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MS3 Exam 2 > Implementing EBP > Flashcards

Implementing EBP Flashcards

1
Q

Research

A
  • research is a formal, systematic , and diligent inquiry or study that seeks to validate or refine existing knowledge or develop new knowledge.
  • it answers a question…
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2
Q

EBR

A

integration of the best available research into our practice as nurses, and into the care we give to our patients

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3
Q

Nursing is built on what concept?

A

EBP

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4
Q

Significance of Clinical decision making

A

helps us make informed decisions regarding our practice

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5
Q

Significance of Patient centered-care

A

respect the patients

-right to effect care based on best practice

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6
Q

Significance of quality improvement

A

nursing care is constantly evolving to be safer, more effective and more efficient

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7
Q

Significance of professionalism

A

nursing as a discipline has a responsibility to utilize EBP

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8
Q

To succeed as a nurse….

A

you must have a familiarity with the research process

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9
Q

As a nurse you must be able to interpret and evaluate…

A

nursing research to some degree

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10
Q

Not all research is…

A

created equal and understanding the differences and limitations in research will make you a better nurse

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11
Q

difference between background and foreground questions

A
  • background: deals with knowledge and information

- foreground: deals with direct patient care

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12
Q

If you have a question about a disease process or medication and you look it up in your text or resource

A

background question

-deals with knowledge and information

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13
Q

you want to compare something or see how a certain intervention affects a patient outcome?

A

foreground

-deals with direct patient care

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14
Q

Inclusion/Exclusion criteria

A
  • qualifiers about selecting participants that the author of the study includes or excludes
  • inclusion criteria are acceptable and exclusion are not accepted
  • inclusion criteria are NOT just the opposite of your exclusion
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15
Q

Population

A

who is your patient/s?

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16
Q

Intervention

A

what are you gonna do for them? whats the treatment?

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17
Q

Comparison

A

whats the alternative? often just no tx or a diff one

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18
Q

Outcome

A

whats the goal you have in mind? what will you be measuring

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19
Q

time

A

whats the time frame? not always

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20
Q

In adults over the age of 70 is cranberry juice or water more effective in preventing UTIs?

A

P-70
I-cranberry
water-C
O-more effective in preventing recurring

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21
Q

Are diabetics who perform daily foot exams less likely to experience ulceration compared to those who do weekly exams

A

P-diabetics
I-daily foot exams
O-less likely to exp ulceration
C-weekly exams

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22
Q

Finding the evidence

A
  • involves literature review
  • searching academic databases for journal articles or other published research which seek to answer the research question
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23
Q

Database search strategies

A
  • have a search statement or PICOT in mind
  • use database appropriate to topic
  • use keywords or specific language
  • identify other possible vocab or synonyms
  • boolean search uses “and, or not”
  • change approach or change your research statement/question
24
Q

Evaluating the evidence

A
  • not all research is the same
  • there are different types of research that gives us different information
  • we want to evaluate out research based on its:
  • validity and reliability
25
Q

validitiy

A

did the study actually measure what it intended to measure

26
Q

reliability

A

are these results consistent if the study was repeated?

27
Q

qualititative

A

asks a question focused on narrative data that seeks to explore subjective info

28
Q

quantitative

A

uses measures data and statistical analyzes to summarize or describe findings or to test relationships among variables

29
Q

meta-analyses

A

combining results from different studies with similar topics or research questions

-strongest evidence

30
Q

case study

A

analyzing a specific case or event

31
Q

cohort study

A

gather data on a group/s over a long period of time

32
Q

case-control study

A

compares individual cases with or without a specific condition to identify predictive factors

33
Q

randomized control trial

A

measures a control group vs. an experimental group

34
Q

When reading an article…

A

first consider what the question the researcher asked was

  • what is it trying to do/answer?
  • next look at the journal/source it was published in
  • is it relable and peer reviews?
  • how is it organized?
35
Q

Abstract

A

brief summary of the research

36
Q

background/intro/significance

A

develops why the research is important

37
Q

review of lit

A

summarizes previous research in the field

38
Q

When examining research there are a few values to pay attention to…

A

p-value

  • confidence interval
  • standard deviation
  • mean, medium, mode
39
Q

methods

A

describes the methodology used to frame the study and to collect the results

40
Q

results

A

details the results of the research

-may use visuals to aid

41
Q

recommendations/conclusion

A

makes recommendations for practice and further based on the results of the study

42
Q

p value

A
  • likelihood of getting results you got if the null hypothesis were true
  • basically its how likely you would be to get the results you got if there was no correlation between your variables
  • lower the better

p less than 0.05 is the gold standard

43
Q

confidence interval

A

2 numbers written as something like (95%CI: 1.2,1.5)

  • means the author is 95 percent sure that the avg of their results is somewhere between those numbers
  • generally the CI should not “cross the 1”
44
Q

standard deviation

A

number used to measure the extent that individual data points deviate from the average

-higher number means greater deviation, lower means less deviation

45
Q

thin curve - standard deviation

A

means that your winrates remain close to the mean average

46
Q

fat curve - standard deviation

A

means that there is a wider spread of your winrates

47
Q

mean, median, mode

A

all convey “average”

  • mean=all data points added together and divided by total number of data points
  • median=number in the middle
  • mode=most recurring data point
48
Q

Why do these values matter?

A
  • not enough just to read the abstract and conclusion
  • helps you evaluate if the methods were appropriate
  • helps you evaluate whether the conclusion and recommendations follow logically from the findings
49
Q

Applying the evidence

A
  • once best practice is identified through review of the literature, implement the new practice
  • during this step, evaluation continues to ensure any changes in practice have the desired effect
  • we evaluate and then either accept, modify, or reject the changes based on how they affect patient outcomes
50
Q

whats your role?

A
  • you are where the rubber meets the road
  • identify issues related to care
  • bring concerns/issues you’ve identified up to staff, colleagues, and supervisors
  • explore the available body of research on the issue
  • take part in unit task forces, committees
  • continue evaluating
51
Q

EBP Committees

A
  • serve as a hub for EBP and research activities at the facility
  • helps coordinate and faciliate the use of best practice procedures, standards, etc
  • helps disseminate research through the organization
  • helps provide opportunities for involvement in research
52
Q

funding

A

grants from corporations, nursing orgs, state, federal gov, schools

53
Q

participants

A

inclusion/exclusion criteria

54
Q

ethics/legal

A

must have informed consent from study participants/must appropriately cite any other works used in creating research

55
Q

barriers and challenges

A
  • extra work
  • patient preferences that conflict with BP
  • lack of access to research
  • lack of experience/knowledge regarding EBP
  • resistance to change
  • attitudes from individual staff
  • lack of organizational support

MS3 Exam 2 (3 decks)

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