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