Evidence-Based Practice in Healthcare
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Questions and Answers

What is the primary purpose of using the PICOT format in evidence-based practice?

  • To formulate a clear and concise clinical question (correct)
  • To identify the most relevant research articles
  • To evaluate the quality of existing clinical practice guidelines
  • To develop a plan of care for a patient
  • Which of the following sources is NOT a recommended source for searching for evidence in evidence-based practice?

  • Procedure manuals
  • Agency policy
  • Journal articles
  • Patient feedback surveys (correct)
  • What is the primary goal of critically appraising evidence in evidence-based practice?

  • To develop a plan of care for a patient
  • To evaluate the quality of existing clinical practice guidelines
  • To identify the most relevant research articles
  • To determine the value, feasibility, and usefulness of evidence (correct)
  • What is the primary purpose of integrating evidence into practice?

    <p>To apply the research in your plan of care for a patient and use evidence as rationale</p> Signup and view all the answers

    What is the primary benefit of cultivating a spirit of inquiry in evidence-based practice?

    <p>To foster a culture of continuous learning and improvement</p> Signup and view all the answers

    What is the primary purpose of cultivating a spirit of inquiry in evidence-based practice?

    <p>To encourage constant questioning of current practices</p> Signup and view all the answers

    What is the main goal of critically appraising evidence in evidence-based practice?

    <p>To synthesize the research findings to inform practice</p> Signup and view all the answers

    What is the primary purpose of conducting a pilot study in evidence-based practice?

    <p>To determine the feasibility of implementing a change in practice</p> Signup and view all the answers

    What is the final step in the evidence-based practice process?

    <p>Integrating evidence into practice</p> Signup and view all the answers

    What is the role of PICOT format in evidence-based practice?

    <p>To formulate a clinical question</p> Signup and view all the answers

    What is the primary outcome of integrating evidence into practice?

    <p>Enhanced patient outcomes</p> Signup and view all the answers

    What is the primary source of evidence in evidence-based practice?

    <p>Well-designed, systematically conducted research studies</p> Signup and view all the answers

    What is the final step of evidence-based practice?

    <p>Communicating the outcomes of the practice decision</p> Signup and view all the answers

    What is the primary reason for searching for evidence in evidence-based practice?

    <p>To answer a clinical question</p> Signup and view all the answers

    Which type of research study is focused on the benefits, risks, costs, and holistic effects of a treatment on patients?

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

    What is the primary goal of nursing research?

    <p>To identify new knowledge and improve professional education and practice</p> Signup and view all the answers

    Which phase of translation research involves testing safety and efficacy in a small group of human subjects?

    <p>Phase 1 clinical trials</p> Signup and view all the answers

    What is the primary purpose of critically appraising evidence?

    <p>To evaluate the validity and reliability of research findings</p> Signup and view all the answers

    What is the role of outcomes research in evidence-based practice?

    <p>To help patients, health care providers, and those in health care policy make informed decisions on the basis of current evidence</p> Signup and view all the answers

    What is the primary goal of cultivating a spirit of inquiry?

    <p>To foster a culture of curiosity and critical thinking</p> Signup and view all the answers

    What is the primary purpose of searching for evidence?

    <p>To find the best available evidence to inform practice</p> Signup and view all the answers

    What is the primary role of integrating evidence into practice?

    <p>To translate research findings into practice</p> Signup and view all the answers

    What is the primary purpose of PICOT format?

    <p>To frame a research question in a systematic and organized way</p> Signup and view all the answers

    What is the primary purpose of evaluating the outcomes of an evidence-based practice change?

    <p>To determine the effectiveness of the change and identify areas for modification</p> Signup and view all the answers

    What is essential to consider when implementing a practice change?

    <p>The potential outcomes of the change, including unexpected events</p> Signup and view all the answers

    What is the primary goal of cultivating a spirit of inquiry in an organization?

    <p>To foster a culture of continuous learning and improvement</p> Signup and view all the answers

    Who should be involved in communicating the outcomes of an evidence-based practice decision?

    <p>Clinical staff, nursing practice council, EBP council, clinicians, and researchers</p> Signup and view all the answers

    What is necessary to sustain knowledge use in an organization?

    <p>Incorporating the change into the culture and practice environment</p> Signup and view all the answers

    What is the primary focus of integrating evidence into practice?

    <p>Teaching tools, clinical practice guidelines, and policies and procedures</p> Signup and view all the answers

    What should be considered when appraising evidence for an EBP decision?

    <p>The quality and relevance of the evidence</p> Signup and view all the answers

    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

    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
    • 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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    Related Documents

    Chapter_005.pptx

    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.

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