Week 12 Review

Question 1

Definition: Evidence-Based Practice

Answer 1

The conscientious, explicit and judicious use of theory-derived, research-based information in making decisions about patient care delivery to individuals or groups of patients and in consideration of individual needs and preferences

Question 2

Evidence-based practice and research utilization are:

Answer 2

Tools that practicing nurses use to ensure that they are equipped to make the most informed decisions about patient care.

Question 3

Difference between evidence-based practice & research utilization

Answer 3

Evidence-based practice starts with the identification of a clinical problem and seeks research-based evidence to support decision-making.
Research utilization refers to finding a practical use for findings from a research study or studies in the real world of nursing practice.

Question 4

Research utilization:

Conceptual level vs. practical level

Answer 4

Conceptual Level: your practice is informed by research findings
Practical Level: you actually change what you are doing and how you do it based on research results.

Question 5

Research utilization: Instrumental

Answer 5

Research findings that lead to concrete application in nursing interventions (changes are a direct result in research findings)

Question 6

Research utilization: Persuasive

Answer 6

Used as a tool to persuade others to change interventions, either at the individual or organizational level

Question 7

Steps that guide evidence-based practice

Answer 7

1. Problem identification
2. Evidence collection
3. Evidence appraisal
4. Evidence integration and intervention implementation
5. Outcome evaluation
6. Disseminate outcome

Question 8

IOWA Model (1994)

Answer 8

• Designed to promote quality care.
• Quality assurance measures & Emphasis on multi-level organizational involvement
• Examines problem-focused and knowledge-focused triggers to identify a topic

Question 9

Stetler Model of Research Utilization (1976; 2001)

Answer 9

-Designed to promote critical thinking about application of research in the clinical area by individual nurse clinicians
5 process phases:
1. Preparation
2. Validation
3. Comparative Evaluation/ Decision-Making
4. Translation/Application
5. Evaluation

Question 10

Rosswurm & Larabee Model (1999)

Answer 10

-Designed to facilitate a change to EBP
6 cyclic steps (similar to Nursing Process):
1. Assess need for change
2. Link interventions to outcomes
3. Synthesize the evidence
4. Design the practice change
5. Implement and evaluate the change
6. Integrate and maintain the change

Question 11

ACE Star Model of Knowledge Transformation (2004)

Answer 11

-Initially developed as a framework to organize EBP processes and produce knowledge transformation
5 step process:
1. Discovery
2. Summary
3. Translation
4. Integration
5. Evaluation