Podcast
Questions and Answers
What is the primary purpose of using the PICOT format in evidence-based practice?
What is the primary purpose of using the PICOT format in evidence-based practice?
Which of the following sources is NOT a recommended source for searching for evidence in evidence-based practice?
Which of the following sources is NOT a recommended source for searching for evidence in evidence-based practice?
What is the primary goal of critically appraising evidence in evidence-based practice?
What is the primary goal of critically appraising evidence in evidence-based practice?
What is the primary purpose of integrating evidence into practice?
What is the primary purpose of integrating evidence into practice?
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What is the primary benefit of cultivating a spirit of inquiry in evidence-based practice?
What is the primary benefit of cultivating a spirit of inquiry in evidence-based practice?
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What is the primary purpose of cultivating a spirit of inquiry in evidence-based practice?
What is the primary purpose of cultivating a spirit of inquiry in evidence-based practice?
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What is the main goal of critically appraising evidence in evidence-based practice?
What is the main goal of critically appraising evidence in evidence-based practice?
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What is the primary purpose of conducting a pilot study in evidence-based practice?
What is the primary purpose of conducting a pilot study in evidence-based practice?
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What is the final step in the evidence-based practice process?
What is the final step in the evidence-based practice process?
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What is the role of PICOT format in evidence-based practice?
What is the role of PICOT format in evidence-based practice?
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What is the primary outcome of integrating evidence into practice?
What is the primary outcome of integrating evidence into practice?
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What is the primary source of evidence in evidence-based practice?
What is the primary source of evidence in evidence-based practice?
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What is the final step of evidence-based practice?
What is the final step of evidence-based practice?
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What is the primary reason for searching for evidence in evidence-based practice?
What is the primary reason for searching for evidence in evidence-based practice?
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Which type of research study is focused on the benefits, risks, costs, and holistic effects of a treatment on patients?
Which type of research study is focused on the benefits, risks, costs, and holistic effects of a treatment on patients?
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What is the primary goal of nursing research?
What is the primary goal of nursing research?
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Which phase of translation research involves testing safety and efficacy in a small group of human subjects?
Which phase of translation research involves testing safety and efficacy in a small group of human subjects?
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What is the primary purpose of critically appraising evidence?
What is the primary purpose of critically appraising evidence?
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What is the role of outcomes research in evidence-based practice?
What is the role of outcomes research in evidence-based practice?
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What is the primary goal of cultivating a spirit of inquiry?
What is the primary goal of cultivating a spirit of inquiry?
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What is the primary purpose of searching for evidence?
What is the primary purpose of searching for evidence?
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What is the primary role of integrating evidence into practice?
What is the primary role of integrating evidence into practice?
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What is the primary purpose of PICOT format?
What is the primary purpose of PICOT format?
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What is the primary purpose of evaluating the outcomes of an evidence-based practice change?
What is the primary purpose of evaluating the outcomes of an evidence-based practice change?
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What is essential to consider when implementing a practice change?
What is essential to consider when implementing a practice change?
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What is the primary goal of cultivating a spirit of inquiry in an organization?
What is the primary goal of cultivating a spirit of inquiry in an organization?
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Who should be involved in communicating the outcomes of an evidence-based practice decision?
Who should be involved in communicating the outcomes of an evidence-based practice decision?
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What is necessary to sustain knowledge use in an organization?
What is necessary to sustain knowledge use in an organization?
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What is the primary focus of integrating evidence into practice?
What is the primary focus of integrating evidence into practice?
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What should be considered when appraising evidence for an EBP decision?
What should be considered when appraising evidence for an EBP decision?
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Study Notes
Evidence-Based Practice
- Definition: A problem-solving approach to clinical practice that combines the best evidence with a clinician's expertise, patient preferences and values, and healthcare resources in making decisions about patient care.
- Combines the best evidence from well-designed, systematically conducted research studies found in scientific, peer-reviewed journals with a clinician's expertise and patient preferences.
The Need for Evidence-Based Practice
- Steps of Evidence-Based Practice:
- Cultivate a spirit of inquiry
- Ask a clinical question in PICOT format
- Search for the best evidence
- Critically appraise the evidence
- Integrate the evidence
- Evaluate the outcomes of practice decisions or changes
- Communicate the outcomes of the evidence-based practice decision
- PICOT format:
- P: Patient population of interest
- I: Intervention of interest
- C: Comparison of interest
- O: Outcome
- T: Time
- Sources of evidence:
- Agency policy
- Procedure manuals
- Quality improvement data
- Existing clinical practice guidelines
- Journal articles
- Critically appraising the evidence:
- Synthesize or combine the findings
- Consider the scientific rigor of the evidence and its application in practice
- Use a systematic approach
- Determine the value, feasibility, and usefulness of evidence
- Integrating the evidence:
- Apply the research in the plan of care for a patient
- Use evidence as rationale
- Education about the change must occur
- Large-scale change requires planning
- Pilot study can show if change can be implemented easily
- Incorporate into policies and procedures
The Scientific Method
- Steps:
- Make an observation
- Ask questions and gather information
- Analyze the literature and form a research question or hypothesis
- Conduct a study using scientific rigor
- Analyze the data and draw conclusions
- Types of research studies:
- Quantitative research:
- Experimental research
- Nonexperimental research
- Surveys
- Qualitative research:
- Inductive reasoning
- Quantitative research:
Nursing Research
- Definition: A way to identify new knowledge, improve professional education and practice, and use resources effectively.
- Types of research:
- Translation research phases
- Preclinical and animal studies—basic science research
- Phase 1 clinical trials—testing safety and efficacy in a small group of human subjects
- Phase 2 and 3 clinical trials—testing safety and efficacy in a larger group of human subjects and testing for comparison to standard treatment
- Phase 4 clinical trials and outcomes research—translation to practice
- Phase 5 population-level outcomes research—translation to community
- Translation research phases
- Outcomes research:
- Helps patients, healthcare providers, and those in healthcare policy make informed decisions based on current evidence.
- Typically focuses on the benefits, risks, costs, and holistic effects of a treatment on patients.
- Outcomes must be observable or measurable.
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Description
Test your understanding of evidence-based practice in healthcare, including asking clinical questions in PICOT format and searching for the best evidence from various sources.
