Topic 1

Question 1

Define Evidence-based practice

Answer 1

A problem-solving approach to clinical decision-making that incorporates a search for the best and latest evidence, clinical expertise and assessment, and patient preference and values, within the context of nursing

Question 2

Who made this definition of EBP?

Answer 2

International council of nurses, 2012

Question 3

Why must nurses apply EBP to their profession?

Answer 3

It is a requirement by the NMC - must always practice in line with the best available evidence

Question 4

What are the 3 parts to the triad of EBP?

Answer 4

• Individual Clinical Expertise
• Best external voice
• Patient value and expectations

Question 5

What is meant by ‘Individual Clinical Expertise’?

Answer 5

It is the proficiency and judgement that clinicians acquire through clinical experience and practice

Question 6

Why should nurses incorporate patient values and perspectives?

Answer 6

It aligns to person-centred approach - patients are active participants in their care, recognising and valuing their expertise, and facilitating shared decision making (Siminoff, 2013)

Question 7

Where is best evidence usually found?

Answer 7

Usually found in clinically relevant research in which a sound methodology has been used (Sackett et all., 1996)

Question 8

What are the 7 steps to EBP?

Answer 8

0: Cultivate a spirit of inquiry
1: Ask clinical qus for appropriate format
2: Search for best evidence
3: critically appraise evi
4: integrate evi with clinical expertise and patient prefs and values
5: evaluate outcomes of practise decisions/ changes based on evi
6: disseminate EBP results

Question 9

What 2 formats should you use when asking clinical qus?

Answer 9

PICO or PEO

Question 10

What does PICO stand for?

Answer 10

• Population
• Intervention
• Comparison
  -Outcome

Question 11

What does PEO stand for?

Answer 11

• Population
• Exposure
• Outcome

Question 12

What is qualitative data?

Answer 12

Narrative date - comes from interviews, focus groups, observations etc

Question 13

What is Quantitative data?

Answer 13

Numerical data - from questionnaires, tests, physical measurements etc

Question 14

What are the challenges of EBP?

Answer 14

• Time/ workload
• Awareness of specific EBP skills
• Research literacy e.g. understands papers
• difficulty finding evidence
• Culture -> “ this is how we have always done it