Week 1/Kahoot Flashcards
What is evidence-based practice?
- A problem-solving approach to clinical decision-making within a healthcare organization
- Integrates the best available experiential evidence
- Encourages critical thinking in the judicious application of such evidence to the care of individual patients
What is evidence-based nursing?
an ongoing process by which best evidence and a nurse’s expertise are critically evaluated and considered, in the context of patient values, to deliver optimum nursing care
What does it mean to deliver optimal care?
STEEEP
Safe - “Keep me safe”
Timely - reducing waits and sometimes harmful delays for both those who receive and those who give care
Effective - providing services to all who could benefit and refraining from providing services those not likely to benefit
Efficient - avoiding waste, including equipment, supplies, idea, and energy
Equitable - providing care that does not vary in quality because personal characteristics such gender, ethnicity, geographic location, and socioeconomic
Patient-centered - providing care that is respectful of and responsive to individual patient preferences, needs, and values, and ensuring that patient values guide all clinical decisions
What are the benefits of EBP?
Supports and informs decision-making to enhance:
Efficacy
Effectiveness
Efficiency
Promotes positive healthcare outcomes:
Clinical
Functional
Quality of life
Economic
What are required competencies for EBP?
Understand Research:
Types of evidence
Finding Evidence
Reading research
Know how to appraise research evidence
Credibility
Clinical Significance
Applicability
Know how to use evidence
Clinical protocols
EBP-QI projects
Point-of-care adaptation
What are the 3 types of inquiry?
Starting point:
Gap in knowledge of best available evidence
Method used:
Practice question, evidence, translation (PET)
Outcome:
Synthesizes best evidence for adoption in practice
What is Quality Improvement (QI)?
All health care organizations are mandated by CMS and JC to monitor their PROCESS OF CARE and collect data which is analyzed for the purpose of performance improvement action.
What is the purpose of EBP?
Uses a synthesis of evidence to support what those performance improvement actions should be. It is, SUBSTANCE OF CARE
What does research provide?
It provides new knowledge when there is absent or minimal evidence to support EBP.
What is the Process of KNOWLEDGE BUILDING for EBP?
Individual studies -> Research summaries -> evidenced-based guidelines -> clinical protocol
How is EBP implemented in Healthcare Systems?
- ID clinical issue, question or goal
- Locate, summarize, and critique evidence
- Translate the evidence into and evidence-based clinical protocol that works for the agency.
- Implement EBP change.
- Evaluate impact.
What is a clinical protocol?
A set of specific care actions for patient population that has been endorsed by the hospital, agency, primary care clinic, or health care facility.
- Clinical pathway
- Care algorithm
- Care bundle
- Standard Order Set – ex. HF admission order
- Standardized Care Plan– GOAL: to reduce likelihood of falls while maintaining dignity and independence
- Decision Trees
What is the JHEBPN and Healthcare Professionals Model
- Work with interprofessional teams
- Begins with a “A SPIRIT OF INQUIRY”
- The PET Process:
- Inquiry
- Practice questions, Evidence, Translation
- Best Practices
- Practice Improvements
The overarching goal of an EBP project is to generate new knowledge
T/F?
False
The first component of the JHEBP model is the collection of credible evidence.
T/F?
False
The JHEBP model encourages nurses to develop their EBP projects independently.
T/F?
False
The P in PICO can be used to represent either patient, problem, population, purpose, or plan.
T/F?
FALSE
A foreground question is typically phrased in broad terms.
T/F?
False
Identifying key search terms is the first step in finding evidence.
T/F?
True
The use of directional search terms such as increase or reduce may result in a biased search.
T/F?
True
The HaPI database is the best source for the retrieval of systematic reviews.
T/F?
False
Using Boolean operators to combine concepts is a valid technique when searching databases.
t/F?
True
The data generated from a study which collected patients’ blood pressure readings would be an example of primary evidence.
T/F?
TRUE
A randomized controlled trial (RCT) is a type of quasi-experimental study.
T/F?
False
