EBP

Question 1

A problem-solving approach to clinical practice that integrates the conscientious use of best evidence in combination with a clinician’s expertise and patient preferences and values in making decisions about patient care.

Answer 1

EBP

Question 2

Sources for EBP (7 things)

Answer 2

i. Textbooks
ii. Articles from nursing and health care literature
iii. Quality Improvement and risk management data
iv. Standards of care
v. Infection control data
vi. Benchmarking, retrospective, or concurrent chart reviews
vii. Clinicians’ expertise

Question 3

Steps of EBP

Answer 3

0. Cultivate a spirit of inquiry
1. Ask a clinical question in PICOT format
2. Search for the most relevant evidence
3. Critically appraise the evidence you gather

Question 4

Question what does not make sense to you and what needs to be clarified

Answer 4

cultivate a spirit of inquiry

Question 5

asking a clinical question

Answer 5

PICOT

Question 6

PICOT

Answer 6

Patient population of interest (age, gender, ethnicity, health problem)
Intervention of interest (treatment, tests)
Comparison of interest
Outcome
Time

Question 7

most important sources

Answer 7

systematic reviews & met analysis

Question 8

asking experts for help

Answer 8

i. Nursing faculty
ii. Advanced practice nurses
iii. Staff educators
iv. Risk managers
v. Librarians

Question 9

teaching, assessment or documentation tools, clinical practice guidelines, policies and procedures

Answer 9

integrating evidence

Question 10

consider setting, staff support, scope of practice, resources

Answer 10

applying evidence

Question 11

When evaluating an EBP change determine

Answer 11

i. Was the change effective?
ii. Are modifications needed?
iii. Should the change be discontinued

Question 12

After critiquing all articles for a PICOT question

Answer 12

i. Synthesize or combine the findings

ii. Consider the scientific rigor of the evidence and whether it has application in practice

Question 13

Elements of an article

Answer 13

Abstract
Introduction
Literature review or background
Manuscript narrative

Question 14

1. Brief summary of about research paper or paper in general
2. “objectives” “purpose of”

Answer 14

abstract

Question 15

Contain more info about the purpose of the article

Answer 15

introduction

Question 16

a description of the patient population, the nature of a certain disease or health alteration, how patients are affected, and the appropriate nursing therapies

Answer 16

clinical article

Question 17

Explains the focus or intent of a study.

Includes: research questions or hypotheses

Answer 17

purpose statement

Question 18

Explains how a research study was organized and conducted to answer the research question or test the hypothesis

Answer 18

methods or design

Question 19

Methods or design shows the

Answer 19

1. type of study conducted
   RCT, case control, qualitative study
2. number of people in study

Question 20

the author explains the clinical implications for the topic presented

Answer 20

clinical results or conclusions

Question 21

the author details the results of the study and explains whether a hypothesis is supported or how a research question is answered

Answer 21

research results or conclusion

Question 22

when applying evidence consider

Answer 22

consider setting, practice, resources

Question 23

after applying evidence

Answer 23

evaluate the outcome

Question 24

When evaluating an EBP change determine

Answer 24

Was the change effective?
Are modifications needed?
Should the change be discontinued?

Question 25

Never implement a _____ without evaluating its effects

Answer 25

practice change

Question 26

After implementing an EBP change, it is important to communicate the results (4 things)

Answer 26

i. Clinical staff on the unit
ii. Nursing practice council or the research council
iii. Clinicians
iv. Professional conferences and meeting

Question 27

outcomes must be

Answer 27

observable or measurable

Question 28

The most reliable and objective means of acquiring and conducting research and gaining knowledge.

Answer 28

Scientific Method

Question 29

precise measurement and quantification

Answer 29

Quantitative

Question 30

Examples of quantitative research (4 things)

Answer 30

ii. Experimental research
iii. Nonexperimental research
iv. Surveys
v. Evaluation research

Question 31

Med example of quantitative

Answer 31

A study testing different forms of surgical dressing measures the extent of wound healing

Question 32

such as patients’ perceptions of illness or quality of life

Answer 32

qualitative research

Question 33

Examples of qualitative research

Answer 33

ii. Ethnography
iii. Phenomenology
iv. Grounded theory

Question 34

med example of qualitative

Answer 34

spiritual needs of patients with brain tumors & how nurses support these needs

Question 35

Research process part of diagnosis in nursing process

Answer 35

develop research question/hypotheses

Question 36

Informed consent means: 4 things

Answer 36

i. Participants receive full and complete information
ii. They can understand the information
iii. They have free choice to participate
iv. They understand how their confidentiality will be kept

Question 37

Will not be reported in any manner that identifies the subject and will not be accessible to people outside the research team

Answer 37

Confidentiality

Question 38

Use of information from research and other sources to determine safe and effective nursing care with the goal of improving patient care and outcomes

Answer 38

EBP

Question 39

Systematic inquiry answers questions, solves problems, and contributes to the generalizable knowledge base of nursing; may or may not improve patient care

Answer 39

Research

Question 40

Improves local work processes to improve patient outcomes and health system efficiency; results usually not generalizable

Answer 40

QI