Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Evidence Based Practice > Week 1 - Intro to EBP > Flashcards

Week 1 - Intro to EBP Flashcards

1
Q

What are the 3 pillars of EBP?

A

Best Research Evidence
Clinical Expertise
Patient Values and Preferences

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Name 3 examples of research evidence?

A

Systematic reviews
Randomised control trials
Clinical practice guidelines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Name 3 examples of clinical expertise

A

Clinical experience
Quality improvement projects
Outcome management initiatives

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is EBP?

A

Basing practice on the highest possible quality evidence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Name some negative elements of nursing culture identified when EBP is not implemented

A 
Lack of openness to criticism
Lack of consideration for patients
Defensiveness
Looking inwards not outwards
Secrecy
Acceptance of poor standards
Misplaced assumptions about the judgements and actions of others 
Failure to put patient first at all times
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is Clinical Governance?

A

Clinical governance is a system whereby what nurses and other care professionals do is able to come under scrutiny to ensure it is worthwhile, there are correct procedures and guidelines, auditing of practice is happening and money is being spent wisely.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Name the four principles of healthcare ethics:

A

Beneficence
Non-Maleficence
Autonomy
Justice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is consequentialism in nursing?

A

Doing things that have the best outcomes. Nurses should select the path of care with the patient that has the highest possibility of achieving the desired outcome.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Name the epidemiologist who started EBP in the 1970’s

A

Archie Cochran

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Name the university that developed EBP as we know it today

A

McMasters University, Canada

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the number 1 challenge in healthcare?

A

Providing evidence based, cost effective, quality healthscare to improve practice and patient outcomes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What percentage of healthcare is based on EBP?

A

20%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How many years does it take to get evidence into practice?

A

15-20 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the purpose of EBP?

A

Providing evidence based, cost effective, quality healthcare to improve practice and patient outcomes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the evidence pyramid?

A

Another version of the hierarchy of evidence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Name 3 resources of good evidence

A

Joanna Briggs Institute
National Health and Medical Research Council (NHMRC)
NHS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

List the Hierarchy of Evidence

A
  1. Systematic Reviews, Meta-analyses
  2. Randomised Control Trials
  3. Case Controlled Studies
  4. Non- experimental designs
  5. Expert opinions
  6. Views of colleagues/peers
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What would you would find on number 2 of the hierarchy of evidence?

A

Randomised Control Trials with definitive results

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What do metanalyses do?

A

Gather all the statistics from various studies and reanalyse them.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

List the 9 Key elements of nursing

A 
Lifelong learning code of ethics 
Code of ethics
Regulation
Distinct body of knowledge
Tertiary Education
Accountability
Autonomy 
Critical Reflection
Evidence Based Practice
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

List some reasons that EBP is important

A
  1. Autonomy.
  2. Rapid progress.
  3. Correcting inaccurate Information.
  4. Providing best care.
  5. Social and political pressure to improve
  6. Moral & ethical imperatives
  7. Accountability to our professional body
  8. Professionalism of nursing
  9. Plan effective interventions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is ADPIE and what does it stand for?

A

The nursing process.

Assessing
Diagnosing
Planning
Implementing
Evaluating
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What are the 5 steps of the EBP Process?

A
  1. Ask question: Start with identifying a problem. Turn it into a question.
  2. Search Evidence: Find best available information on the topic.
  3. Appraise Evidence: Identify relevant supporting information. Best supports clinical decisions to meet needs for patient.
  4. Implement care.
  5. Evaluate: Assessing how effective the action has been. Future actions discerned.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What are some professional concepts associated with nursing?

A

Autonomy
Accountability
Regulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Why do we have nursing standards?

A

Helps to guide our practice to ensure it is safe, ethical, competent and based on achieving the best outcomes for patients.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What does CPD stand for?

A

Continuing Professional Development

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What are some negative aspects of nursing culture when EBP is not implemented?

A 
Lack of openness to criticism
Lack of consideration for patients
Defensiveness
Looking inwards not outwards
Secrecy
Acceptance of poor standards
Misplaced assumptions about the judgements and actions of others 
Failure to put patient first at all times
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What is clinical governance?

A

Clinical governance is a system whereby what nurses and other care professionals do is able to come under scrutiny to ensure it is worthwhile, there are correct procedures and guidelines, auditing of practice is happening and money is being spent wisely.

29
Q

List the 4 principles of healthcare ethics

A

Beneficence
Non-Maleficence
Autonomy
Justice

30
Q

What is consequentialism?

A

Doing things that have the best outcomes. Nurses should select the path of care with the patient that has the highest possibility of achieving the desired outcome.

31
Q

What are the teo main questions associated with the CASP initiative?

A

How do I know research has been done properly? When information is conflicting, how do I know which to believe?

32
Q

What does CASP stand for?

A

Critical Appraisal Skills Program

33
Q

What does CASP do?

