PHN-652 Topic 1 DQ 2

Topic 1 DQ 2:

How has the evolution of evidence-based practice (EBP) unfolded, and what are the advantages and disadvantages associated with this progression for both public health nurses and communities?

Evidence-Based Practice, commonly referred to as EBP, holds a pivotal role in the nursing sector. The movement towards evidence-based practice encompasses diverse initiatives aimed at widespread adoption of programs, policies, and other practices that experimental evaluation has proven to impact psychological or behavioral functioning (Biglan & Ogden, 2008). Since as early as 1960, psychologists and educational researchers have been highlighting treatment procedures demonstrably more effective than their counterparts. This growing empirical literature prompted various federal agencies to identify and promote evidence-based practices (Biglan & Ogden, 2008).

EBP is characterized as a problem-solving approach to healthcare delivery that integrates the best-evidenced practices with patient care data, clinician expertise, and patient values and preferences. This ensures the delivery of the highest quality care, ultimately leading to optimal patient outcomes (Melynk, 2010; PHN-652 Topic 1 DQ 2).

However, challenges in implementing evidence-based practice in public health nursing include limited funding, a shortage of skilled personnel, lack of incentives, time constraints, and limited support from leadership and elected officials, all of which hinder the effective practice of evidence-based public health (Jacobs, 2012).


Biglan, A., & Ogden, T. (2008). The Evolution of Evidence-based Practices. European journal of behavior analysis, 9(1), 81–95.

Jacobs, J. A., Jones, E., Gabella, B. A., Spring, B., & Brownson, R. C. (2012). Tools for implementing an evidence-based approach in public health practice. Preventing chronic disease9, E116.

Melnyk, Bernadette Mazurek, PhD, RN, CPNP/PMHNP, FNAP, FAAN; Fineout-Overholt, Ellen, PhD, RN, FNAP, FAAN; Stillwell, Susan B., DNP, RN, CNE; Williamson, Kathleen M., PhD, RN Evidence-Based Practice: Step by Step: The Seven Steps of Evidence-Based Practice, AJN The American Journal of Nursing: January 2010 – Volume 110 – Issue 1 – p 51-53 doi: 10.1097/01.NAJ.0000366056.06605.d2 PHN-652 Topic 1 DQ 2

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