Under the evidence based practice centers epc program of the agency for healthcare research and quality 5 year contracts are awarded to institutions in the united states and canada to serve as epcs. Evidence based medicine includes three key components figure 1 research based evidence clinical expertise ie the clinicians accumulated experience knowledge and clinical skills and the patients values and preferences. The practice of evidence based public health ebph is an integration of science based interventions with community preferences for improving population health 1 the concept of ebph evolved at the same time as discourse on evidence based practice in the disciplines of medicine nursing psychology and social work. In 1997 the us agency for healthcare research and quality then known as the agency for health care policy and research or ahcpr established evidence based practice centers epcs to produce evidence reports and technology assessments to support the development of guidelines. This is an essential accessible introduction to research and evidence based practice aimed at all pre registration nursing and health care students it places research and evidence in the context of clinical practice introduces the main methodological approaches in qualitative and quantitative research and describes the processes of research appraisal dissemination and implementation
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