evidence-based practice Flashcards
what are the essential elements in the use of evidence-based practice
accessing the best available research evidence, integrating clinical expertise, and considering the patient’s values and preferences
the reliable sources to obtain evidence-based information
peer reviewed
systematic
google scholar
pub med
databases and archives
JSTOR
why is evidence-based practice used to guide the delivery of nursing care
it ensures that patient care decisions are made based on the best available research, clinical expertise, and patient preferences
A nurse is collecting data from a group of clients regarding their feelings and experiences of living with congestive heart failure. In which of the following types of research studies is the nurse participating?
qualitative
A nurse is teaching a class about citing references to use for evidence-based changes. Which of the following requires citing a reference to avoid plagiarism? (Select all that apply.)
direct quotations from a journal article
a photograph depicting equipment
ideas published in a theoretical paper
paraphrased sentence from an article
A nurse is teaching a class about searching the internet for research articles to use for evidence-based changes. Which of the following information should the nurse include?
use quakwatch to verify credible websites
A nurse is using evidence-based practice to develop a PICOT question. Which of the following describes the “O” in PICOT?
the desired result of the intervention to the problem
A nurse is admitting a client who has heart failure. Which of the following tools should the nurse use to implement nursing interventions for the client?
standard of care
A nurse is preparing to perform a procedure on a client. Which of the following resources should the nurse use to meet the standard of care? (Select all that apply.)
the health care organization policy and procedure manual
info from a government website
article published by a peer reviewed journal
A nurse is teaching a newly licensed nurse about the purpose of peer review in scholarly publications. Which of the following statements should the nurse make?
this process ensures scientific quality and rigor
A nurse is collaborating with an interdisciplinary team to develop a plan of care for a client. Which of the following tools should the nurse use to guide the delivery of care?
critical pathway
A nurse is teaching a newly licensed nurse about using credible databases for research studies. Which of the following sources should the nurse include?
a peer reviewed journal
A nurse is planning to use evidence-based practice (EBP) to determine the best practice for dressing changes for clients. According to EBP, in what order should the nurse perform the following steps?
The nurse notices another nurse changing a dressing and recognizes that they perform the same procedure differently is the first step.
The nurse asks a clinical question about methods to perform a dressing change is the second step.
The nurse conducts a literature search to determine the presence of nursing literature on how to perform dressing changes is the third step.
The nurse reads, organizes, and compares the results of the scientific literature search is the fourth step.
The nurse develops recommendations about dressing changes to present to an interdisciplinary team in order to update the policy and procedure is the fifth step.
The nurse implements changes for performing dressing changes and collects data to determine client outcomes is the sixth step.
A nurse is using evidence-based practice to reduce pain during venipunctures for adolescent clients by asking a PICOT question: “Does providing music to adolescent clients during venipunctures decrease their discomfort compared to those clients who do not listen to music?” Which of the following is a component of the “I” in this PICOT question?
providing music
A nurse has created a table of evidence to organize findings from a literature search. Which of the following components of the table provides information for implementing a change in practice?
recommendations
A nurse is providing an in-service about research methods for a group of nurses. Which of the following methods provides the most credible evidence to support practice changes?
a systemic review summarizing findings of studies
A charge nurse is supervising a nurse providing care to several clients. For which of the following actions by the nurse should the charge nurse intervene?
the nurse alters the steps in a procedure established in the clinical practice guidelines
A nurse is using evidence-based research to care for a client who has diabetes mellitus. Which of the following resources should the nurse use to manage the delivery of care?
clinical practice guidelines
the spirit of inquiry
the desire to clarify complex issues through research and trends that influence client outcomes
contemplative reflection of the spirit of inquiry
confirm dependable performance or needed areas of professional growth
supporting awareness of the spirit of inquiry
- the practice environment
- inspires nurses to explore their individual approaches to problem-solving
what is evidence-based practice
A problem-solving approach to client care that uses the most accurate
scientific evidence partnered with clinical expertise and client values.
* Built on the foundation of Florence Nightingale, who used research studies
and empirical data to improve patient care in the 19th century.
the foundation of clinical practice within evidence based practice involves?
- Reviewing and analyzing evidence
- Incorporating patient preference
- Utilizing clinical expertise
- Improving patient outcomes
why do we use evidence based practice?
- Client outcomes improve.
- Nurses’ experience increased professional satisfaction.
- The cost of quality health care is often lowered.
- Provides nurses a framework to execute clinical judgment based on
research and quality improvement
The essential elements of the EBP:
Identify a problem: Ask a question.
* Search credible sources of evidence: Look for factual information.
* Evaluate the findings: Review the information.
* Implement recommendations: Change interventions.
* Review their effectiveness: Do the new interventions improve
results?
* Disseminating the results: Share the findings with others.
PICOT
population - what is the target population
intervention - what is the intervention
comparison - is there a control group
outcome - what are the results
time (not required) - what is the time frame
the scientific process does what
closes the gap between research and nursing practices
how do we start the scientific process
- Peer-reviewed, published scientific research articles that are examined
before publication by a panel of experts for accuracy, authenticity, and
scientific rigor.
the parts of the scientific method
A systematic research process whereby new knowledge is applied to nursing practice and outcomes are re-evaluated.
* Limits bias while seeking to address a gap in specific nursing knowledge.
* Empirical data is collected through observations, assessments, and measurements.
* Minimizes the opportunities for opinions and bias to affect
research.
empirical data in nursing
Empirical data in nursing is information gathered from observations and
measurements to explain nursing concepts and improve patient care. Also known as theoretical nursing.
the characteristic of empirical data in nursing
- Based on experience, rather than theory or belief.
- Gathered from observations and measurements.
- Used to improve patient care and outcomes.
- Part of a positivist view of nursing theory.
- Involves hypothesis testing, controls, quantitative solutions, and
statistical manipulations. - Can be used to measure a hospital’s performance against its baseline and national benchmarks.
Nursing processes as tools for the EBP
Used in the implementation of
new nursing knowledge to
evidence-based practice.
* Assessment
* Analysis
* Planning
* Implementation
* Evaluation
the nursing process as a tool for the EBP helps determine what
helps determine if the new interventions are:
- relevant
- successful in improving client outcome
