Chapter 2 Flashcards
What is EBP?
Uses research to augment nursing practice
EBP works best when research is combined with (1)______ _______ & (2)_______ __________, and (3)______ ___________.
(1) Clinical expertise
(2) Patient preferences
(3) Local circumstances
In other words, EBP is not finding an intervention in a study and putting it forth without input from anyone else.
What is research utilization (RU)?
Use of findings from studies in a practical application that is unrelated to the original research.
-translating new knowledge into real-world applications
“How can I put this new knowledge to good use in my clinical setting?”
Both EBP and Research utilization (RU) use research, but how do they differ?
Their starting points are different
EBP begins with a question that asks, “what does the evidence suggest is the best approach to solving a clinical problem?”
RU asks, “how can research knowledge be put to use in the clinical setting?”
What is the main idea in which the Cochrane Collaboration is founded?
What is the best representation of this idea?
that research summaries need to be available for quick access.
Systematic reviews are the best representation of this idea.
What are the 3 Main barriers to Implementing EBP?
1) Quality & Nature of the research
2) Characteristics of Nurses
3) Organizational Factors
Barriers to Implementing EBP:
Quality & Nature of the Research
Can the research be easily replicated in a range of settings? -different environments -larger sample sizes Can the research be easily communicated? -getting it published
Barriers to Implementing EBP:
Characteristics of Nurses
Are nurses too “set in their ways” to change?
Do nurses value research evidence?
Do nurses have adequate access to research?
Barriers to Implementing EBP:
Organizational Factors
Implementing new interventions requires time, training, and sometimes new equipment
Barriers to adopting new EBP include:
1) unit culture
2) inadequate leadership (wassup HCA..)
3) Financial or staff limitations
Evidence Hierarchy: What are the three top levels of evidence for different EBP questions?
Level I: Systematic Review
Level II: Single RCT
Level III: Single, non-randomized Trial (Quasi-experiment)
What are Clinical Practice Guidelines are what type of evidence source are they classified as?
A set of recommendations, based on the results of systematic reviews, developed by a panel of experts that determine the recommendations using the AGREE and AGREE II tools
NON-RESEARCH BASED EVIDENCE SOURCE
-do not perform a study or generate evidence, but rather provide a list of recommendations.
What is Quality Improvement (QI) and what type of evidence source are they classified as?
an INTERNAL assessment, conducted by or for a QI organization, of a patient care problem for the purpose of improving patient care through peer analysis, intervention, resolution of the problem, and follow-up.
NON-RESEARCH BASED EVIDENCE SOURCE
-do not generate knowledge that can be generalized beyond the specific context of the study
What are the 6 Factors you should account for when Assessing Evidence for EBP?
1) Evidence Quality
2) Magnitude of Effects
3) Precision of Estimates
4) Peripheral Effects (other side effects or benefits)
5) Financial Costs
6) Clinical Relevance
QMPEFR
What are the 4 Steps a nurse can take to Implement EBP?
1) Problem identification
2) Assess Feasibility
3) Appraise the Evidence
4) Implement & Evaluate
