Evidence-Based Practice Flashcards
why is it not advised to ask a trusted friend about a clinical question
different answer with each person and they could be wrong
why is it not advised to use your best judgement about a clinical question
you could be wrong
why is it not advised to use your past experience when dealing with clinical questions
every patient and case is different
why is it not advised to use textbooks to answer clinical questions
more than likely outdated
what is a question to ask ourselves about a piece of research
does it provide evidence to support use in practice
much of what is known from research has not been applied in practice. This is known as
The Research- Practice gap
roughly how long does it take ‘updated’ research to reach small hospitals
17 years
what is the research-practice gap
research shows that something is better but it has not been applied into the actual clinical setting
what are the three points of EBP
individual clinical expertise
patients values and expectations
best available clinical evidence
evidence based practice is defined as
integrating best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care
what does QSEN stand for
quality and safety of the education for nursing
why is it important to reduce variations in nursing care
we want the same care between nurses so the patient has long stable care with all unison
the registered nurse ________________________________________, including research findings, to guide practice
utilizes current evidence-based nursing knowledge
how many competencies are there for nursing
6
KSA
knowledge, skills, and attitude
what are the 6 competencies of QSEN
patient centered care (patient)
teamwork and collaboration (tells)
evidence based practice (everyone)
quality improvement (quite)
informatics (I’m)
safety (sleeping)
what are sacred cows
a tradition or routine practice that is performed without any thought about why the task is being performed
the first sacred cow is: to infuse blood you must use an 18 gauge needle or larger.
WHAT DOES THE EVIDENCE SAY
you may infuse blood with needles ranging from 22-14 gauge
sacred cow: The use of Trendelenburg position improves hypotension
WHAT DOES THE EVIDENCE SAY
has no effect on cardiovascular but does cause severely negative effects on pulmonary system
nursing practice must be changed from tradition based to
science based
QSEN states that effective nursing practice requires
knowledge, skills, attitudes
goals of EVP
RAPPA
reduce variations in care
achieve clinical excellence
promote effective interventions and care
provide nurses with EBP
assist in clinical design making
why is research not being used in care
no time
lack of value for research
informed consent
right to not be harmed
right to full disclosure
right to self determination
right to privacy
