exam iii: ch13

Question 1

how do we get excellence in pt care?

Answer 1

ebp, research, and quality improvement

Question 2

conscientious integration of best research evidence with clinical expertise and patient values and needs in the delivery of high quality, cost-effective health care
- integrate patient values = include them into their care

Answer 2

evidence based practice

Question 3

what is the goal of EBP?

Answer 3

implementation of high-quality cost-effective care to promote positive outcomes

Question 4

what are some benefits of EBP?

Answer 4

improved outcomes for pts, providers, and healthcare agencies
- leads to best treatment and gold standard plans

Question 5

research evidence is strong in ____ of diseases but limited regarding on the _____ of nursing interventions (bc doctors do more research than nurses)

Answer 5

medical management, effectiveness

Question 6

Identify, analyze, and synthesize results from independent quantitative and qualitative studies to determine current knowledge
- includes multiple types of research designs and literature types

Answer 6

integrative reviews

Question 7

research findings slowly progress into the conscious mind and gradually affect nursing decisions

Answer 7

knowledge creep

Question 8

how to combat knowledge creep?

Answer 8

Dissemination of info thru peer reviewed publications and professional presentations

Question 9

what are barriers that keep EBP from being utilized?

Answer 9

• research not valued
• limited change in agency/change not based on research
• limited resources to make research based changed

Question 10

what are clinician barriers that keep EBP from being utilized?

Answer 10

• do not read research reports
• lack education about research process
  do not believe research findings
• do not know how to implement findings

Question 11

a narrowly focused synthesis of research findings from quantitative studies to determine the best research evidence available to address healthcare question
- Looks at studies of similar methodology
- Has same standards of clarity, rigor, and replication as primary research studies

Answer 11

systematic review

Question 12

pool or combine statistically the results from previous studies into a single quantitative analysis that provides one of the highest levels of evidence about the effectiveness of an intervention.
- Highest level of research
- Goal: determine if intervention significantly improves outcome, has minimal or no effect on outcome, or inc risk of adverse effects

Answer 12

meta-analysis

Question 13

process and product of systematically reviewing, critically appraising, and formally integrating qualitative studies to determine knowledge for practice.
- level IV of research evidence
- compilation of qualitative studies
- focus: interpretation instead of combining study results

Answer 13

meta-synthesis

Question 14

type of systematic review: identify, analyze, and synthesize results from primary, quantitative and qualitative studies to determine current knowledge
- Include multiple types of research designs and literature types
- Complicated review, but give breadth and depth to conclusions

Answer 14

mixed methods systematic review

Question 15

a step in conducting meta-synthesis that involves summarizing findings across qualitative reports to identify knowledge in a selected area

Answer 15

meta-summary

Question 16

types of studies that give the strongest evidence?

Answer 16

meta-analysis, integrative review, experimental studies

Question 17

types of studies that give the weakest evidence?

Answer 17

descriptive surveys, qualitative studies, correlational studies, quasi-experimental studies

Question 18

evolving concept defined by the NIH as the translation of basic scientific discoveries into practical application
- Encouraged by nursing and medicine to increase the implementation of evidence-based interventions in practice and determine if these interventions are effective

Answer 18

translational research

Question 19

where to access evidence based guidelines

Answer 19

Agency for Healthcare Research and Quality (AHRQ)** the best one
National Guideline Clearinghouse (NGC)
Academic Center for Evidence-Based Nursing
American College of Physicians
American Academy of Pediatrics

Question 20

what are the steps of an EBP project

Answer 20

• form a team
• formulate the question
• find the evidence and appraise as group
• implement the EBP project
• evaluate the ebp project