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Introducing AORN's New Model for Evidence Rating
Author(s) -
Spruce Lisa,
Van Wicklin Sharon A.,
Hicks Rodney W.,
Conner Ramona,
Dunn Debra
Publication year - 2014
Publication title -
aorn journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.222
H-Index - 43
eISSN - 1878-0369
pISSN - 0001-2092
DOI - 10.1016/j.aorn.2013.11.014
Subject(s) - systematic review , best practice , agency (philosophy) , evidence based practice , critical appraisal , medline , evidence based medicine , quality (philosophy) , medical education , psychology , medicine , alternative medicine , management , political science , sociology , social science , philosophy , epistemology , pathology , law , economics
Nurses today are expected to implement evidence‐based practices in the perioperative setting to assess and implement practice changes. All evidence‐based practice begins with a question, a practice problem to address, or a needed change that is identified. To assess the question, a literature search is performed and relevant literature is identified and appraised. The types of evidence used to inform practice can be scientific research (eg, randomized controlled trials, systematic reviews) or nonresearch evidence (eg, regulatory and accrediting agency requirements, professional association practice standards and guidelines, quality improvement project reports). The AORN recommended practices are a synthesis of related knowledge on a given topic, and the authorship process begins with a systematic review of the literature conducted in collaboration with a medical librarian. At least two appraisers independently evaluate the applicable literature for quality and strength by using the AORN Research Appraisal Tool and AORN Non‐Research Appraisal Tool. To collectively appraise the evidence supporting particular practice recommendations, the AORN recommended practices authors have implemented a new evidence rating model that is appropriate for research and nonresearch literature and that is relevant to the perioperative setting.