EBP Synthesis Flashcards

1
Q

True or False: Statistical significant = clinical significance

A

False

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2
Q

Characteristics of Landmark Studies

A
  1. make a difference in people’s lives
  2. are generalizable
  3. lead to theory generation
  4. have implications for multiple disciplines
  5. generate other studies
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3
Q

What does clinical importance mean?

A

It is the practical relevance of the findings

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4
Q

What does clinical importance take into account?

A
  • How much change will this cause?
  • What are the associated risks?
  • Is this change effective and efficient?
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5
Q

Research Critique

A

examination of a studies merits, limitations, meaning, and significant

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6
Q

Critique Skills

A
  • critical thinking
  • logical reasoning
  • knowledge of research methodology
  • attention to detail
  • recognition of strengths and weaknesses
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7
Q

Knowledge Utilization

A

the process of disseminating and using research-generated information to make an impact or change in the existing practices in society

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8
Q

Time Lag

A

the period of time between generating and using knowledge by society

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9
Q

Factors Affecting Time Lag

A
  • historical events
  • attitudes toward research
  • attitudes toward researchers
  • nursing school curriculum
  • nurses not reading research
  • not considered important
  • positive impact not observed in patient
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10
Q

Administration Barriers to Utilization

A
  • research not valued
  • limited change in agency or change not based on research
  • limited resources to make change
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11
Q

Clinician Barriers to Utilization

A
  • do not read research reports
  • lack education about research process
  • do not believe research findings
  • do not know how to implement findings
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12
Q

This type of adopter actively seeks information on new ideas

A

innovator

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13
Q

This type of adopter has a high level of mass media exposure

A

innovator

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14
Q

This type of adopter has interpersonal networks that widely extend beyond local social systems

A

innovator

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15
Q

This type of adopter receives early information about innovations

A

innovator

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16
Q

This type of adopter functions outside the existing social structures

A

innovator

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17
Q

This type of adopter tends to have cosmopolitan relationships

A

innovator

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18
Q

This type of adopter functions as a change agent

A

innovator

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19
Q

This type of adopter has diverse social support systems

A

innovator

20
Q

This type of adopter can cope with high levels of uncertainty

A

innovator

21
Q

This type of adopter does not rely on subjective evaluations of an innovation by other system members

A

innovator

22
Q

This type of adopter has less of an influence on adoption of an innovation within the system because they are not closely linked with the local social system

A

innovator

23
Q

This type of adopter tends to be an opinion-leader in existing social systems

A

early adopter

24
Q

This type of adopter learns about new ideas rapidly

A

early adopter

25
Q

This type of adopter uses new ideas

A

early adopter

26
Q

This type of adopter serves as a role model for the use of new ideas

A

early adopter

27
Q

This type of adopter is rarely a leader

A

early majority

28
Q

This type of adopter is considered an active follower

A

early majority

29
Q

This type of adopter will readily follow in the use of a new idea

A

early majority

30
Q

This type of adopter is skeptical about new ideas

A

late majority

31
Q

This type of adopter will adopt new ideas only if group pressure is great

A

late majority

32
Q

This type of adopter sometimes leave rather than change

A

late majority

33
Q

This type of adopter are security-oriented

A

laggards

34
Q

This type of adopter tend to cling to the past

A

laggards

35
Q

This type of adopter are often isolated within the social system

A

laggards

36
Q

By the time this adopter accepts a new idea, it is consider an old idea

A

laggards

37
Q

Research Implementation Stages

A
  1. Persuasion
  2. Decision
  3. Implementation
  4. Confirmation
38
Q

Persuasion Stage

A

an individual or other decision-making unit develops a favorable or unfavorable attitude toward the change or intervention

39
Q

Decision Stage

A

individual either adopts or rejects the innovation

40
Q

Implementation Stage

A

intervention is put to use

41
Q

Confirmation Stage

A

the individual evaluates the effectiveness of the intervention and decides either to continue or to discontinue it

42
Q

Types of Implementation

A
  1. Direct Application
  2. Reinvention
  3. Indirect Application
43
Q

Direct Application

A

intervention is used exactly as it was developed

44
Q

Reinvention

A

adopters modify the intervention to meet their own needs

45
Q

Indirect Application

A

the knowledge is incorporated into the individual’s thinking and combined with past experience, previous education, and current values