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?
- 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?
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?
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?
What is the primary purpose of integrating evidence into practice?
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?
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?
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?
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?
What is the final step in the evidence-based practice process?
What is the final step in the evidence-based practice process?
What is the role of PICOT format in evidence-based practice?
What is the role of PICOT format in evidence-based practice?
What is the primary outcome of integrating evidence into practice?
What is the primary outcome of integrating evidence into practice?
What is the primary source of evidence in evidence-based practice?
What is the primary source of evidence in evidence-based practice?
What is the final step of evidence-based practice?
What is the final step of evidence-based practice?
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?
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?
What is the primary goal of nursing research?
What is the primary goal of nursing research?
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?
What is the primary purpose of critically appraising evidence?
What is the primary purpose of critically appraising evidence?
What is the role of outcomes research in evidence-based practice?
What is the role of outcomes research in evidence-based practice?
What is the primary goal of cultivating a spirit of inquiry?
What is the primary goal of cultivating a spirit of inquiry?
What is the primary purpose of searching for evidence?
What is the primary purpose of searching for evidence?
What is the primary role of integrating evidence into practice?
What is the primary role of integrating evidence into practice?
What is the primary purpose of PICOT format?
What is the primary purpose of PICOT format?
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?
What is essential to consider when implementing a practice change?
What is essential to consider when implementing a practice change?
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?
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?
What is necessary to sustain knowledge use in an organization?
What is necessary to sustain knowledge use in an organization?
What is the primary focus of integrating evidence into practice?
What is the primary focus of integrating evidence into practice?
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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