chapter 14

Question 1

what is the conceptual framework?

Answer 1

identifies set of concepts of a phenomenon

• general understading (not explanation) of a phenomenon

Question 2

what is the conceptual mode?

Answer 2

narrow and precise

• describes in detail (not explanation) a phenomenon

Question 3

what is a theory?

Answer 3

offers hypothesis on casual relationships between concepts

• helps understand and/or explain a phenomena

Question 4

why do we use frameworks, models and theories in evidence based practice?

Answer 4

1) describe or guide process of implementation (EBP)

2) understand or explain what influences outcomes (EBP)

3) Evaluate implementation (EBP)

Question 5

what are the components of EBP?

Answer 5

1) pt preferences
2) clinical state, setting and circumstances
3) availability of resources
4) high quality research evidence
5) clinical expertise

Question 6

what is common amongst all models used for implementing EBP?

Answer 6

• identifies problem (EXCEPT for the PARIHS framework)
• identifies people who will help make the changes such as stakeholders, change agents, educators
• identifies high quality research that has been shown to address the problem

-anticipate, identify and address the potential barriers to the practice change i.e., hierarchy, culture of inquiry

Question 7

Iowa model

Answer 7

• identifies triggering issues and if its a national, state or organization initiative

basically identifies a triggering issue and decides if it is a priority if not they continue to seek other issues.

if it is a priority, they basically form a team and synthesis evidence and if not enough, they do their research to gather evidence, then they design and pilot the practice through protocols. evaluation plants etc… and gauge is the change is applicable in practice then apply the results or look for alternatives.

then the process begins again

Question 8

PARIHS model

Answer 8

created to show the interplay of how different factors contribute to the successful implementation of evidence in practice. basically how evidence is put into practice

based on the formula “SI (successful implementation) = f(function)(E,C,F)

E= evidence
C= context
F = facilitation

so successful implementation relies on ECF

goal is to move these 3 factors to the highest level to ensure success

Question 9

Knowledge to action framework

Answer 9

describes and depicts the high-level processes necessary to move from discovery into action. by using translation of evidence-based programs, practices, or policies

2 components:
1) knowledge creation - described as the “funnel” includes inquiry and synthesis which is then funnelled to identify the problem
2) action cycle