Podcast
Questions and Answers
What is the first step in the Seven-Step Process of Evidence-Based Practice (EBP)?
What is the first step in the Seven-Step Process of Evidence-Based Practice (EBP)?
Which step involves comparing evidence-based practices with traditional practices?
Which step involves comparing evidence-based practices with traditional practices?
What should be integrated with best evidence to make the best clinical decision?
What should be integrated with best evidence to make the best clinical decision?
In the Outcomes Management process, what is the first step?
In the Outcomes Management process, what is the first step?
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What is the last step in the Seven-Step Process of EBP?
What is the last step in the Seven-Step Process of EBP?
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Which of these steps is part of creating Evidence-Based Quality Improvement (EBQI)?
Which of these steps is part of creating Evidence-Based Quality Improvement (EBQI)?
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What is a key benefit of integrating patient/family-valued preferences in clinical decisions?
What is a key benefit of integrating patient/family-valued preferences in clinical decisions?
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After implementing new practices, what is crucial to assess?
After implementing new practices, what is crucial to assess?
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What does evidence-based practice (EBP) primarily combine?
What does evidence-based practice (EBP) primarily combine?
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Which of the following is NOT considered a benefit of EBP?
Which of the following is NOT considered a benefit of EBP?
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How does EBP support hospitals and healthcare systems in achieving the quadruple aim?
How does EBP support hospitals and healthcare systems in achieving the quadruple aim?
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Which element is part of the EBP problem-solving approach?
Which element is part of the EBP problem-solving approach?
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What is a key facilitator for the implementation of EBP?
What is a key facilitator for the implementation of EBP?
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Which of the following best describes evidence-based theories?
Which of the following best describes evidence-based theories?
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What is one of the primary goals of incorporating EBP in nursing?
What is one of the primary goals of incorporating EBP in nursing?
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Which factor is NOT a barrier to implementing EBP?
Which factor is NOT a barrier to implementing EBP?
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Which program focuses on transformational leadership and structural empowerment in nursing?
Which program focuses on transformational leadership and structural empowerment in nursing?
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Which of the following is NOT a goal of the Helene Fuld Health Trust National Institute for Evidence-Based Practice?
Which of the following is NOT a goal of the Helene Fuld Health Trust National Institute for Evidence-Based Practice?
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What is one key feature of the national webinars conducted by the Helene Fuld Health Trust?
What is one key feature of the national webinars conducted by the Helene Fuld Health Trust?
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What does the acronym ARCC stand for in the context of the Helene Fuld Health Trust's implementation toolkit?
What does the acronym ARCC stand for in the context of the Helene Fuld Health Trust's implementation toolkit?
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What is a major outcome sought by the Helene Fuld Health Trust in advancing evidence-based care?
What is a major outcome sought by the Helene Fuld Health Trust in advancing evidence-based care?
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Which organization is primarily designed to integrate EBP throughout nursing curricula?
Which organization is primarily designed to integrate EBP throughout nursing curricula?
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Which of the following is a characteristic of the Magnet Recognition Program?
Which of the following is a characteristic of the Magnet Recognition Program?
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Which of the following statements regarding evidence-based practice is true?
Which of the following statements regarding evidence-based practice is true?
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What is an example of external evidence in healthcare research?
What is an example of external evidence in healthcare research?
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Which approach incorporates external evidence into decision making for clinical improvements?
Which approach incorporates external evidence into decision making for clinical improvements?
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What is the primary focus of Quality Improvement (QI)?
What is the primary focus of Quality Improvement (QI)?
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What is crucial for transforming QI into EBQI?
What is crucial for transforming QI into EBQI?
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Which term best describes the integration of clinical expertise, patient values, and the latest evidence?
Which term best describes the integration of clinical expertise, patient values, and the latest evidence?
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What role do federally funded initiatives play in evidence-based practice?
What role do federally funded initiatives play in evidence-based practice?
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What is one goal of the IOM’s Roundtable?
What is one goal of the IOM’s Roundtable?
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How is value generation in healthcare strategies measured according to key influencers in EBP?
How is value generation in healthcare strategies measured according to key influencers in EBP?
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What is a common barrier to implementing Evidence-Based Practice (EBP) in healthcare organizations?
What is a common barrier to implementing Evidence-Based Practice (EBP) in healthcare organizations?
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Which of the following is considered a facilitator for implementing EBP?
Which of the following is considered a facilitator for implementing EBP?
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What action is recommended to assess clinicians' readiness for EBP implementation?
What action is recommended to assess clinicians' readiness for EBP implementation?
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What is one of the proposed strategies to eliminate barriers to EBP?
What is one of the proposed strategies to eliminate barriers to EBP?
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Why might a culture steeped in tradition serve as a barrier to EBP?
Why might a culture steeped in tradition serve as a barrier to EBP?
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How does having EBP mentors assist in implementing EBP in healthcare settings?
How does having EBP mentors assist in implementing EBP in healthcare settings?
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What outcome is generally not expected from the successful implementation of EBP?
What outcome is generally not expected from the successful implementation of EBP?
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Which statement accurately reflects a misconception about EBP?
