lecture method
evidence based  Evidence based practice (EBP) is the process of
practice making clinical decisions based upon evidence, What is the
combined with clinical experience and patients definition of
expectations. evidence
 Evidence based practice is the conscientious based
explicit and judicious use of current. Best practice?
evidence in making decision about the care of
individual patients. The practice of evidence
based medicine means integrating individual
clinical expertise with the best available
external clinical evidence fro systematic
research. What is the
 (Sackett. et al 1996) definition of
counseling?
6. 2 min. PPT Lecture cum
To know the discussion
process of PROCESS OF EVIDENCE BASED PRACTICE:- method
evidence based
practice What is the
process of
evidence
based
practice?

7. PPT
2 min. Lecture cum
To know the discussion What are the
aims of EBP Aims of evidence based practice:- method aims of
 To provide the high quality and most cast EBP?
efficient nursing care possible.
 To advance quality of care provided b health
worker.
 To increase satisfaction among patients.
 To focus on nursing practice away from habits
and
tradition to evidence and research.
 It results in better patient outcomes.
 It contributes to the science of nursing.
 It keeps practice current and relevant.
It increases confidence is decision making
8. To enlist the 3 min. PAMPHETES Lecture cum
objectives and discussion
purposes of OBJECTIVES AND PURPOSES OF EVIDENCE method
EBP BASED PRACTICE:- Enlist the
  Evidence based practice seeks to replace objective of
practice as usual with practice guided by EBP
rigorous outcomes oriented research ideally
randomized controlled trials.
 It also seeks to make practice a less subjective
enterprise and to rise it to a higher level of
accountability.
 Reduces the variations in nursing care and PPT What are the
9. assist with efficient and effective decision 2min Lecture cum needs of
To enlist the making. discussion EBP?
needs of EBP  Providing practice to the nurse evidence based method
data to deliver effective care.

NEEDS OF EVIDENCE BASED PRACTICE:-

 For making sure that each client get the best
possible services.
 Update knowledge and is essential for
lifelong learning. What are
10. 5 min. CHART Lecture cum five steps of
 Provide clinical judgment.
To know the discussion EBP?
 Improvement care provided and save lives
steps of method
 To provide framework for understanding the
evidence based
evidence based practice process.
practice
STEPS IN EVIDENCE BASED PRACTICE :-

1. Ask a question
Converting the need for information (about
prevention, diagnosis, prognosis, therapy,
causation, etc) into an answerable question
2. Find information/evidence to answer
question
Tracking down the best evidence with which to
answer that question 
 3. Critically appraise the information/evidence
Critically appraising that evidence for its
validity (closeness to the truth), impact (size of
the effect), and applicability (usefulness in our
clinical practice) 
4. Integrate appraised evidence with own
clinical expertise and patient’s preferences
Integrating the critical appraisal with our
clinical expertise and with our patient's unique
biology, values and circumstances 
11. 5min. PPT Lecture method What are the
To list models 5. Evaluate 5 phases of
of evidence Evaluating our effectiveness and efficiency in settler model
based practice executing Steps 1-4 and seeking ways to in of EBP?
improve them both for next time 

MODELS OF EVIDENCE BASED PRACTICE:-

STETLER MODEL-The Stetler model of research

utilization helps practitioners assess how research
findings and other relevent evidence can be applied in
practice. This model examines how to use evidence to
create formal change within organizations, as well how
individual practitioners can use research on an informal
basis as part of critical thinking and reflective practice.
The model links research use, as a first step, with
evidence-informed practice.The Stetler model provides
a way to think about the relationship between research
use and evidence-informed practice. These two
concepts are not the same. Integrating both concepts
enhances the overall application of research.
 This model consists of five phases (Stetler, 2001, p.
276):

 Phase I: Preparation
 Phase II: Validation
 Phase III: Comparative Evaluation/Decision
Making
 Phase IV: Translation/Application
 Phase V: Evaluation

