Evidence-based Practice Centers


Evidence-basedPractice Centers

BrownUniversity is the geographically closest Evidence-based PracticeCenter (EPC) to me among the thirteen EPCs at the U.S. Department ofHealth and Human Services Agency for Healthcare Research and Quality.This is at theRhodeIsland.The Brown University EPC collaborates with Brown’s School of PublicHealth, Alpert Medical School, affiliated hospitals, and a range ofinterdisciplinary scholars and departments throughout BrownUniversity. These help to integrate both evidence-based methodsexpertise and clinical expertise.

TheBrown University EPC develops comparative effectiveness reviews,evidence reports, and technology assessments on a spectrum ofclinical and policy-oriented topics. The reviews are mainly used toinform decisions of clinicians, patients, policy-makers, purchasers,and payers. The recent clinical topics addressed by this instituteincludes: Benefits and Harms of Routine Preoperative Testing:Comparative Effectiveness, Oral Mechanical Bowel Preparation forColorectal Surgery, and Core Needle, and Open Surgical Biopsy forDiagnosis of Breast Lesion: An update of 2009 report. Incollaboration with other EPCs, this center has also addressed andreported on Systematic Reviews of Complex Multi-component Health CareInterventions and Agency for Healthcare Research and QualityEvidence-based Practice Center methods for systematically reviewingcomplex multi-component health care intervention.

Thereis a clear observation that EPCs appear to be directed by physiciansor are located in medical schools. For example the Brown UniversityEPC, is based at the Brown University, School of Public Health. Thisproves beneficial to nurses in their roles as care providers. As thephysicians hunt for information, nurses are subjected a need to adoptand implement healthcare provision in relation to the findings, thustaking the important role of facilitating intended health outcomes.According to Thomas and Pring (2004), the roles of the nurses areessential drivers in quality improvement. This translates thatnurses’ role in care giving is vital in ensuring patients’safety. Eventually their skills are sharpened as they participate infacilitation to ensure quality improvement in relation to findings.

Trainingnurses in EPCs located in medical schools provides an ideal academicand practice setting. This provides the nurses an opportunity to bethoroughly equipped and adequately prepared to high quality and safehealthcare provision. They get opportunity to gain up-to-dateknowledge and skills. As a result, they are able to ensure qualityhealthcare in their care giving role. Evidencebased nursing practice is essential to the delivery of high-qualityhealthcare that optimizes patients’ out-comes( Houser &amp Oman 2011).

Thelocations of EPCs in medical schools also help nurse students intheir learning to develop appropriate attitudes towards theirpractice. Being trained by physician instructors, who directs andparticipate in EPCs, they get exposure and acquire new insight to avariety of practical healthcare activities. According to Holland Rees(2010), nurses have a positive attitude towards evidence-basedpractice. This positive attitude is likely to improve commitment inprovision of quality healthcare.

In conclusion, location of EPCs at the medical schools and the factthat most of these EPCs are directed by physicians, who alsoparticipate in training the nurse students, it proves beneficial tonurses in their career practice and development. This is because theyare continually equipped with quality skills in care provision inrelation to findings from evidence based reports.


Holland,K., &amp Rees, C. (2010). Nursing:Evidence-based practice skills.Oxford: Oxford University Press.

Houser,J., &amp Oman, K. S. (2011). Evidence-basedpractice: An implementation guide for healthcare organizations.Sudbury, MA: Jones and Bartlett Learning.

Thomas,G., &amp Pring, R. (2004). Evidence-basedpractice in education.Maidenhead: Open University Press.