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Evidence-Based Practice (EBP) in Nursing
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Evidence-Based Practice (EBP) in Nursing

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Questions and Answers

What is Evidence-Based Practice according to Sackett (2000)?

  • The process of shared decision-making between practitioner, patient and significant others based on research evidence
  • The conscientious, explicit and judicious use of current best evidence with clinical expertise, and patient values to make decisions about patient care (correct)
  • The use of clinical expertise to make decisions about patient care
  • The use of clinical expertise to disprove research evidence

    • What is the primary goal of evidence-based practice in nursing?

  • To increase satisfaction among patients
  • To focus on nursing practice away from habits and tradition to evidence and research
  • To provide the high quality and most cost efficient nursing care possible (correct)
  • To advance quality of care provided by health workers

    • What is the first step in the evidence-based practice process?

  • Evaluating the strength and applicability of the evidence
  • Applying the evidence
  • Developing a well-built question (correct)
  • Auditing the steps

    • What is the result of healthcare that is evidence-based and conducted in a caring context?

    <p>Better clinical decisions and patient outcomes</p> Signup and view all the answers

    What does EBP require according to D.Rutledge (2002)?

    <p>Both the production and application of evidence to practice</p> Signup and view all the answers

    What type of research is focused on studying the outcomes of interventions?

    <p>Outcomes research</p> Signup and view all the answers

    Why is it essential for nurses to ask good clinical questions?

    <p>To improve nursing care and patient outcomes</p> Signup and view all the answers

    What is the definition of Evidence-Based Nursing Practice according to STTI (2007)?

    <p>The process of shared decision-making between practitioner, patient and significant others based on research evidence</p> Signup and view all the answers

    What is the result of evidence-based practice in nursing?

    <p>Better patient outcomes and increased confidence in decision making</p> Signup and view all the answers

    What is the outcome of gaining knowledge and skills in the EBP process?

    <p>Nurses take more ownership of their practices and are able to transform healthcare</p> Signup and view all the answers

    What type of environment is necessary for nurses to practice evidence-based nursing?

    <p>Risk-taking environment</p> Signup and view all the answers

    What is evidence according to Webster?

    <p>Material or information used to arrive at the truth</p> Signup and view all the answers

    What is the role of clinical expertise in evidence-based practice?

    <p>To contribute to knowledge gained from practice over time</p> Signup and view all the answers

    What is the purpose of evaluating the strength and applicability of evidence in evidence-based practice?

    <p>To determine the relevance of the evidence to the clinical question</p> Signup and view all the answers

    What is a common characteristic of questions asked by Advanced Practice Nurses (APNs)?

    <p>They are less frequently focused on intervention selection.</p> Signup and view all the answers

    What was associated with lower mortality and failure to rescue in acute care hospitals?

    <p>Higher proportion of RNs with BSN degrees</p> Signup and view all the answers

    What is a potential effect of more overtime hours on patient outcomes?

    <p>Increased hospital related mortality and nosocomial infections</p> Signup and view all the answers

    What is a potential benefit of having a higher RN staffing in acute care hospitals?

    <p>Less mortality and failure to rescue</p> Signup and view all the answers

    What might a Nurse Manager ask in relation to shift length?

    <p>Do 12 hour or 8 hour shifts result in more medication errors?</p> Signup and view all the answers

    What is a common challenge in nursing practice?

    <p>Limited evidence to support many nursing interventions</p> Signup and view all the answers

    What is a key objective in studying nurse staffing and work hours?

    <p>To assess how nurse to patient ratios and nurse work hours are associated with patient outcomes</p> Signup and view all the answers

    What is a potential difference between a Clinical Nurse Specialist (CNS) and other Advanced Practice Nurses?

    <p>A CNS focuses on a specific patient population or a specific unit</p> Signup and view all the answers

    What is a factor contributing to the expansion of scientific knowledge?

    <p>The Internet and highly educated nurses</p> Signup and view all the answers

    What is a key aspect of evidence-based practice?

    <p>Questioning current practices and seeking evidence</p> Signup and view all the answers

    Which organization is involved in the accreditation of healthcare organizations?

    <p>The Joint Commission on Accreditation of Healthcare Organizations</p> Signup and view all the answers

    What is a characteristic of highly educated consumers?

    <p>Increased demand for high-quality care</p> Signup and view all the answers

    What is a benefit of evidence-based practice?

    <p>Improved quality of care and risk reduction</p> Signup and view all the answers

    What is a role of government agencies in evidence-based practice?

    <p>Developing practice guidelines and protocols</p> Signup and view all the answers

    What is a responsibility of every nurse in relation to evidence-based practice?

    <p>Implementing evidence-based practices in clinical settings</p> Signup and view all the answers

    What is a goal of benchmark institutions in evidence-based practice?

    <p>Serving as models for excellence in healthcare</p> Signup and view all the answers

    What is one of the key elements of EB Education for EB Practice?

