Intro to Innovation, Evidence-Based Practice Flashcards
What are the next steps after the research?
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)
What is design thinking?
Iterative, non-linear process which focuses on a collaboration between designers and users (human-centred)
6 stages of design thinking
- Empathise
- Define
- Ideate
- Prototype
- Test
- Implement
What is evidence-based practice (EBP)?
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
Research vs EBP vs Quality Improvement (QI)
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
What is the evidence pyramid?
Lowest level of evidence:
Observational studies
Middle level of evidence:
Experimental studies (causal r/s)
Highest level of evidence:
Synthesised evidence
Observational studies examples
Cohort studies
Cross-sectional studies
Case-control studies
Case reports
Background information/expert opinion/textbooks/editorials
Experimental studies (causal r/s) examples
Randomized controlled trials
Quasi-experimental
studies
Synthesized evidence examples
(more rigourous, less bias or systematic error)
Umbrella review
Meta-analyses
Systematic reviews
Common elements of EBP models
- 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
What are the 5As of EBP?
ASK clinical question
ACQUIRE best evidence
APPRAISE evidence
APPLY evidence
ASSESS performance
What is The Iowa Model
Revised: Evidence Based Practice to Promote Excellence in Health Care
Guides clinical decision making and EBP process from
both the clinician and systems
perspectives
What is the ACE star model of knowledge translation?
5 main stages:
1. Discovery research
2. Evidence summary
3. Translation to guidelines
4. Practice integration
5. Process, outcome evaluation
What is the john hopkins nursing EBP model?
Framework to help nurses integrate EBP into clinical decision making
Three Core Components (PET Process):
P: Practice Question – Clearly define the clinical problem or question.
E: Evidence – Search for, appraise, and synthesize the best available evidence.
T: Translation – Translate the evidence into practice by implementing changes and evaluating outcomes
What is implementation science?
“the scientific study of methods to promote the systematic uptake of
research findings and other EBPs into routine practice, and, hence, to improve the quality and effectiveness of health services”
