EBP

Question 1

what is the traditional approach?

Answer 1

-ask a friend (they could be wrong/unsure or info not always the same)
-use best judgement
-use past experience
-use textbooks (also articles, usually not up to date)
-errors, multiple answers, etc

Question 2

what is the research based approach?

Answer 2

-identify research
-read and understand reports
-differentiate good vs not good info
*provide supported evidence?
-enough strength and value?

Question 3

what is the research-practice gap?

Answer 3

much of what is KNOWN has NOT been applied in practice

Question 4

“the gap” statistics?

Answer 4

30-40% pts do not receive care w current scientific evidence
-lack of updates=not as good as it should be
research takes years (17) to reach hospitals
*evidence changes

Question 5

what is EBP?

Answer 5

integrating best current evidence with clinical expertise and patient/family preferences and values for optimal health care delivery

Question 6

what is at the center of everything we do?

Answer 6

patient outcomes
*decisions based on pt preferences in combo w/ evidence and expertise= better outcomes

Question 7

main goal of EBP?

Answer 7

better patient outcomes
-helps decision making= best practice

Question 8

overall EBP goals?

Answer 8

-provide nurses w best evidence-based data
-achieve clinical excellence
-reduce variations
-promote effective interventions
-assist w decision making

Question 9

working with EBP should?

Answer 9

provide support, reduce stress, and improve morale

Question 10

EBP barriers?

Answer 10

-low comfort w searches
-no time for literature searches
-unsure of how to read reports
-negative attitude towards reasearch
*know how to identify important concepts and understand readings

Question 11

how many nurses quit within their first year?

Answer 11

40%

Question 12

what is the nurse’s role in EBP?

Answer 12

utilizes current EB nursing knowledge, including research findings, to guide practice

Question 13

what is QSEN?

Answer 13

quality and safety for education of nurses

Question 14

QSEN competencies for nursing?

Answer 14

-patient centered care
-teamwork and collaboration
-EBP
-quality improvement
-safety
-informatics

Question 15

what are “sacred cows”?

Answer 15

ideas/customs institutionally implemented that are “above” criticism

Question 16

sacred cow example?

Answer 16

“must use 18 gauge needle to infuse blood”
-can use smaller needles (less pain and easier to place)

Question 17

sacred cow example 2?

Answer 17

“trendelenburg improves hypotension”
-has no cardiovascular benefit
-DOES cause significant negative effects on pulmonary system

Question 18

what is KSA?

Answer 18

knowledge
skills
attitudes

Question 19

EBP _____ nurses and expands their _____?

Answer 19

empowers nurses and expands skills
*goal is to bridge gap by using research approach