Podcast
Questions and Answers
What can prolonged use of cold compresses lead to?
What can prolonged use of cold compresses lead to?
- Hypothermia (correct)
- Vasodilation
- Hyperthermia
- Skin exfoliation
Which alternative method is NOT recommended to reduce fever?
Which alternative method is NOT recommended to reduce fever?
- Applying hot compresses to the forehead (correct)
- Maintaining room temperature of 22-24°C
- Ensuring proper hydration
- Wiping with lukewarm water
Which of the following is a recommended practice to help manage fever in children?
Which of the following is a recommended practice to help manage fever in children?
- Engaging the child in vigorous physical activity
- Encouraging hydration to counteract fluid loss (correct)
- Using ice packs directly on the skin
- Dressing the child in heavy, layered clothing
What should be done if a child's fever exceeds 39°C and persists?
What should be done if a child's fever exceeds 39°C and persists?
Why might cold compresses cause discomfort for some individuals?
Why might cold compresses cause discomfort for some individuals?
What is the first step in the Evidence-Based Practice process?
What is the first step in the Evidence-Based Practice process?
Why is it important to critically appraise the evidence gathered?
Why is it important to critically appraise the evidence gathered?
What should be done after integrating evidence into clinical practice?
What should be done after integrating evidence into clinical practice?
Who can assist in finding the best evidence when using scientific literature?
Who can assist in finding the best evidence when using scientific literature?
What is a key aspect of the 'Evaluate the Practice Decision or Change' step?
What is a key aspect of the 'Evaluate the Practice Decision or Change' step?
During critical appraisal, which question is essential to ask?
During critical appraisal, which question is essential to ask?
At what point should outcomes of Evidence-Based Practice changes be shared?
At what point should outcomes of Evidence-Based Practice changes be shared?
What characteristic is NOT a reason to question and evaluate information in nursing?
What characteristic is NOT a reason to question and evaluate information in nursing?
What type of knowledge is considered to be passed down from generation to generation in nursing practice?
What type of knowledge is considered to be passed down from generation to generation in nursing practice?
Which of the following best describes evidence-based practice (EBP) in nursing?
Which of the following best describes evidence-based practice (EBP) in nursing?
Which source of knowledge relies on expert opinion and is accepted as truth based on the perceived expertise of the individual?
Which source of knowledge relies on expert opinion and is accepted as truth based on the perceived expertise of the individual?
What role did Florence Nightingale play in the historical development of evidence-based practice?
What role did Florence Nightingale play in the historical development of evidence-based practice?
Which of the following is NOT a benefit of implementing evidence-based practice?
Which of the following is NOT a benefit of implementing evidence-based practice?
What is the primary focus of scientific knowledge in the context of nursing?
What is the primary focus of scientific knowledge in the context of nursing?
What is the purpose of critically appraising the evidence in the EBP process?
What is the purpose of critically appraising the evidence in the EBP process?
What is a key barrier to evidence-based practice (EBP) in nursing?
What is a key barrier to evidence-based practice (EBP) in nursing?
What does the PICO question in the case example focus on comparing?
What does the PICO question in the case example focus on comparing?
Which of the following misconceptions about EBP may hinder its implementation?
Which of the following misconceptions about EBP may hinder its implementation?
In the context given, what challenge is related to information gathered from journals?
In the context given, what challenge is related to information gathered from journals?
Which finding was concluded from the systematic review regarding mattress types for preventing pressure ulcers?
Which finding was concluded from the systematic review regarding mattress types for preventing pressure ulcers?
What is mentioned as a reason for resistance to EBP among nurses?
What is mentioned as a reason for resistance to EBP among nurses?
Which of the following statements best describes the role of EBP mentors?
Which of the following statements best describes the role of EBP mentors?
What outcome is associated with the proposed intervention of air-fluidized mattresses?
What outcome is associated with the proposed intervention of air-fluidized mattresses?
What is the primary benefit of using cold compresses on a child with a fever?
