Class 6 - Evidence-Informed Practice

Question 1

Evidence Informed Practice Step 1

Answer 1

ask a clinical question

Question 2

Evidence Informed Practice Step 2

Answer 2

search for most relevant evidence

Question 3

Evidence Informed Practice Step 3

Answer 3

critically appraise evidence you gather

Question 4

Evidence Informed Practice Step 4

Answer 4

apply or integrate your evidence w/ clinical expertise, patient preference, values

Question 5

Evidence Informed Practice Step 5

Answer 5

evaluate the decision or change

Question 6

Evidence Informed Practice Step 6

Answer 6

communicate results

Question 7

What is evidence?

Answer 7

all available facts or info that indicate whether something is true or valid

Question 8

What is scientific evidence?

Answer 8

observations and experimental results that support, refute, or modify a theory

Question 9

Why do we use evidence?

Answer 9

-response to societal forces
-problem solving
-safety net for accurate decisions
-improve care

Question 10

How can you practice evidence-informed care?

Answer 10

be aware of the nature and use of policies, procedures, and guidelines used in the agency

Question 11

What are good sources of evidence?

Answer 11

-scientific journals
-quality improvement and risk management data
-individual patient values, beliefs, experiences
-nursing judgement and expertise

Question 12

What is the strongest (I) evidence on the scale?

Answer 12

systematic reviews and meta-analysis of RCTs

Question 13

What is the worst evidence (VIII) on the scale?

Answer 13

opinion of expert clinicians

Question 14

What is a Rapid Critical Appraisal (RCA) form?

Answer 14

a form that determines the results of. study, their relevance, their validity, and whether or not they will help you care for patients

Question 15

When are clinical questions triggered?

Answer 15

-you are caring for a patient
-you notice a trend on your unity
-you need new info

Question 16

The question you ask depends on __________ or ___________ information

Answer 16

background or foreground

Question 17

Background questions

Answer 17

information you need to get started

Question 18

Foreground questions

Answer 18

have info already and need more and need more specific details

Question 19

What defines goals of care?

Answer 19

quality of life

Question 20

How do you focus interventions on the person?

Answer 20

identify individual factors that impact their quality of life

Question 21

What is care planning used for?

Answer 21

identifying priority and culprit nursing diagnoses

Question 22

________ diagnoses have greater impact on QoL

Answer 22

culprit

Question 23

Who is at the center of QoL care plan mind map?

Answer 23

patient

Question 24

What does mind mapping for QoL care planning involve?

Answer 24

-active document
-data clustering
-creating relational links
-identifying priority and culprit diagnoses

Question 25

Culprit Diagnoses

Answer 25

is affecting everything else, causing the most problems

Question 26

Priority Diagnoses

Answer 26

if untreated, results in harm

Question 27

PICO question: In ____()_____, what is the effect of _______()_______, compared to _____(), to improve ______()____.

Answer 27

Population, intervention, comparison, outcome, + T for time if necessary