Evidence Based Practice Flashcards
Sigma theta tau EBP definition
An integration of the best evidence available,nursing expertise, and the values and preferences of individuals, families and communities who are served
Aim of EBP
Provide best possible care based on best available research
EBP BENEFITS
ability to access and use evidence from a variety of sources that will help improve client care
Ensures credibility
Provides accountability for nursing care
Nursing research
A systematic and strict scientific process that test hypotheses about health related conditions and the process of nursing care
Nursing clinical research
Seeks answers to questions that will ultimately improve client care
Quantitative research
Uses precise measurement to collect data and to analyze it statistically for a summary and description of result findings
Qualitative research
Investigates through narrative data that explores the subject experiences of human beings and can provide nursing with a better understanding of clients perspective
FUNDING
Many sources of funding are available, they range from small research grants from local professional nursing chapters to larger grants awarded by state or national foundations.
PARTICIPANTS
researchers develop a list of criteria for participants, who are volunteers for a specific study that mean all inclusion criteria, have been informed of all aspects of the study and have signed informed consent
Respect for human dignity requires that researchers ensure volunteers …
Are participating freely, without coercion and after receiving full disclosure of the study and potential risks involved
Beneficence requires that researchers protect participants from :
Physical harm, psychological harm,economic insult and exploitation during or as a result of the study.
The fair treatment of all patients
Justice
Informed consent involves :
The right to receive information as well as the right participants to withdrawal from the study at any time.
Implications for nursing practice
Providing best evidence for EBP
supporting nursing as a professional discipline
Defining current best practice standards of nursing care
Barriers to evidence based practice
Work schedule and workload demands
Client preferences that may conflict with best practice care
Lack of access to technology to find evidence when needed
Limited knowledge in skills for finding and evaluating evidence
Lack of experience and confidence in developing strategies to promote Evidenced based care
Lack of support from supervisors and personnel
Lack of access to continue education
Attitudes of nurses
Resistance to change from traditional client care routines
Developing evidence based practice
Develop a clinical question
Retrieve the evidence
Evaluate the evidence
Apply the evidence
PICOT
Population-population attributes ;race gender etc,
Issue-treatments , education plan, etc
Comparison intervention- may not always exist
Outcomes-quality of life, cost, etc
Time frame
Validity
The degree to which the study measured what it intended to measure
Reliability
Ability to produce consistent results with each use
How to measure the significance of the information gathered
By rating the strength of the evidence to determine its validity and relevance
Used as analogy to demonstrate categories of evidence strength
Stoplight
Evidence
Clinical knowledge , expert opinion or information resulting from research.
Main components of EBP
The best evidence from the Most current research available, the nurses clinical expertise, the clients preferences
Standards of nursing care are defined by:
The American nurses association
The national league for nursing
The joint commission
Legally defined by state board nurse practice acts
Rights , responsibilities and scopes of nursing practice
Clinical questions are usually generated during:
Client care
Evidence based practice concept
Nurses make clinical decisions based on best research evidence, their clinical expertise, and healthcare preferences of their clients.
