Intro to Innovation, Evidence-Based Practice

Question 1

What are the next steps after the research?

Answer 1

Innovate to develop a new solution to address a clinical unmet need

Evaluate evidence for translation as Evidence-Based Practice (EBP)

Enhance Implementation of EBP (bridging research to
practice)

Question 2

What is design thinking?

Answer 2

Iterative, non-linear process which focuses on a collaboration between designers and users (human-centred)

Question 3

5 stages of design thinking

Answer 3

1. Empathise
2. Define
3. Ideate
4. Prototype
5. Test
6. Implement

Question 4

What is evidence-based practice (EBP)?

Answer 4

Conscientious and judicious use of current best evidence in conjunction with clinical expertise and patient values to guide health care decisions

involves:
- clinical experience
- patient preferences and values
- research evidence

Question 5

Research vs EBP vs Quality Improvement (QI)

Answer 5

Research: To generate new knowledge or validate existing knowledge

EBP: To use current best evidence to inform clinical decision-making

Quality improvement (QI): To improve systems processes or patient outcomes

Question 6

What is the evidence pyramid?

Answer 6

Lowest level of evidence:
Observational studies

Middle level of evidence:
Experimental studies (causal r/s)

Highest level of evidence:
Synthesised evidence

Question 7

Observational studies examples

Answer 7

Cohort studies
Cross-sectional studies
Case-control studies
Case reports
Background information/expert opinion/textbooks/editorials

Question 8

Experimental studies (causal r/s) examples

Answer 8

Randomized controlled trials
Quasi-experimental
studies

Question 9

Synthesized evidence examples

Answer 9

(more rigourous, less bias or systematic error)

Umbrella review
Meta-analyses
Systematic reviews

Question 10

Common elements of EBP models

Answer 10

• Selecting a topic
• Critique and syntheses of evidence
• Implementation
• Evaluation of the impact on patient care and provider performance
• Consideration of the implementation context/ setting
• Feedback loop

Question 11

What are the 5As of EBP?

Answer 11

ASK clinical question

ACQUIRE best evidence

APPRAISE evidence

APPLY evidence

ASSESS performance

Question 12

What is The Iowa Model
Revised: Evidence Based Practice to Promote Excellence in Health Care

Answer 12

Guides clinical decision making and EBP process from
both the clinician and systems
perspectives

Question 13

What is the ACE star model of knowledge translation?

Answer 13

5 main stages:
1. Discovery research
2. Evidence summary
3. Translation to guidelines
4. Practice integration
5. Process, outcome evaluation

Question 14

What is the john hopkins nursing EBP model?