*Fond. Concept: EVIDENCE BASED PRACTICE Flashcards
what are Critical pathways?
FACILITY specific tool uses ALGORITHMS to carry EB intervention to health care team
what is Clinical Practice guidelines?
NATIONALLY published recommendation for client care made by Ds using systemic review
Standard of care
EB interventions implemented when caring for clients with a specific disorder.
Clinical pathway example
nurse reinforces providers instructions that an older client should have a mammogram once every 2 yrs.
Critical pathway example
Nurse caring for a client who had a heart attack and notes that the algorithm indicates client should ambulate on day 2 of care.
Standard of care example
skin check daily
EBP
use of credible scientific evidence to validate and transform nursing practice and aim for a good client outcome
Steps to EBP
Research question (PICOT) Search for evidence Evaluating the findings Implementing recom. Evaluating effectiveness Disseminating results
What is the strongest evidence based on the hierarchy of evidence
Systemic review or meta analysis
Quantitative research
uses numerical data
Qualitive research
seeks to explain a social phenomena
What is translational research ?
process of evaluating evidence then implementing practice changes based on research finding
Critical Appraisal
process of reviewing a research study to determine validity, reliability, applicability to the investigators search of evidence.
Hierarchy of evidence
rating system for research from 1-7. one being most reliable
Knowledge distillation
evaluating research and translating evidence into clinical practice guidelines
