unit 3 test Flashcards
what are the 3 main reasons of why evidence based practice is needed
improves quality, safety, and patient outcomes
increases nurse satisfaction
reduces costs
well designed systemically conducted studies is best when looking at
evidence
what are the step of evidence based practice (0-6)
- cultivate a spirit of inquiry
- ask a clinical question in PICOT format
- search for the most relevant evidence
- critically appraise the evidence you gather
- integrate all evidence with your clinical expertise and patient preferences and values
- evaluate the outcomes of practice decisions or changes using evidence
- share the outcomes with others
what are sources of evidence
clinician experience, textbooks, standards of care, infection control data, chart reviews, quality improvement- risk management data
specific problem occurring in the unit
problem focused trigger
what is the pneumonic used when asking a clinical question
PICOT Population/disease Intervention/variable of interest Comparison Outcome Time
what is not always apart of a PICOT
time
what is considered the gold standard
systematic reviews and metaanalysis of RTCs
of the pyramid, what is considered the last resort to use
opinion of authorities or expert committees
after critiquing all articles for a PICOT question what do you do next
synthesize or combine the findings
consider the evidence and whether it has application
what are the 4 elements of an article
abstract
introduction
lit review or background
manuscript
abstract
summary
introduction
goes into more detail of what the paper is going to be about
lit review/ background
what other researchers have studied on the topic you are about to work on
what are the 4 subsections that a research article contains in its manuscript narrative
purpose statement- body of text
methodology- what are you using to do research
results
clinical implications
after implementing an EBP change who should you share the outcomes with
clinical staff on unit, nursing practice council or the research council, clinicians, professional conferences and meetings
nursing research is a way to…
identify new knowledge, improve professional education and practice, and use resources effectively
what is the first step of the research process
identify the problem
precise and chosen to make sure you will eliminate any type of bias because its all about the numbers
quantitative
interviewing and getting your perspective and more personal - not as grounded or elite as the quantitative
qualitative
what are examples of quantitative
experimental research
non experimental research
sureys
evaluation research
what are examples of qualitative
ethnography
thenomenology
grounded theory
what is the pneumonic for research process
ADPIE
identify area of interest or clinical problem
assessment
develop research question/ hypotheses
diagnosis
determine how study will be conducted
planning
conduct the study
implementation
analyze results of the study- use of the findings
evaluation
what does informed consent mean
participants receive full and complete info, they can understand the info, they have free choice to participate, they understand how their confidentiality will be kept
use of information from research and other sources to determine safe and effective nursing care with the goal of improving patient care and outcomes
evidence based practice
systematic inquiry answers questions, solves problems,, and contributes to the generalizable knowledge base of nursing; may or may not improve patient care
research
improves local work processes to improve patient outcomes and health system efficiency; results usually not generalizable
Quality improvement
what is an example of a key quality of care or performance indicators
infection rates
research question needs to be…
focused and specific
what is the formulating clinical question process
- analyze the question components using the PICOT framework
- identify the type/domain of the question
- rephrase you questions using the concepts from PICOT analysis
domain can branch out into 4 what are they
treatment prevention etiology diagnosis prognosis
how effective a treatment option would be
treatment
what is going to prevent mortality or morbidity rate
prevention
are more physician oriented
diagnosis
probable cause of a pt disease
prognosis
questions about a harmful effect or exposure of a patient
etiology
