Evidence-basee Practice (EBP) Ch 5

Question 1

Evidence based practice

Answer 1

Problem-solving approach to clinical practice that combines the best evidence with a clinicians expertise, patient preference and values, and healthcare resources in making decisions about patient care

(best evidence+ expertise+ patient preferences+ resources)

Question 2

1. Cultivate a spirit of inquiry

Answer 2

Constantly question current practices lead to consistent use of EBP
-EBP ends to tuitions demonstrate a culture in which nurses are encouraged to question practices

Question 3

2. Ask a clinical question

Answer 3

P =patient population of interest
I = intervention or area of interest
C= comparison, intervention or area of interest
O = outcome
T = time

Question 4

3. Search for the best evidence

Answer 4

Agency policy
Procedure manuals
Quality improvement data
Journal articles (peer reviewed)

Question 5

5. Integrate the evidence

Answer 5

-Begin to identify how to apply findings in to practice
-Apply the research in your practice, and use evidence as rationale

Question 6

6. Evaluate the outcomes of the practice decision/change

Answer 6

What is the change effective?
Are modifications needed
Should’ve changed be discontinued

Question 7

7. Communicate outcomes.

Answer 7

After implementing an EPG change, it is important to communicate the results
-Clinical staff on the unit
-Nursing practice council, or the research council
-Clinicians

Question 8

8. Sustain knowledge use.

Answer 8

-Sustained change is difficult, especially for large, healthcare organizations, such as hospitals
-Incorporate the change into culture in practice environment
-Use targeted strategies to sustain use of EBP decisions

Question 9

4. Critically appraise the evidence.

Answer 9

After reviewing and analyzing data for a PICOT question:
-Synthesize or combined the findings
-Consider scientific rigor of the evidence, and whether it has application in practice
-Determine the value, feasibility, and usefulness of the evidence
-What is the scientific worth of this information, and does it apply to practice

Question 10

Nursing research

Answer 10

A way to identify new knowledge, improve profession, education, and practice, and use resources effectively

Question 11

Performance improvement (PI)

Answer 11

•A formal approach for the analysis of health care – related process.

•It reviews how existing interventions within a process function.
* PI data often reveals problems that lead to EBP projects

Question 12

Sentinel

Answer 12

Unexpected; involves death or serious physical events