Evidence Based Practice Flashcards
Why practice EBP?
Improve nursing efficiency Reduce patient mortality Reduce matient morbidity Improve patient wellbeing and satisfaction Development of profession Increased job satisfaction
When to use EBP?
Research projects
- what’s been done
- what did/didn’t work
- evidence to support own findings
Assignments
- demonstrate understanding
- support your points
- critically evaluate skills
Practice
- learn new skill
- evidence for changing ways
- how to approach case/clinical dilemma
What is EBP?
Evidence based practice
Combining our knowledge, evidence, patient circumstances and owner values to make decisions
A’s of EBP?
Ask Aquire Appraise Apply Assess
Ask?
Background questions - vague/overview
Foreground questions - specific
PICO?
Problem
Intervention
Comparison
Outcome
Aquire?
Find the best reference
Personal experience
Opinion of colleagues
Owner/patient values
Literature - MAIN
Types of literature?
Books Guidelines Expert opinion Drug formularies Internet Journals - MAIN
Apply?
Implement the evidence into:
Practice
- communication
- meetings
- give reasons for change
Assignment
- in text citations
- bibliography
Appraise?
Assess the quality and relevance of the evidence
Consider
- study type
- sample size
- method - new or well known?
- validity - accurate?
- reliability - repeatable?
- bias
- age - under 10 years?
Assess?
Evaluate the impact of the change
Any difference to staff/clients/patients?
Keep up to date with evidence
Clients perception of EBP?
Clients often source information from the internet. This leads to problems:
- more likely to leave review if had positive experience
- placebo effect - improvement in perception of animals conditions
- claim treatment has worked without evidence
- claim treatment has caused side-effects with no evidence it came from that treatment
