midterm Flashcards
Dispositions & Attitudes
- Critical appraisal
- Curiosity and inquiry
- Open-mindedness
BCCNM Professional Standards
Knowledge-based practice: clinical practice
- Find. Interpret. Appraise.
- Bases practice on current evidence from nursing science
BCCNM Professional Standards
Knowledge-based practice: clinical practice
- Finding
- Knows how and where to access information to support the provision of safe, competent ethical care
BCCNM Professional Standards
Knowledge-based practice: clinical practice
- Critically Appraising
- Uses critical thinking when collecting and interpreting data, planning, implementing, and evaluating nursing care
BCCNM Professional Standards
Knowledge-based practice: clinical practice
- related to #1
- Shares nursing knowledge with clients, colleagues, students and others
Sources of Knowledge
Primary research literature
Systematic reviews
Evidenced informed decision-making PROCESS
Define
Search
Appraise
Synthesize
Adapt
Implement
Evaluate
Evidence-based practice EBP
consists of 3 things:
Clinical expertise \+ Best research evidence \+ Patient values and preferences
def: Define
need to define a searchable clinical question using PICO from a clinical practice problem
PICO
Population
Intervention/factors/treatment
Comparison (can be none)
Outcomes
6S pyramid
Systems Summaries Synopses of syntheses Syntheses Synopses of single studies Studies
What is the 6S pyramid for?
The 6S pyramid is a guide for finding the best available research evidence quickly and efficiently.
Each level draws on research from the lower levels.
The higher the level, the more synthesized evidence and stronger.
Type: Research/primary
Def, use, limitation
A paper reporting on the result of a single study. The authors conducted the study.
Used to learn specific knowledge about a research topic.
Not synthesized evidence so it only provides a limited understanding of how to apply something to practice Ex. it is only 1 piece of evidence to support practice decisions.
Type: Case study
Def, use, limitation
Description of one person’s experience/condition.
Used to understand that specific experience/condition.
Hard to generalize.
Type: Review of literature
Def, use, limitations
Combination of relevant articles on a topic to explain the state of the literature on this topic.
Used to put many sources of evidence into one big bundle of evidence in one place.
It is not systematic so there can. be bias of inclusion and what the researchers decide to include and the quality of what they do include.
Type: Systematic Review
Def, use, limitations
Summary of the evidence about a particular topic and synthesized.
Used to put lots of information together. Less user-friendly way because it is more rigorous, can provide weightier evidence about how to act towards a particular practice question
Difficulty with reading and taking in the scope of findings.
Type: Meta-analysis
Def, use, limitations
Systematic review that uses statistical review.
Used to synthesize numerically everything about a topic. It is stronger than just a systematic review because it combines what is known about a topic with actual numerical findings together.
Difficulty with reading. Difficulty combining studies (ex. did all authors measure the same outcome and with the same method of measurement?)
Type: Meta-synthesis
Def, use, limitations
Systematic review of qualitative data, draws together major themes.
Uses overview of themes, synthesizing that qualitative literature says about a certain topic. Is st
Type: Professional communications/books/letters to the editor/book reviews
Def, use, limitations
Offers opinions on the articles or books.
Useful to add to understanding.
Biased opinions, not peer-reviewed.
Def: Evidence
Astle’s def
+
CNA’s def
=
Information acquired through research and the scientific evaluation of practice, including rigorous methods (qualitative and quantitative), and reported in a variety of sources ( academic publications, consensus documents, reports) that are believed to be true (proven), which are SYSTEMATICALLY OBTAINED and SYSTEMATICALLY REVIEWED.
Def: Systematically obtained
referring to “evidence”
Evidence/facts obtained in a way that is replicable, observable, credible, verifiable, or basically supportable.
3 questions to guide the search process
Q: What am I looking for?
Q: How will I find it?
Q: What will I do with it?
The search process
clinical practice problem -> defined research question-> main concepts-> PICO(T)-> keyword search terms-> additional keywords-> limiters-> subject headings
Is a systematic review a primary or secondary source?
secondary
