Evidence Based Practice Lecture 1 Flashcards
What is EBP
Integration of best research evidence with clinical expertise and patient value
Who are those who play role in evidence based practice?
Consumers and producers of research
Why is EBP important?
Our knowledge can be wrong
Knowledge need to be kept up to date
Research can be bias
Practice must be informed with best quality research
Integrate research with clinical expertise and patient prefernce
How do we ensure patients voices are represented in decision making
1 Involving them in making choices about their treatments (Health care practice)
2 Carrying our patient survey (management)
3 Appointment service users to boards- hospital boards and provincial advisory
True or false - EBP is an expectation of NP
True:
1. NP should integrate Evidence informed knowledge base in advance assessment and diagnosing clients health needs
2. Implement evidence informed therapeutic interventions
How do you ensure evidence based practice?
- Have spirit of enquire - ask why?
- Are my practice evidence based?
- Where do I find best evidence
- Who can assist me to enhance knowledge
- Where do I find mentor?
What are the barriers to EBP?
- Attitudes and belief
- Inadequate knowledge
- Lack of mentors
- Inadequate resources
- Insufficient time
- Lack of research materials in intended topic
What are the facilitators of EBP
1 Apprioprate knowledge
2. Belief in value to EBP
3. Organizational culture that support EBP
4. Clinical practice guidelines or pre- processed evidence
5 EBP mentors
List steps for EBP process
0 cultivate a spirit of inquiry
1. Ask clinical questions in searchable format
2. Search for best evidence
3. Critically appraise the evidence
4. Integrate the evidence with clinical espertize and patient preference and values
5. Evaluate the outcome
6. Disseminate EBP results
What are the benefits of EBP
- Empower patients
- Improve outcomes
- Its standard for NP
What is research?
Systematic inquiry that uses structured methods to answer questions or solve problems
What is nursing research?
Systematic inquiry to develop knowledge about issues important to nursing profession
What is the focus of nursing research?
- Recipients of care
- Providers of care
- Health care systems
What is basic research?
Scientific investigation that involves the pursuit of knowledge for knowledge sake without specific application
Applied or clinical research is what?
Scientific investigation conducted to generate knowledge that will directly influence or improve clinical practice
What does rigor mean?
Rigor involves discipline, scrupulous adherence to detail and strict accuracy
What does control means in quantitative research?
Imposing of rules by researcher to decrease the possibility of error and increase probability that the study’s finding are accurate and reflect reality
What is the benefit of applied research?
It create knowledge that will improve health, lengthen life and decrease illness and disability
What are the 2 philosophical origins for research methods use
- Logical positivism/post positivism
- Naturalistic/ constructivism
What’s the philosophical origin for quantitative research?
Logical positivism, post positivism
What is the philosophical origin for qualitative research?
Naturalistic, interpretive and humanistic
What does logical positivism/post positivism consider truth as!
Truth is absolute
Logical positivism/post positivism
Consider truth as absolute and there is a single reality that can be defined
Naturalistic/constructivism
Reality is not fixed, reality is multiple and subjective
Logical positivism/post positivism align with what type of research?
Quantitative research