Which statement accurately reflects a misconception about EBP?
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What is identified as a barrier in the scenario described?
What is identified as a barrier in the scenario described?
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In patients with head injuries, what effect does positioning have on intracranial pressure?
In patients with head injuries, what effect does positioning have on intracranial pressure?
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What role does the spirit of inquiry play in evidence-based practice?
What role does the spirit of inquiry play in evidence-based practice?
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What was the outcome of the study published in Critical Care Medicine regarding rapid response teams?
What was the outcome of the study published in Critical Care Medicine regarding rapid response teams?
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What action did the nurse take after learning about the rapid response team study?
What action did the nurse take after learning about the rapid response team study?
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What is the primary focus of the spirit of inquiry in nursing practice?
What is the primary focus of the spirit of inquiry in nursing practice?
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Why was the nurse manager excited about the findings regarding rapid response teams?
Why was the nurse manager excited about the findings regarding rapid response teams?
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What type of medication is metoprolol in the context of treating supraventricular tachycardia?
What type of medication is metoprolol in the context of treating supraventricular tachycardia?
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Flashcards
What is Evidence-Based Practice (EBP)?
What is Evidence-Based Practice (EBP)?
A problem-solving approach to healthcare delivery that combines evidence from research, patient data, clinician expertise, and patient preferences.
How is EBP used clinically?
How is EBP used clinically?
A problem-solving approach to clinical practice integrating external evidence, evidence-based theories, opinion leaders, and expert panels.
How does EBP contribute to healthcare's quadruple aim?
How does EBP contribute to healthcare's quadruple aim?
EBP aims to achieve healthcare's quadruple aim, which focuses on improving patient experience, enhancing population health, reducing costs, and improving clinician experience.
What are the steps involved in EBP?
What are the steps involved in EBP?
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What is the difference between EBP and research?
What is the difference between EBP and research?
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How does EBP differ from quality improvement (QI)?
How does EBP differ from quality improvement (QI)?
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What is evidence-based quality improvement (EBPQI)?
What is evidence-based quality improvement (EBPQI)?
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What are the key factors for implementing EBP?
What are the key factors for implementing EBP?
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Evidence-Based Practice (EBP)
Evidence-Based Practice (EBP)
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EBP Process
EBP Process
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PICOT Format
PICOT Format
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Critical Appraisal
Critical Appraisal
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Evidence-Based Quality Improvement (EBQI)
Evidence-Based Quality Improvement (EBQI)
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Clinical Outcome
Clinical Outcome
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Evidence-Based Practices
Evidence-Based Practices
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Practice Evaluation
Practice Evaluation
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External Evidence
External Evidence
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Quality Improvement (QI)
Quality Improvement (QI)
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IOM's Roundtable
IOM's Roundtable
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Federally Funded Initiatives for EBP
Federally Funded Initiatives for EBP
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Translational Research
Translational Research
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Research Utilization
Research Utilization
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Magnet Recognition Program
Magnet Recognition Program
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Structural Empowerment
Structural Empowerment
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New Knowledge, Innovation and Improvements
New Knowledge, Innovation and Improvements
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Helene Fuld Health Trust National Institute for Evidence-Based Practice in Nursing and Healthcare
Helene Fuld Health Trust National Institute for Evidence-Based Practice in Nursing and Healthcare
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Organizational Culture and Context
Organizational Culture and Context
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Melnyk & Fineout-Overholt's EBP Process
Melnyk & Fineout-Overholt's EBP Process
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Quadruple Aim
Quadruple Aim
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ARCC Model
ARCC Model
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What are EBP Barriers?
What are EBP Barriers?
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What are EBP Facilitators?
What are EBP Facilitators?
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What is an EBP Culture?
What is an EBP Culture?
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What is EBP Readiness?
What is EBP Readiness?
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How do you know if EBP is effective?
How do you know if EBP is effective?
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What is the
What is the
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How do you correct misperceptions about EBP?
How do you correct misperceptions about EBP?
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What are Journal Clubs?
What are Journal Clubs?
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What is the spirit of inquiry?
What is the spirit of inquiry?
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What is the barrier to implementing a new practice?
What is the barrier to implementing a new practice?
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What is the strategic plan goal?
What is the strategic plan goal?
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What are rapid response teams?
What are rapid response teams?
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How do rapid response teams improve patient outcomes?
How do rapid response teams improve patient outcomes?
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What does the nurse manager do to promote evidence-based practice?
What does the nurse manager do to promote evidence-based practice?
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What did the study's findings show?
What did the study's findings show?
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What triggers the nurse's interest in rapid response teams?
What triggers the nurse's interest in rapid response teams?
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Study Notes
Chapter 1: Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry
- The chapter focuses on evidence-based practice (EBP) and its application in healthcare.
- Learning objectives include understanding how EBP aids healthcare systems in achieving the quadruple aim, differentiating EBP from research, quality improvement, and evidence-based quality improvement, identifying the seven steps of EBP, and discussing barriers and facilitators of EBP implementation.
What is Evidence-Based Practice in Nursing?
