AHRQ National Guidelines Clearinghouse:

eLibrary Access to Literature
A variety of professional literature is available on the eLibrary page.

Hierarchy of Evidence

quality of evidence

Evidence-Based Nursing at Bon Secours Virginia
BSHSI has adopted the ARCC model for EBP. ARCC is the acronym for Advancing Research through Close Clinical Collaboration. The authors provide the original description of the model. This model is described in the following article: Fineout-Overholt, E., Melnyk, B. M., & Schultz, A. (2005). Transforming health care from the inside out. Advancing evidence-based practice in the 21st century. Journal of Professional Nursing, 21(6):335-44.

A less-research oriented description of the ARCC model:
Melnyk, B. M., Fineout-Overholt, E., Stillwell, S.B., & Williamson, K. M. (2009). Igniting a spirit of inquiry:
An essential foundation for evidence-based practice. American Journal of Nursing, 109(11), 49-52. doi:  
This article can be accessed online at: 

Lexicomp – Clinical database of current drug and disease information, including drug identification, dosing calculation and more. Contact librarian or your instructor for login instructions from Athens or BSMH Central.

An excellent collection of professional nursing materials, including journal articles and continuing education articles offering CEU credits.

Resource Subject Guide for Nursing
Nursing resource guides, listing sources of information on topics of interest including EBN, theorists, and nursing organizations, are often available on the webpages of universities. For instance, Virginia Commonwealth University has a wide collection of information resources on their Resource Subject Guide for Nursing.

The Evidence Pyramid:

The PICO question format:

PICO Resource Center for Ovid: 


The PICO question used with actual scenarios:
To read how to formulate answerable clinical questions, see http://ktclearinghouse.ca/cebm/practice.

Transcultural Information
Ethnomed - Resource for integrating cultural information into clinical practice


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