Evidence-Based Practice

Question 1

PICOT

Answer 1

P = Patient population
I = Intervention/Issue of interest
C = Comparison (if there is a control)
O = Outcome
T = Time frame

Question 2

Meta Analysis

Answer 2

Systematic review which incorporates quantitavtive methods to summarize the results from multiple studies

Question 3

Hierarchy of evidence for intervention/treatment questions

Answer 3

I. systemative reivew and meta Analysis with RCTs
II. RCTs
III. CTs without R
IV. Case control or Chohort studies
V. Systematic reviews of discriptive or Qualitative studies
VI. Descriptive or Qualitative Studies
VII. Opinion of authorities or experts

Question 4

Critical Appraisal Questions

Answer 4

1. Validity of results
2. Reliability of results
3. Applicability of resutls

Question 5

Translational Research

Answer 5

Research findings can be transported into clinical practice to improve care and patient outcomes

Question 6

EBP Systematic Reviews and Guidelines Resources

Answer 6

Cochrane Library

National Guideline Clearinghouse

Question 7

Three centers for EBP

Answer 7

UTHSC SA
Arizona State CoN
Case WEstern Reserve SoN

Question 8

Core Competencies for Health Care Education (IOM; AACN)

Answer 8

• Pt centered care
• Interdisciplinary teamwork
• Employ EBP
• Apply quality improvement
• Utilize informatics

Question 9

Two types of EB Questions

Answer 9

Background

Foreground

Question 10

EB Background Question

Answer 10

Questions that need to be answered as a foundation for asking foreground questions.

Question 11

EB Foreground Questions

Answer 11

Searchable answerable questons from scientific evidence about diagnoses, treatments, or assisting patients to understand their prognosis

Question 12

Clinical Inquiry

Answer 12

Systematic process to gather data to appraise choices in treatment to find best choice of action

Question 13

5 Types of Foreground questions

Answer 13

1. Intervention
2. Prognosis/Prediction
3. Diagnosis
4. Etiology
5. Meaning

Question 14

EB Intervention Questions

Answer 14

What intervention most effectively leads to an outcome

Question 15

EB Prognosis questions

Answer 15

What indicators are most predictive of or carry most risk for an outcome

Question 16

EB Diagnosis questions

Answer 16

What mechansim or test most accurately diagnoses an outcome

Question 17

EB Etiology questions

Answer 17

To what extent a factor, process, or condition is highly associated with an outcome

Question 18

EB Meaning questions

Answer 18

How an experience influences an outcome, scope of a phenomenon or influence of culture on healthcare

Question 19

Steps to EBP Process

Answer 19

0. Cultiate a spirit of inquiry
1. Ask Clinical Question
2. Search and Collect best evidence
3. Appraise evidence
4. Integrate evidence with one’s clinical expertise and patient preferences
5. Evaluate outcomes
6. Disseminate outcomes of EPB decision or change

Question 20

Cycle of Knowledge Transformation

ACE Star Model Stages:

Answer 20

1 Knowledge discovery
2. Evidence summary
3. Translation into practice recommendations
4. Implementation into practice
5 Evaluation

Question 21

Evidence Summaries

Answer 21

Reviews of literature that could answer a given clinical question