What is the primary benefit of using cold compresses on a child with a fever?
What is a major limitation of using cold compresses for fever management in children?
What is a major limitation of using cold compresses for fever management in children?
Which of the following roles does evidence-based practice (EBP) play in nursing?
Which of the following roles does evidence-based practice (EBP) play in nursing?
What is a key method to overcome barriers to implementing evidence-based practice in healthcare?
What is a key method to overcome barriers to implementing evidence-based practice in healthcare?
Which aspect of evidence-based practice is highlighted as a future consideration in nursing?
Which aspect of evidence-based practice is highlighted as a future consideration in nursing?
In managing a feverish child, what is one method the nursing team currently recommends?
In managing a feverish child, what is one method the nursing team currently recommends?
What concern is associated with the incorrect application of cold compresses?
What concern is associated with the incorrect application of cold compresses?
What is the desired outcome of evidence-based practice in nursing?
What is the desired outcome of evidence-based practice in nursing?
Flashcards
Traditional Knowledge
Traditional Knowledge
Knowledge rooted in tradition, passed down through generations without relying on scientific evidence.
Authoritative Knowledge
Authoritative Knowledge
Knowledge based on an expert's authority or reputation. It's accepted as true because of the expert's perceived credibility.
Scientific Knowledge
Scientific Knowledge
Knowledge obtained through systematic research and rigorous scientific methods.
Evidence-Based Practice (EBP)
Evidence-Based Practice (EBP)
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Clinical Question
Clinical Question
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Critical Appraisal
Critical Appraisal
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Integration of Evidence
Integration of Evidence
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Evaluation of Practice Change
Evaluation of Practice Change
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Ask a Clinical Question
Ask a Clinical Question
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Collect the Best Evidence
Collect the Best Evidence
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Levels of Evidence
Levels of Evidence
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Critically Appraise the Evidence
Critically Appraise the Evidence
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Integrate the Evidence
Integrate the Evidence
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Evaluate the Practice Decision
Evaluate the Practice Decision
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Share the Outcomes
Share the Outcomes
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Barriers to EBP in Nursing: Lack of Skills and Knowledge
Barriers to EBP in Nursing: Lack of Skills and Knowledge
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Barriers to EBP in Nursing: Time, Resources, and Information Overload
Barriers to EBP in Nursing: Time, Resources, and Information Overload
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Barriers to EBP in Nursing: Organizational Constraints
Barriers to EBP in Nursing: Organizational Constraints
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Barriers to EBP in Nursing: Traditional Practices and Peer Pressure
Barriers to EBP in Nursing: Traditional Practices and Peer Pressure
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PICO Question
PICO Question
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EBP Case Example: Pressure Ulcer Prevention
EBP Case Example: Pressure Ulcer Prevention
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EBP Research
EBP Research
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Cold Compresses for Fever
Cold Compresses for Fever
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Lukewarm Bath for Fever
Lukewarm Bath for Fever
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Cool Environment for Fever
Cool Environment for Fever
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Hydration for Fever
Hydration for Fever
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Light Clothing for Fever
Light Clothing for Fever
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What is a systematic review?
What is a systematic review?
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What is Evidence-Based Practice (EBP)?
What is Evidence-Based Practice (EBP)?
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What is a PICO question?
What is a PICO question?
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How do cool compresses help manage a fever?
How do cool compresses help manage a fever?
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What are limitations of using cool compresses for fever?
What are limitations of using cool compresses for fever?
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How does paracetamol help reduce fever?
How does paracetamol help reduce fever?
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Besides cool compresses and medications, what else can help manage a fever?
Besides cool compresses and medications, what else can help manage a fever?
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How can Artificial Intelligence (AI) influence evidence appraisal?
How can Artificial Intelligence (AI) influence evidence appraisal?
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Study Notes
Evidence-Based Practice in Nursing
- Evidence-Based Practice (EBP) is an approach to healthcare integrating clinical expertise, best current evidence, and patient values to provide high-quality care.
