Quiz 1 Flashcards
What are the 8 steps in the EBP process (Iowa model)?
- Identify issue
- State question/purpose
- Priority
- Form Team
- Evidence ok?
- Design pilot for change
- Adopt in Practice
- Integrate
What is the EBP process/Iowa Model?
It guides EBP with feedback loops
Define research
New Knowledge/validates existing
systematic and scientific approach
inquiry driven
Define Evidence Based Practice (EBP)
Evidence driven - creates knowledge and implement (i.e. project)
Define Quality Improvement (QI)
Improve work flow, data driven, more efficient (i.e. process)
What are the 3 components of EBP?
Patient Values
Clinical Expertise
Evidence
What is the Belmont Report?
From Tuskegee Syphilis Study - National Research Act 1974 - created Belmont Report to address human participants in research
What are the 3 components of Belmont Report?
Respect for persons (autonomous)
Justice - risks/benefits - fair
Beneficence - not harmed/basic ethical principals
What are the 4 areas of Informed Consent?
Understanding - purpose. why is study being done?
Comprehension - asked of participants (teach back)
Competence - consent
Voluntary - can withdraw from study
What is IRB?
Protect human subjects in research
What are the 5 parts of IRB?
Informed Consent Voluntary Risk vs. Benefit Fair Selection Ongoing Monitoring
How many members are the IRB?
5 members, 1 outside institution
What are the 3 levels of IRB?
Full - can cause harm, (i.e. exp. drug studies)
Expedited - increased min. risk - (i.e. non-invasive procedures, collect urine/blood samples)
Exempt - min. risk (i.e. survey)
What is the RN’s responsibility?
Promote ethical conduct
patient advocate
understand study requirements
recognize/report conflict
Falsification
“Falsification is manipulating research materials, equipment, or processes, or changing or omitting data or results such that the research is not accurately represented in the research record”. Falsification includes inappropriately manipulating existing results to fit a preferred hypothesis or altering data to make them appear more convincing than they actually are. Falsification can take many forms. For example, it can occur in figures, graphs, and digital images.