Questions and Answers
What is Evidence-Based Practice according to Sackett (2000)?
What is the primary goal of evidence-based practice in nursing?
What is the first step in the evidence-based practice process?
What is the result of healthcare that is evidence-based and conducted in a caring context?
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What does EBP require according to D.Rutledge (2002)?
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What type of research is focused on studying the outcomes of interventions?
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Why is it essential for nurses to ask good clinical questions?
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What is the definition of Evidence-Based Nursing Practice according to STTI (2007)?
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What is the result of evidence-based practice in nursing?
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What is the outcome of gaining knowledge and skills in the EBP process?
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What type of environment is necessary for nurses to practice evidence-based nursing?
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What is evidence according to Webster?
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What is the role of clinical expertise in evidence-based practice?
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What is the purpose of evaluating the strength and applicability of evidence in evidence-based practice?
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What is a common characteristic of questions asked by Advanced Practice Nurses (APNs)?
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What was associated with lower mortality and failure to rescue in acute care hospitals?
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What is a potential effect of more overtime hours on patient outcomes?
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What is a potential benefit of having a higher RN staffing in acute care hospitals?
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What might a Nurse Manager ask in relation to shift length?
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What is a common challenge in nursing practice?
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What is a key objective in studying nurse staffing and work hours?
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What is a potential difference between a Clinical Nurse Specialist (CNS) and other Advanced Practice Nurses?
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What is a factor contributing to the expansion of scientific knowledge?
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What is a key aspect of evidence-based practice?
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Which organization is involved in the accreditation of healthcare organizations?
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What is a characteristic of highly educated consumers?
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What is a benefit of evidence-based practice?
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What is a role of government agencies in evidence-based practice?
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What is a responsibility of every nurse in relation to evidence-based practice?
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What is a goal of benchmark institutions in evidence-based practice?
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What is one of the key elements of EB Education for EB Practice?
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Which of these is NOT a recommended practice for promoting evidence-based practice?
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Which of the following is a goal outlined by the IOM (International Organization for Migration) for advancing nursing practice?
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How can clinicians best be supported in accessing and synthesizing evidence?
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What is a key aspect of effective dissemination of evidence-based findings?
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Which of the following is NOT a characteristic of an inquiring mind, as described in the content?
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What is a key strategy for removing scope-of-practice barriers for nurses?
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Which of the following is a critical aspect of evidence-based practice that emphasizes patient-centered care?
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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.