Evidenced Informed Practice Flashcards
Evidence informed practice steps: what is the first step
Asking the clinical question
Evidence informed practice steps: after you asking a clinical question what should you be doing
Searching for the most relevant and best evidence that applies to the question
Evidence informed practice steps: after searching for evidence what should you do?
Critically appraise the evidence you father
Evidence informed practice steps: once you’ve appraised the evidence then..
Apply or integrate evidence along with clinical expertise, patient preferences and values in making a practice decision or change
Evidence informed practice steps: after application…
Evaluate!
Evidence informed practice steps: once you’ve evaluated
Communicate your results
Evidence is
All the available body of facts or info indicating wether a belief or proposition is true or valid
Scientific evidence consists of
Observations and experimental results that serve to support a scientific hypothesis or theory
Why is evidence important and valuable?
-response to societal forces
-problem solving approach
-safety net to make accurate decisions
-improves care
What is practice evidence informed care?
Being aware of policies, procedures and clinical guidelines used in the agency
What are examples of sources of evidence
-scientific evidence in jouranals
-non research evidence
-individual patient data
-nursing judgement
Strategy for searching for the best evidence
Hierarchy for rating scientific evidence
-top being the strongest
-bottom being the weakest
I to VIII
On the hierarchy for best evidence, what is the top (I)
Systematic reviews and metanalyses of RCTs
On the hierarchy of rating scientific evidence what is the bottom (VIII)
Opinion of expert clinicians
How is RCA (rapid critical appraisal) helpful?
Helps to critique the evidence
-many questions about the information given
When might clinical questions be triggered
-during care for a patient
-notice a trend on your nursing unit
-need new information on a topic
The type of question you ask, depends on:
What type of information you need
-background or foreground
Foreground questions
Questions that get into the specific details
-following the starting questions
Background question
Information you need to get started
What defines goals of care?
Quality of life
What does identifiying individual factors impacting quality of life focus on?
Focuses interventions on the person
How can you create a better quality of life
Knowledge of how symptoms affect a persons health and function
Care planning helps to identify what two nursing diagnosis?
Priority and culprit nursing diagnosis
What diagnosis has greatest impact on a persons quality of life
Culprit
Care planning for quality of life
Way to demonstrate critical thinking
-mind mapping/data clustering
-active document
-patient is always at center
-relational links
Example of priority diagnosis
Risk of falls
What is a Culprit diagnosis
What is affecting everything else
-if we fix one problem, it’ll fix everything around it
What were some of the diagnosis from the case study
-complicated grief
-risk for fall, and skin integrity
-MS
-urinary inconvenience