Using Evidence to Support Clinical Practice Flashcards

1
Q

What is Evidence-Based Practice (EBP)?

A

Integration of best research evidence, clinical expertise, and patient values and preferences.

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2
Q

What is the process of EBP?

A

Asking clinical questions, finding and evaluating research, and integrating findings with clinical expertise and patient preferences.

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3
Q

How does evidence improve clinical practice?

A

Provides guidelines for practice, helps in diagnostic testing and procedural changes, reduces low-quality and expensive care, and eliminates unnecessary procedures.

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4
Q

How does the feminist perspective influence research?

A

Recognizes hierarchies as oppressive, emphasizes understanding women’s histories and contexts, and highlights disparities and lack of research in women’s health.

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5
Q

What are key principles of feminist research?

A

Knowledge is culturally and socially contingent, gender inequities are systemic and structural, and advocacy and action are ethical responses.

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6
Q

Who pioneered EBP in healthcare?

A

Florence Nightingale, through trial and error, observation, and patient discussion.

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7
Q

What is the role of the Cochrane Database?

A

It provides comprehensive systematic reviews of evidence.

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8
Q

What questions guide EBP through a public health lens?

A

What are the expected benefits of the intervention? What are the potential burdens and harms? How does the intervention affect autonomy and equity? What are the costs and opportunity costs?

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9
Q

What is the role of research in EBP?

A

Guides healthcare decisions, requires regular use for effectiveness, and encourages reformulation of clinical thoughts.

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10
Q

What is considered the gold standard in research evidence?

A

Randomized Controlled Trials (RCTs).

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11
Q

What are the three main sources of research evidence?

A

Clinical experience, patient preferences, and current clinical research.

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12
Q

What are key elements of rigor in quantitative research?

A

Clear variable definitions, validity in measurement, representative sample, and avoiding Type I and Type II errors.

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13
Q

What distinguishes meta-analysis from systematic review?

A

Meta-analysis: Single study. Systematic review: Comprehensive analysis of multiple studies.

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14
Q

How does qualitative research differ from quantitative research?

A

Focuses on exploratory questions and uses non-numerical data like interviews and observations.

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15
Q

What is phenomenology in qualitative research?

A

Understanding individual experiences within their life context.

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16
Q

What is the purpose of mixed research methods?

A

Combines quantitative and qualitative techniques for a comprehensive understanding.

17
Q

What is triangulation?

A

Using multiple sources and methods to capture a fuller context.

18
Q

What does translational research address?

A

Evidence-based implementation strategies that work in specific settings and populations under certain conditions.

19
Q

What are the stages of the Stetler Model?

A

Preparation, validation, comparative evaluation and decision-making, implementation with translation application, and evaluation.

20
Q

What are common barriers to achieving EBP?

A

Lack of time, limited confidence in critiquing research, outdated research findings, and underrepresentation of minorities in studies.

21
Q

What are some databases for evidence-based practice?

A

PubMed, CINAHL, EMBASE, Cochrane Library, DynaMed, UpToDate, and TRIP.