Evidence Based Practice Flashcards
What is nursing research
The systematic way of answering a question
Types of research
Basic
Applied
Clinical
Basic research: generating a theory, you want to look at better
Applied research: tests the theory in different situations with different populations
Clinical research: tests the theory about the effectiveness of interventions
What does evidence based practice consist of
The best research evidence, clinical expertise, the patient’s needs and values
Why is evidenced based practice not research evidence
Because it is not about conducting research it is about using the research
BSN level in research
Reading studies, assist with research problem identification and data collection
MSN level in research
Critically appraise studies to develop/revise protocols
DNP level in research
Participate in the development of evidence based guidelines. Develop, implement and revise protocols
PhD level in research
SETS IT UP
conduct independent research and obtains funding for it
post doctorate level in research
Assume a full researcher role with a funded program
Why do we research
20% of what healthcare providers do is based on evidence, 80% is not
It takes 15 - 20 years for research evidence to go into practice
Leads to highest quality outcomes
Increases reimbursements and increases insurance denial
Two types of research
Two types, quantitative: uses data and qualitative: uses a story
What are the types of research studies
Meta-analysis: working our research and doing analysis to do one final conclusion
Case study: presents a case and research is done based on the information from the patient
Cohort study
Case control study
Randomized controlled trial
3 ethical principles research must adhere to
Respect for the person: acknowledging and protecting their autonomy
Beneficence: Protecting from harm or injury
Justice: Fair treatment
Step 1 in developing evidence based practice
Develop a clinical question, PICOT
Population or problem of interest
Intervention
Comparison
Outcomes, desired effects
Time frame
Step 2 in developing evidence based practice
Retrieve the evidence
From nursing database and resource links
can be primary or secondary
Primary resource
Original published article
Secondary resource
One author writing about another authors work
Step three in developing evidence based practice
Retrieve the evidence
Through nursing journals, electronic databases, agency for healthcare research and quality
What are some strategies to implement
assess any obstacles, raise questions about current medical practices, acquire more information to correct those misperceptions , focus on the evidence
Use the Internet, avoid Wikipedia, build awareness of how and why things are done a certain way, identify others were interested in searching as well, volunteer to participate, participate in research projects
What are some barriers to evidence based practice
Patience may not want to participate
The lack of access to technology
The limited knowledge of skills for finding or evaluating evidence
The lack of experience and confidence
The lack of support from supervisors
What resources might assist in finding practice guidelines in more information on the best practices
Library search: guideline dog off, emergency nurses Association, CINAHL, Johanna Briggs Institute, Cochrane Library
