class 20 Flashcards
evidence-informed practice
aka evidence-based practice
-use of best clinical evidence in making care decisions
evidence hierarchy
highest level: systematic review
lowest: expert opinion, case reports, etc
what is a meta-analysis
technique for quantitatively combining results of multiple studies
what is a systematic review
systematic assembly, critical apprasial, and synthesis of all relevant studies on a topic
-must use every piece of available literature
what is a meta-synthesis
integrating qualitative research findings on a topic
research dissemination
communication of research findings via publications, presentations, media
-researcher MUST disseminate after doing a study
research utilization
-using research findings in a practical way, beyond the original study
-making new knowledge applicable to real-world situations
knowledge translation
synthesis, dissemination, exchange, and ethically-sound application of knowledge to improve health of canadians
knowledge user and patient/public engagement of knwoledge translation
knowledge-user engagement: someone who is likely to be able to apply the research to healthcare (e.g. clinicians, educators, policy-makers)
patient/public engagment: -patient-orientated research, -patient partners, -patient/public advisory councils
barriers to research utilization in nursing
-time lag: sometimes 10-20 between generating and using knowledge
-organizational factors: times, workload, lack of administrative support, fiscal resources, inadequate access to new knowledge
-individual factors: education, exposure, attitudes
organizational strategies: models of evidence-based practice
models used for determining what’s a priority for evidence-based practice
ex: iowa model, eastern health model
individual strategies for barriers to research utilization
- asking clinical questions that can be answered with research evidence
2.finding research evidence
3.appraising the evidence
4.implementing and evaluating evidence
what nurses need for EIP
-access to rich library of studies
-opportunities for searching online in the workplace
-system support for searching and reading professional literature
-implementation of a virtual journal club
-access to EIP
-EIP mentorship program
-support to acquire skills
-management who provide resources
sources of EIP
-MUN HSL databases
-up to date
-RNAO best practice guidelines
-Cochrane library
-Joanna Briggs