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Nursing & Health Sciences: Evidence-Based Practice (EBP)

A guide for resources such as books and articles about nursing and health science

What is Evidence-Based Practice?

The practice of nursing in which the nurse makes clinical decisions on the basis of the best available current research evidence, his or her own clinical expertise, and the needs and preferences of the patient. (Mosby's Medical Dictionary, 2009, Elsevier)

On this page are resources for locating EBP sheets, guidelines, and other resources. For general research/empirical articles (quantitative or qualitative articles), please see the Empirical/Research Article page.

Support for evidence-based practice can come from systematic reviews, evidence-based practice sheets, evidence reviews, or guidance summary documents such as those produced for databases like Lippincott. New to Lippincott? Please view the Lippincott page first .

Different types of evidence are not treated equally. Higher quality evidence should be given more weight.

The Pyramid of Evidence:

Pyramid of Evidence Click to open a window with more information. ANIMAL & LAB (IN VITRO) NON-HUMAN, PRELIMINARY NO DESIGN CASE SERIES CASE REPORTS EXPERT OPINIONS RETROSPECTIVE CASE CONTROL STUDIES PROSPECTIVE COHORT STUDIES PROSPECTIVE RANDOMIZED CONTROLLED TRIALS META-ANALYSES SYSTEMATIC REVIEWS CLINICAL PRACTICE GUIDELINES Primary research studies include RCT, cohort, and case series. Secondary studies include systematic reviews, meta-anlysis, and clinical practice guidelines. OBSERVATIONAL RESEARCH SECONDARY STUDIES PRIMARY RESEARCH

What's Not in the Pyramid of Evidence?

There are some types of sources you may encounter that aren't on the pyramid of evidence. These sources may be useful for your understanding, but should not be cited as scientificevidence. Examples of these include: Blogs, magazine or new articles, and popular non-academic sites such as Wikipedia.

  • These types of sources do not reflect primary research, nor are they an expert review of primary research the way clinical practice guidelines or systematic reviews are.
  • They may refer to or summarize research articles. Locate the research article rather than cite a journalist's summary of it. Wikipedia will include linked citations to the original sources. 

For more on the difference between scholarly and non-scholarly sources, visit the Evaluating Sources guide .

Johns Hopkins Evidence-Based Practice Tools

The EBP model is titled Work in Interprofessional Teams. Inquiry moves to Practice, which rotates with reflection and learning. Practice moves from evidence to translation. These create best practices then practice improvements all of which circle back to inquiry through reflection.

Citation for tools: Dang, D., Dearholt, S., Bissett, K., Ascenzi, J., & Whalen, M. (2022).  Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model and guidelines . 4th ed. Sigma Theta Tau International.

The tools below reproduced with permission.

Evidence-Based Practice Library Databases

These databases are focused on evidence-based practice support.

General Nursing Databases for Research Articles

These databases contain a variety of resource types, including reviews and primary research articles.

Evidence-Based Practice Guidelines

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