2. IOWA model
Iowa Model of EBP-. The Iowa Model focuses on the
entire healthcare system (e.g., patient, practitioner,
infrastructure) to implement and guide practice
decisions based on best available research and
evidence.
ESSENTIAL STEPS-
1. -Identify either a “problem-focused trigger” or
“knowledge-focused trigger” that will generate the
need for a practice change.
2. -Determine whether the “trigger” is a healthcare
organization priority.
3. -Reflect a team’s topic of interest and include
interested stakeholders. The team will search, appraise,
and synthesize literature related to the topic.
4. -Evaluate the availability and merit (e.g., level of
evidence, quality of evidence) of evidence. If evidence
availability and merit are lacking, conduct research.
5. If credible and reliable evidence is available, pilot the
 practice change.
6. -Appraise pilot for level of success. If pilot is
successful, disseminate findings within the
organization and implement recommended change into
practice.

3. Rosswurm and Larrabee (1999), at the University

of West Virginia, developed a six-step model to
facilitate a shift from traditional and intuition-driven
practice to implement evidence-based changes into
practice. The model has been tested in the acute care
clinical setting, but the authors think it is adaptable to
primary care settings. The following are the six steps in
the model

STEPS-

-Assess the need for change in practice by comparing

12. internal data with external data.
To explain the 2 min. PPT Lecture
Barriers in 1. -Link the problem with interventions and outcomes method/black What are the
evidence based (standard interventions, if possible). board barriers to
practice 2. -Synthesize the best evidence (research and contextual EBP?
evidence).
3. -Design a change in practice.
4. -Implement and evaluate the change in practice,
including processes and outcomes.
5. Integrate and maintain the change in practice using
diffusion strategies.

BARRIERS TO EBP
  Lack of value for research in practice .
 Difficulty in bringing change.
 Lack of administrative support
 Lack of knowledge.
 Lack of time for research.
13.  Many nurse have not receive any formal 3min. Lecture cum
To know about FLASH discussion
instruction in research and they lack skill to What are the
the advantages CARD method
judge the merits of study advantages
of EBP
 Unavailability of research reports, which are of EBP?
not easily gathered.
 Complexity of the research regarding evidence
based practice.
 Organization have failed to motivate or
rewards.
 There is a shortage of role models nurse who
can be evaluated for their success in using or
promoting the use of research in clinical
practice.

ADVANTAGES OF EBP

 Information explores
14.  Provide better patient outcomes.
To summarize  Ebp increases the efficiency of nurses.
the topic  Making decision based on knowledge that is
backed by
research.
 It keeps nursing practice current to the new
trends and updated guidelines of care.
 It provides variations in practice because it can
help determine high quality cast effective
intervention that actually work.
 It promotes high quality and cast effective
 intervention and treatment.
 Using EBP to provide care to patients increases
the nurses confidence.
15.
To recaptulize
the topic? SUMMARY:-

 To introduce the evidence based practice

 To know the process of EVP
 To know the aims of EVP
 To explain objectives of EVP
16.  To know the needs of EVP
 To enlist the steps of EVP
 To explain the models for evidence based
practices
 To list the barriers of EVP
 To list the advantages of EVP

RECAPTULIZATION:-
Q:1 what do u mean by guidance and counseling?
Q:2 what are the areas of guidance?
Q:3 what are the phases of counseling process?
Q:4 what are the tools and techniques for counseling
process?
Q:5 what are the differences between guidance and
counseling?

BIBLIOGRAPHY:-
 Brae Kour Navdeep ; HC Rawat, textbook of
advance nursing practice first edition . Jaypee
publisher ; page no 533-541.
 Basheer. P, shabeerkhan . Yasmeen S. A
concise textbook of advanced nursing practice
first edition; EM-ESS medical publisher; page
no . 751-757.
 Polit. F. Denise ; back tatano cheryl nursing
research ; generating and assessing evidence
for nursing practice ; tenth edition, wolters
kumars publisher page no 30-