Chapter 10 Flashcards
T/F: evidence based practice is research utilization and/or quality improvement
False
____ involves critical analysis and evaluation of research findings & then determining how these findings fit into clinical practice
Research utilization
____ focuses on systems, processes, satisfaction, and cost outcomes, usually within a specific organization
quality improvement
____ incorporates the conscientious, explicit and judicious use of the curerent best evidence in making decisions about the care of individual patients
Evidence based practice
____ is an acronym for a system that assists in the formatting of clinical questions
PICOT
P in PICOT
Population/Patient
I in PICOT
Intervention
C in PICOT
Comparison
O in PICOT
Outcome
T in PICOT
Time [Frame]
____ provide options for narrowing or broadening a topic to identify relevant literature
electronic indexes
The _________ is a collection of databases that contain high quality, independent evidence to inform healthcare decision making.
Cochrane Library
___ includes structured summaries containing information about each guideline, including comparisons covering similar topics
National Guideline Clearinghouse
Best evidence for practice includes:
empirical evidence, evidence from descriptive & qualitative research, and information from case reports, scientific principles & expert opinion
The strongest evidence for practice comes from:
systematic reviews that integrate findings from multiple well-controlled studies
The weakest evidence for practice comes from:
expert opinion
___ has to do with the extent to which a study minimizes bias in the design, implementation & analysis of a study
Quality
___ refers to the number of studies done, the strength of the findings, and the sample size across
Quantity
___ refers to the similarity & differences of study designs that investigate the same research question and report similar findings
Consistency
Developed to guide clinical practice and represent an effort to put a large body of evidence into a manageable form
clinical practice guidelines
This model of EBP involves 5 steps that include knowledge, discovery, evidence summary, translation into practice recommendations, integration into practice & evaluation.
ACE Star Model of Knowledge Transformation
This model of EBP resembles a decision making tree that identifies either problem-focused or knowledge-focused triggers that initiate the process in the organization
Iowa Model of EBP
This model of EBP involves 3 major stages of knowledge transfer: creation, diffusion and implementation
Agency for Healthcare Research and Quality model (AHRQ)
This model of EBP asks a practice question, finds the evidence, and translates the evidence into practice; uses PICOT format
John Hopkins Nursing EBP Model (PET)
