Chapter 1 Integrating Research, EBP, And Quality Improvement Process Flashcards
Medicine
Identification and treatment of a disease condition based on specific evaluation of signs and symptoms, standard of care, evidence on likelihood of positive outcome
Nursing
Identification and treatment of the patients response to an actual or potential health problem
Collaborative problem
Actual or potential physiological complication that nurses monitor to detect a change in patient status
EBP
Allows someone to use the best available evidence from research with the integration of individual clinical expertise, as well as the patients values and preferences, to make clinical decisions
Critical reader
Looks for assumptions, key concepts and ideas, supporting examples, implications and consequences, and any other structural features of the written text, to interpret and assess it accurately and fairly
Nursing research
Systematic, rigorous, critical investigation that aims to answer questions about nursing phenomena
Qualitative research
Seeks to understand the meaning of human experience Natural settings Describes experiences Subjective approach Theory generating
Quantitative
Seeks to test relationships or answer a question Cause-and-effect Describes phenomena Objectivity is important Theory testing
Research critique
Critical appraisal that objectively and critically evaluates a research report’s content for scientific merit and application process
Requires some knowledge
Critical appraisal
Level 1-7
Level 1
Systematic review
Level 2
Designed RCT
Level 3
Controlled trial without randomization
Level 4
Single no experimental study
Level 5
Systematic reviews of descriptive and qualitative studies
Level 6
Single descriptive or qualitative study
Level 7
Opinion of authorities and reports of expert committees
Quality
The extent to which a study’s design, implementation, and analysis minimize bias
Quantity
The number of studies that have evaluated the research questions, sample size, as well as the strength
Consistency
The degree to which other studies, with similar or different designs, investigating the same research question report similar findings
Quality improvement
Is the systematic use of data to monitor the outcomes of care processes as well as the use of improvement methods to design and test changes in practice, the aim of which is to continuously improve the quality and safety of health care systems
What is the most common first step in the quality improvement process?
Conducting an assessment
What is an assessment of a group of research studies that test similar research question?
Systematic review