1.1 Nursing Research, EBP, Quality Improvement Flashcards
Nursing Research
- Systemic, rigorous critical investigation to solve questions about nursing phenomenon
Quantitative Research
- Used to describe phenomenon, test relationships, assess differences, explain cause and effect relationships between variables and test intervention effectiveness
- Uses numeric data and statistical analysis.
- Testing hypothesis using statistics
Qualitative Research
- Conducted in a natural setting and uses words rather than numbers to describe experiences being studied.
- Done to interpret meaning behind a phenomenon
- Uses a subjective approach
EBP
- Scholarly problem solving approach that aims to provide clinical care and improve health outcomes based on the best evidence.
- Research is grounded on the scientific method
- In nursing EBP is a problem solving approach that integrates systemic search for critical appraisal of the most relevant evidence to a problem, one’s own professional expertise, and patient/family preference.
- Research
- Provider Knowledge
- Family/Patient Preferences
- Created by Dr. Archie Cochrane
- Development of database of systemic reviews to help facilitate access to best evidence
Research Utilization
- Applying findings from a single research study to clinical practice
Steps of EBP
Step 0 - Cultivate spirit of inquiry within EBP culture and environment
Step 1 - ASSESS (Ask a question in PICOT format)
P - Population
I - Intervention (area of interest)
C - Comparison
O - Outcome
T - Time
“In acute care hospitals (P) how does having a rapid response team (I) compared with not having one (C) affect the number of cardiac arrests (O) during a three month period (T)”
Step 2 - Search for the best evidence
Step 3 - Appraise the evidence to help form final PICOT question
Step 4 - Integrate evidence with clinical expertise and patient preferences/values
Step 5 - Evaluate the outcome and measure via effectiveness of practice
Step 6 - Share the results at professional conferences or publications.
Quality Improvement
- Process of evaluating workflow and outcomes to improve the design and change the practice to improve quality and safety of healthcare systems.
