Exam 3: Need for evidence based practice Flashcards
Evidence based care
Looks for the very best scientific and clinical evidence for treating and managing a problem
Improves quality, safety, and patient outcomes
Increases nurse satisfaction
Reduces costs
The best evidence comes from
well-designed
systematically conducted research studies
in scientific/peer-reviewed journals
(gosh, this sounds like criteria that would formulate a test question)
Sources of evidence
Textbooks
Articles from nursing and health care literature
Peer-reviewed journals
Application of evidence
Differ based on patients’ values, state of health, preferences, concerns, or expectations.
Involves ethical and accountable professional nursing practice.
Use critical thinking skills.
Steps of evidence based practice
Cultivate Ask Search Appraise Integrate Evaluate Communicate/share
Cultivate a spirit of inquiry
Must have never ending spirit of inquiry
Constantly questioning current practices
Cultivate/work at an institution where nurses are ENCOURAGED to question practice.s.
Developing a PICOT question
Patient population of interest Intervention of interest Comparison of interest Outcome Time
Ask experts for help
Nursing faculty Librarians Advanced practice nurses Staff educators/developers Risk managers A medical librarian can
A medical librarian can
Identify the databases that are available to you
Identify key words that will provide the best answer to your PICOT question
After critiquing all articles for a PICOT question:
Synthesize or combine the findings
Consider the scientific rigor/quality of evidence and whether it has application in practice
Critiquing artless requires a systematic approach to determine
Value
Feasibility
Usefulness of evidence.
Pilot study can show
if changes can be implemented easily
Always consider a
Pilot study
apply research in your
plan of care for a patient
What should be done after a pilot study
Incorporate into policies and procedures.
Education about the change must occur.
Large-scale change requires planning
After applying evidence,
evaluate th outcome
Nursing research
A way to identify new knowledge, improve professional education and practice, and use resources effectively
Many professional and specialty nursing organizations support the conduct of research for advancing nursing science.
Outcomes for research
Helps patients/providers make informed decisions on the basis of current evidence.
Typically focuses on the benefits, risks, costs, and holistic effects of a treatment on patients.
Outcomes must be observable or measurable.
Scientific method is THE
foundation of research
scientific method is the most
reliable and objective means acquiring and conducting research and gaining knowledge
the scientific method is a
step-by-step process to ensure that findings from a study are valid, reliable, and generalizable to a similar group of subjects.
research allows you to
study nursing questions and problems in greater depth within the context of nursing
Quantitative data
Experimental research
Nonexperimental research
Surveys
Evaluation research
Qualitative data
Ethnography
Phenomenology
Grounded theory
Research process
Identify area of inquiry Literature review Form research team Design study Obtain approval from participants Informed consent, confidentiality Collect data, considering data limitations Address implications for nursing practice
Performance improvement
A formal approach for the analysis of health care-related processes
performance improvement outcome measures
Begins at staff level in identifying quality problems
Sentinel events
a patient safety event that results in death, permanent harm, or severe temporary harm
Active errors
made by people on the front line such as clinicians and nurses
Latent errors
: less apparent failures of organization or design that contribute to the occurrence of active errors
PI + EBP =
Excellent patient care and outcomes