- Nursing knowledge is an awareness of reality acquired through learning and investigation.
- Individuals organize facts to build a relevant knowledge base to their personal experience.
Sources of Nursing Knowledge
- Traditional Knowledge: This knowledge is passed down through generations. Nurses may rely on what's "always been done". Research may not support these practices.
- Authoritative Knowledge: Experts' knowledge perceived as factual, like when a senior nurse demonstrates technique to a new nurse.
- Scientific Knowledge: This knowledge comes from research utilizing the scientific method, with new ideas tested objectively.
Why is EBP Essential in Nursing?
- Improves patient safety and outcomes.
- Encourages up-to-date knowledge.
- Supports professional development.
- Bridges the research-practice gap.
Historical Development of EBP
- Florence Nightingale's use of data during the Crimean War is an early example.
- EBP evolved in the 1970s with greater use of research.
- Growth in nursing education and practice continues in the 21st century.
Steps of Evidence-Based Practice
- 1. Ask a Clinical Question: Critically examine existing practice and formulate a question needing clarification.
- Example questions "How long have you had pain?" and "Can you describe your pain?"
- 2. Collect the Best Evidence: Use scientific literature and databases (like CINAHL, PubMed, Cochrane) to find relevant research.
- 3. Critically Appraise the Evidence: Assess the evidence's accuracy, reliability, and applicability to the patient specifically.
- Example questions are: "Is this information accurate?", "Is this information reliable?", and "Will this information work for my patient?"
- 4. Integrate the Evidence: Apply the relevant research in the patient's plan of care considering patient preferences.
- 5. Evaluate the Practice Decision or Change: Assess the consequences of the intervention.
- 6. Share the Outcomes with Others: Communicate results, improvements, and learnings to share with colleagues and contribute to the wider nursing sphere.
Barriers to EBP in Nursing
- Lack of EBP skills or knowledge.
- Misperceptions or negative attitudes about research.
- Lack of belief EBP improves outcomes.
- Too much information in journals (overload).
- Lack of time and resources for searching and appraising evidence.
- Overwhelming patient loads.
- Organizational constraints/lack of support.
- Lack of EBP mentors.
- Demands for specific treatments from patients.
- Peer pressure to continue traditional practice.
- Resistance to change.
- Lack of consequences for not implementing EBP.
- Lack of autonomy over practice.
Overcoming Barriers in EBP
- Provide EBP training programs.
- Ensure administrative support.
- Encourage a culture of continuous improvement.
Future of EBP in Nursing
- Integration of AI in evidence appraisal.
- Focus on global health challenges.
- Enhance patient participation in decision-making.
Conclusion
- EBP is essential to improve patient care, advance nursing practice, and sustain the healthcare system.
Case Examples
- Managing a Feverish Child: A case study of a child with a fever.
- EBP Case Example (Mattresses): A case study for using EBP (research) in a situation with patient care relating to pressure ulcers (bed sores).
Further Steps in EBP
- Identify the problem.
- Formulate a PICO question.
- Search for evidence.
- Discuss the evidence (e.g., benefits/limitations, alternative strategies/questions).
- Example Questions for Decision-Making (as a nurse): If prioritizing care for a client who is febrile; what intervention would you prioritize for this patient? What are the benefits and limitations of using cool compresses? Besides paracetamol, what other methods are there to reduce fever?
Benefits and Limitations of Using Cold Compresses**
- Benefits: Fever reduction, pain relief, swelling control, easy/affordable.
- Limitations: Temporary relief, incorrect application risks (burns, hypothermia), ineffectiveness addressing the cause, discomfort for sensitive skin/children.
Alternative Methods for Reducing Fever
- Lukewarm bath or wiping.
- Maintaining a cool environment.
- Ensuring hydration.
- Light clothing.
- Cold compress (damp cloth).
- Seeking medical advice for severe cases.
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