    <p>Encourage students to develop a 'worry and wonder' mindset, questioning clinical traditions.</p> Signup and view all the answers

    Which of these is NOT a recommended practice for promoting evidence-based practice?

    <p>Restrict access to current research and journals.</p> Signup and view all the answers

    Which of the following is a goal outlined by the IOM (International Organization for Migration) for advancing nursing practice?

    <p>Implementing nurse residency programs.</p> Signup and view all the answers

    How can clinicians best be supported in accessing and synthesizing evidence?

    <p>By providing training and resources to help them navigate and understand research findings.</p> Signup and view all the answers

    What is a key aspect of effective dissemination of evidence-based findings?

    <p>Emphasizing the clinical implications of the findings for everyday practice.</p> Signup and view all the answers

    Which of the following is NOT a characteristic of an inquiring mind, as described in the content?

    <p>Accepting existing practices without question.</p> Signup and view all the answers

    What is a key strategy for removing scope-of-practice barriers for nurses?

    <p>Expanding opportunities for nurses to lead and diffuse collaborative improvement efforts.</p> Signup and view all the answers

    Which of the following is a critical aspect of evidence-based practice that emphasizes patient-centered care?

    <p>Listening to patients and understanding their individual needs and preferences.</p> Signup and view all the answers

    Study Notes

    Evidence-Based Practice (EBP)

    • EBP is the conscientious, explicit, and judicious use of current best evidence with clinical expertise and patient values to make decisions about patient care.
    • It is a process of shared decision-making between practitioners, patients, and significant others, based on research evidence, patient experiences, clinical expertise, and other robust sources of information.

    Importance of EBP

    • Leads to better clinical decisions and patient outcomes.
    • Provides nurses and clinicians with the tools needed to take ownership of their practices and transform healthcare.

    Research Evidences

    • Randomized controlled trials
    • Laboratory experiments
    • Clinical trials
    • Epidemiological research
    • Outcomes research
    • Qualitative research
    • Expert practice knowledge
    • Inductive reasoning

    Steps in EBP

    • Developing a well-built question
    • Finding evidence-based resources
    • Evaluating the strength and applicability of the evidence
    • Applying the evidence
    • Evaluating the steps

    Barriers to EBP

    • Traditions
    • Borrowing
    • Trial and error
    • Personal experience
    • Role modeling
    • Intuition
    • Reasoning

    Benefits of EBP

    • Provides high-quality and cost-efficient nursing care
    • Advances quality of care provided by healthcare workers
    • Increases patient satisfaction
    • Focuses on nursing practice away from habits and traditions to evidence and research
    • Contributes to the science of nursing
    • Keeps practice current and relevant
    • Increases confidence in decision-making

    Challenges in Implementing EBP

    • Empowering nurses to ask critical questions
    • Creating a risk-taking environment
    • Overcoming individual clinical interventions
    • Addressing nurse staffing, education, and recruitment challenges

    Objectives of EBP

    • Assessing nurse-to-patient ratios and nurse work hours associated with patient outcomes
    • Evaluating the impact of EBP on patient outcomes

    Literature Syntheses

    • Examples include lactose intolerance, Alzheimer's disease, and colorectal cancer screening

    Factors Driving EBP

    • Scientific knowledge expansion
    • Knowledge availability through the internet
    • Highly educated nurses in clinical settings
    • Aggressive pursuit of cost-effectiveness
    • Focus on quality of care, risk, and error reduction
    • Highly educated consumers
    • Accreditation expectations

    Questions to Ask in EBP

    • Is there a better method?
    • What approach does the patient prefer?
    • What do experts in the specialty recommend?
    • What methods are used by leading organizations?
    • Are organizational barriers inhibiting the application of best practices?

    Organizations Supporting EBP

    • Government agencies
    • Cochrane Collaboration
    • Professional organizations
    • Benchmark institutions
    • AACN, AWHONN, AORN, ONS, Sigma Theta Tau

    Strategies for Implementing EBP

    • Education for EBP
    • Encouraging inquisitive minds
    • Promoting risk-taking and flexibility
    • Providing time and resources
    • Empowering staff to make EB practice changes
    • Acknowledging and rewarding EB improvements
    • Remaining clinically in touch
    • Conducting clinically useful studies
    • Supporting clinicians in accessing and synthesizing evidence
    • Collaborating with clinicians and patients
    • Disseminating findings that are understandable and accessible

    Future of EBP

    • Remove scope-of-practice barriers
    • Expand opportunities for nurses to lead and diffuse collaborative improvement efforts
    • Implement nurse residency programs
    • Increase the proportion of nurses with a baccalaureate degree to 80% by 2020
    • Double the number of nurses with a doctorate by 2020
    • Ensure that nurses engage in lifelong learning
    • Prepare and enable nurses to lead change to advance health
    • Build an infrastructure for the collection and analysis of interprofessional healthcare workforce data.

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    Description

    Learn about the principles and importance of Evidence-Based Practice (EBP) in nursing, including its role in improving clinical decisions and patient outcomes.

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