developing an evidence-based practice Flashcards
evidence-based practice
- conscientious and judicious use of current best evidence in conjunction with clinical expertise and patient values to guide health care decisions
- encompasses research utilization but also case reports and expert opinion
- validates current practice, changes in practice, cost-effectiveness and quality of care
- high-quality
- cost-effective
- outcomes
dissemination activities
- publications, consultations, conferences, and training programs
- the process of sharing research findings with stakeholders and wider audiences
research utilization
- implementing findings from a research study into actual nursing practice
- you can’t always rely on just one study
- can take years before validated for standard practice
categorized into three subsets: - conceptual
- instrumental
- persuasive
conceptual utilization
aka indirect utilization
- influences nurses thinking but not the action
- increases knowledge base and gives us more complete picture
- draw on this knowledge when making clinical decisions
- changes general approach to patients but no specific interventions
- qualitative
instrumental utilization
aka direct utilization
- concrete application of research findings
- use a particular study to alter nursing interventions
-specific nursing actions are implemented, changed or stopped due to research findings
- may even lead to change in protocol
persuasive utilization
aka symbolic utilization
- research findings are used as a tool to advocate for a certain practice or intervention
- might be used informally to convince colleagues to alter their clinical practice
- might be used formally to persuade an organization or institution to change a policy, procedure or practice
EBP models
include
- synthesis of the evidence
- implementation of the evidence
- evaluation of the impact on client care
- consideration of the context where evidence is implemented