EBP P/P 5 Flashcards
EBP
is 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
There are six steps of EBP
- Ask a clinical question.
- Collect the most relevant and best evidence.
- Critically appraise the evidence you gather.
- Integrate all evidence with one’s clinical expertise and patient
preferences and values in making a practice decision or
change. - Evaluate the practice decision or change.
- Share the outcomes of EBP changes with others.
example of a PICOT question.
- For surgical patients who are incontinent (P) what is the incidence of pressure ulcers (O) when emollient wipes are used to clean patients (I) compared with the use of washcloths (C) during hospitalization (T)?
Do
patients who have had abdominal surgery (P) and who rock in a
rocking chair (I) have a reduced incidence of postoperative ileus (O)
during hospitalization (T) when compared with patients who receive
standard nursing care following surgery (C)?
example of PICOT question
A nurse researcher interviews parents of children who have
diabetes and asks them to describe how they deal with their
child’s illness. The analysis of the interviews yields common
themes and stories describing the parents’ coping strategies.
This is an example of which type of study?
The data in this study were collected during interviews; information from the interviews was used to describe common themes and experiences of the parents. These are characteristics of qualitative research
A nurse who works in a newborn nursery asks, “I wonder if
the moms who breastfeed their babies would be able to breastfeed
more successfully if we played peaceful music while they
were breastfeeding.” In this example of a PICOT question, the
I is:
The Intervention in this PICOT question is playing peaceful music.
Arrange the following steps of evidence-based practice (EBP)
in the appropriate order:
1. Integrate the evidence.
2. Ask the burning clinical question.
3. Evaluate the practice decision or change.
4. Share the results with others.
5. Critically appraise the evidence you gather.
6. Collect the most relevant and best evidence.
Answer: 2, 6, 5, 1, 3, 4.
Implementing EBP follows a logical progression of steps
When recruiting subjects to participate in a study about the
effects of an exercise program on balance, the researcher provides
full and complete information about the purpose of the
study and gives the subjects the choice to participate or not
participate in the study. This is an example of:
The process of informed consent includes providing research subjects full disclosure about the study and provides the subject the opportunity to participate or not to participate in the study
Nurses on a pediatric nursing unit are discussing ways to
improve patient care. One nurse asks a colleague, “I wonder
how best to measure pain in a child who has sickle cell disease?”
This question is an example of a/an:
Knowledge-focused triggers are questions about information available on a specific topic.
A group of staff educators are reading a research study together
at a journal club meeting. While reviewing the study, one
of the nurses states that it evaluates if newly graduated
nurses progress through orientation more effectively
when they participate in patient simulation exercises. Which
part of the research process is reflected in this nurse’s
statement?
The purpose statement includes research questions or hypotheses—predictions made about the relationship or difference between study variables (concepts, characteristics, or traits that vary within or among subjects).
A research study is investigating the following research question:
What is the effect of the diagnosis of breast cancer on the
roles of the family? In this study “the diagnosis of breast
cancer” and “family roles” are examples of:
Variables are concepts, characteristics, or traits that vary within or among subjects.