A

CASP helps:
Find the evidence
Appraise
Act

34
Q

What is quantitative research?

A

Seeks to discover relationships between variables in a statistical way

35
Q

What is qualitative research?

A

Explores attitudes, opinions, experiences or behaviours through interviews, focus groups or observation.

36
Q

What are some common influences on nursing practice?

A 
What have you been taught in your training?
What research have you read?
Personal experiences 
Experience of others you have listened to 
Local and national policies
Pressure from managers
Ethics
Social norms
37
Q

What is empirical knowledge?

A

Knowledge found in textbooks ot journal papers that is derived from research that is provable

38
Q

What is aesthetic knowledge?

A

Subjective and unique knowledge that requires interpretation, creativity, empathy, understanding and valuing. It is knowledge that feels and looks right

39
Q

What is ethical knowledge?

A

Knowledge based on systems of belief and moral codes of conduct.

40
Q

What is personal knowledge?

A

Knowledge that arises out of experience as sympathy, empathy and understanding.

41
Q

What are the 3 pillars of critical practice?

A
  1. Forging relationships
  2. Seeking to empower others
  3. Making a difference
42
Q

What is supercomplexity?

A

When applied to professionalism and nursing means managing overwhelming data, theories and handling multiple frames of reference. Due to the nature of nursing, it becomes has become more complex. Nurses are required to pay attention to the realities of the patients illness but also all their types of knowledge, where beforehand it would have just been based on previous experience of dealing with the illness.

43
Q

What are the 3 dimensions of being?

A

Knowledge
Working with others
Delivery of EB care

44
Q

What are randomised control trials good for in terms of research?

A

Cause and effect

45
Q

What are cohort studies good for in terms of research?

A

Comparing differences?

46
Q

What is the main benefit of primary research?

A

It generates new, more evidence based research.

47
Q

What are case-controlled studies good for in terms of research?

A

Assessing the relationship between outcomes.

48
Q

What type of research studies are best for “therapy” related questions?

A

Randomised control trials

49
Q

What type of research studies are best for “prevention” related questions, like how to prevent a disease or condition?

A

RCT’s
Cohort studies
Case control studies.

50
Q

What type of research studies are best for “prognosis” related questions? (estimating the patients likely clinical course & complications)

A

Cohorts
Case controls
Case series

51
Q

What type of research studies are best for “diagnosis” related questions?

A

Blind RCT’s

52
Q

What type of research studies are best for “etiology/harm” related questions? (how to identify causes for disease)

A

RCT’s
Cohort studies
Case controlled

53
Q

What type of research studies are best for “cost analysis” related questions?

A

Economic analysis studies

54
Q

Define “autonomy”

A

To act for ones self independently

55
Q

Why do we have NMBA standards of care?

A

Helps to guide our practice to ensure it is safe, ethical, competent and based on achieving the best outcomes for patients.

56
Q

How many hours of professional development do registered nurses have to undertake per year?

A

20 hours

57
Q

Name the 7 types of knowledge?

A 
Trial and Error
Personal Experience
Intuition
Reasoning
Research
Tradition/custom
Authority
58
Q

What are some benefits of knowledge by tradition/custom?

A

Some methods may be tried and true
Usually based on trial and error or personal experience
Can be the comfortable way of doing things

59
Q

What are some negative aspects of using knowledge by tradition/custom?

A

Resistance to change
May be old and out of date
May not be culturally aware as the world has become globalised.
May not be based on evidence

60
Q

What are some benefits of learning/knowledge by authority?

A

They often have more experience
Can learn by shadowing and immitation
Should be more familiar with the instiutional guidelines, etc.

61
Q

What are some drawbacks of learning/knowledge by authority?

A

Everyone has a different way of doing certain things, eg. Their way may not be best for you.
They may not be aware of best practice
They may not be receptive to teaching.

62
Q

Define “trail and error” knowledge/learning

A

An investigative form of learning/knowledge.

63
Q

What are some benefits of learning/knowledge by trial and error?

A

Encourages critical thinking and creativity

Can learn a lot by what went wrong as well as what went right

64
Q

What are some drawbacks of learning/knowledge by trial and error?

A

Can lead you outside your scope
Can be time consuming to reach a desired result
Not based on evidence
No real parameters

65
Q

What are some benefits of learning/knowledge by personal experience?

A

Gaining experience

Ability to apply existing knowledge in different ways

66
Q

What are some drawbacks of learning/knowledge by personal experience?

A

Your experiences are specific to you
May not always heed the same results
You need confidence in your knowledge to be able to apply it

67
Q

What are some benefits of learning/knowledge by intuition?

A

Early interventions
Can pick up things that do not show on measureable charts
Can lead you on a new path of investigation

68
Q

What are some drawbacks of learning/knowledge by intuition?

A

Can be seen as an overreaction
Not evidence based
Intangible

Evidence Based Practice (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions