EBP Flashcards

1
Q

What is EBP in a nutshell?

A

Combination of research, clinical knowledge, and patient needs in order to keep us moving forward

(to not making past mistakes over and over again).

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2
Q

What criteria are we looking for when doing EBP?

A

Is it effective while still being safe?
Is it high quality while still being affordable?

Any combination of those could be asked. Should work in harmony w one another.

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3
Q

Who created the EBP format for?

A

Melynk

Fineout

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4
Q

Explain the sequence of the EBP model format in your own words

A

Need to be wanting to ask questions and make improvements so when you find something, you ask the picot questions! From there you look through the current data and literature for pieces of evidence that can bring you closer to an answer to your question. Take your evidence and combine it with clinical expertise & patient needs for when you test in the field. Once implemented, you need to measure the outcomes. Use outcome results to determine if the new practice should be implemented into everyday practice.

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5
Q

What is PICOT?

A
P is for population of interest. 
I is for the intervention.
C is for comparison. 
O is for outcomes. 
T is for time.
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6
Q

How do you find your picot question though?

A

Can start by asking why something may be done a certain way.
Can simply look through new data.
Do you notice anything that you personally think could be improved?
Just stuff like that.

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7
Q

Best databases to find evidence?

A

NHQR

CDC

Health people

Cochrane

or school library

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8
Q

What part of the EBP is the critical appraisal?

A

This is the part where you do a literature review to find good evidence.
But keep in mind, just bc an article is posted doesn’t make it noteworthy or reliable.

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9
Q

How can you check to see if a study is valid?

A

Check to see if results have been replicated before in other studies.

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10
Q

Once you find your evidence & have clinical expertise you’re gonna want to see if whatever your researching can be combined with clients needs. But that means you might have to focus your target population.
What questions should you ask yourself to see if it can be applied?

A

Do my findings relate to the community?

Does the information apply to them?

Is the community I’m trying to help similar to population of the study?

If yes, then it might be time to integrate patient needs!

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11
Q

What two pieces should you not forget to look at when analyzing or doing evaluation of the outcomes?

A

The results might be good but need to go back to the baseline data. Was the improvement that helpful? Was the initial baseline not too bad and did the outcome just make it a tiny bit worse?
So just check to se the baseline & outcome.

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12
Q

Principles of conduct governing a group is what type of issue?

A

Ethics

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13
Q

How often is the nurses code of ethics revised?

A

Every 10 yrs

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14
Q

Code of ethics summary

Who must we respect?

Who is our primary commitment?

Who do we advocate for?

What are we to be held accountable for?

A

Respect humanity and individuals

Primary commitment to patient & those who are also there to learn in their care

Advocate for patients

Accountable for our own practice

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15
Q

What can impact ethical practice?

A

Someone’s values and beliefs
If someone has prejudice
If someone is biased

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16
Q

Types of ethical situations

A
Evaluative judgements (rights, value, responsibility)
Moral evaluations (plain right and wrong)
17
Q

How to come to a decision in ethics?

A

Need to separate the facts from questions of value.
Identify the values of the client and of the nurse (our values shouldn’t interfere)
Consider ethical principles

18
Q

Are ethical principles right or wrong ?

A

No not for everyone. Sometimes need to think outside the box to find a solution.

19
Q

So when dealing with ethical situation what should you do?

A

Figure out who, what , where
Identify the question at hand
Are you in the position to decide the answer?
Can you find an alternative solution?
Reconcile the facts and values
There is no right answer often times. Just best answer for the situation really.

20
Q

Values to remember

A

Self-determination
Well-being
Equity - basic needs met for everyone

21
Q

Benficence

A

to do good and go beyond it

22
Q

Nonmaleficence

A

not to do harm and work to avoid it

23
Q

distributive justice

A

hierarchy of needs

ex: medical workers getting vaccine first

24
Q

Egalitarian justice

A

same opportunity for everyone

25
Q

Restorative justice

A

to give back to something that was taken

26
Q

Social justice

A

equity across society and between people; share the wealth and allow basic needs to be met

27
Q

Veracity

A

truth telling

28
Q

Fidelity

A

reliability or accountability