- EBP is a problem-solving approach to healthcare delivery.
- It combines best evidence from research, patient data, clinician expertise, and patient preferences/values.
- EBP aims to achieve the highest quality of care and best patient outcomes.
EBP Enhances the Patient Experience
- EBP improves healthcare quality and safety.
- Patient outcomes are enhanced.
- Costs are reduced.
- Nurse empowerment and improved work life result.
Problem-Solving Approach to Clinical Practice
- External evidence is generated from rigorous research.
- Evidence-based theories are tested and supported through evidence.
- Opinion leaders are respected and knowledgeable individuals influential in systems.
- Expert panels are groups of specialists who evaluate and recommend on specific topics.
Evidence-Based Decision Making
- The figure illustrates connections between external evidence from research, opinion leaders, expert panels, clinical expertise (internal evidence), and patient-and family-valued preferences.
- The figure connects evidence-based decision making and clinical practice to the healthcare quadruple aim.
Seven-Step Process of EBP
- The seven steps are detailed in a flow chart and include: a spirit of inquiry, PICOT formatting the question, systematic search for and collection of evidence, integrating evidence, evaluating outcomes of a decision or change, dissemination of outcomes, and incorporating the EBP steps to create EBP quality improvement.
Outcomes Management
- The four steps for outcomes management involve defining clinical outcomes, identifying evidence-supported practices, comparing practices, and analyzing implementation impact.
Types of Evidence Used in EBP
- External evidence comes from rigorous scientific research.
- Internal evidence is generated from practice-based data.
QI versus EBQI
- Quality Improvement (QI) relies on internal evidence, often lacking a systematic evidence appraisal process, and its goal is to transition to EBQI by integrating EBP plan steps.
- Evidence-Based Quality Improvement (EBQI) begins with internal evidence but also includes external evidence to identify process changes that improve outcomes.
Question #1: External Evidence Example
- Finding a research study, published in a peer-reviewed journal, that tests a protocol for turning immobile patients is an example of external evidence.
Question #2: Best Practice Identification
- Evidence-based practice involves merging evidence with clinical expertise, and patient preferences/values, to determine ideal practice.
Key Influencers for Advancing EBP (Sections 1-5)
- Sections 1 and 2 showcase influential organizations that promote EBP, including IOM's Roundtable, USPSTF, Community Services Task Force, PCORI, and the Magnet Recognition Program.
- They promote learning healthcare systems, generate strong evidence, and improve public awareness of EBP.
Key Influencers for Advancing EBP (Section 4)
- The Helene Fuld Health Trust's National Institute for Evidence-Based Practice in Nursing and Healthcare develops and prepares interprofessional experts. It uses 5-day immersion programs, post-doctoral fellowships, and curriculum integration of EBP for higher caliber graduates.
- It educates nursing and other transdisciplinary fields to access current best-practice standards, provides consultation, and assists healthcare leaders and clinicians to implement EBP.
Key Influencers for Advancing EBP (Section 5)
- The Institute conducts national webinars on current EBP best practices, and serves as a clearinghouse of information.
- The Institute conducts research and works on transforming research into practice, and provides implementation tools.
Question #3: Organizational Culture in EBP
- Organizational culture and context are essential for implementing and sustaining evidence-based practice.
Question #4: Steps to EBP Process
- Melnyk & Fineout-Overholt identify seven steps, not six, in the EBP process.
Barriers and Facilitators to EBP in Healthcare
- Both barriers and facilitators influence the use and sustainability of EBP in healthcare.
- Practitioners should address obstacles to implement EBP.
- Examples of barriers include a lack of EBP knowledge, traditionally steeped culture, negative research perceptions, and limitations in time/resources.
- Examples of facilitators include EBP as a norm, supportive leadership, stakeholder alignment, resources for data appraisal, and well-written research reports.
Strategies for Eliminating EBP Barriers
- Addressing implementation barriers includes assessing facilitators and readiness, conducting surveys, objectively documenting EBP status, implementing real-case scenarios, and correcting misperceptions.
Question #5: EBP Implementation and Barriers in Healthcare
- A scenario, in which a strategic plan establishes a core tenet of EBP implementation, but factors, such as timing/attendance restrictions can act as barriers, is described.
Step 0-The Spirit of Inquiry
- A spirit of inquiry involves questioning current practices, for instance, applying evidence to address issues in patients with head injuries and supraventricular tachycardia.
- Without this questioning, the EBP process isn't likely to prosper.
Case Scenario for EBP: Rapid Response Teams
- The case study involves a staff nurse on a medical-surgical unit observing high acuity patients and cardiac arrests.
- They find data relevant to implementing rapid response teams and present this to management.
Video: Be Curious: Advancing the Nursing Profession Through Clinical Inquiry (John Hopkins)
- The video emphasizes the importance of a spirit of inquiry for promoting nursing.
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Description
Test your knowledge of the Seven-Step Process of Evidence-Based Practice (EBP). This quiz covers fundamental concepts, steps involved, and the integration of best evidence into clinical decision-making. Perfect for healthcare professionals looking to reinforce their understanding of EBP principles.