Podcast
Questions and Answers
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?
- To reduce the time spent on searching for evidence
- To consistently question current practices and improve patient outcomes (correct)
- To solely rely on clinician expertise in making decisions about patient care
- To only consider patient preferences and values in decision-making
Which of the following is NOT a step in the evidence-based practice process?
Which of the following is NOT a step in the evidence-based practice process?
- Evaluating the outcomes of practice decisions
- Searching for the best evidence
- Conducting primary research studies (correct)
- Integrating the evidence into practice
What is the primary purpose of critically appraising evidence in evidence-based practice?
What is the primary purpose of critically appraising evidence in evidence-based practice?
- To solely rely on the clinician's expertise in appraising the evidence
- To disregard the patient's preferences and values in decision-making
- To select the most convenient study to support a practice decision
- To evaluate the quality and relevance of the evidence (correct)
What is the PICOT format used for in evidence-based practice?
What is the PICOT format used for in evidence-based practice?
What is the primary purpose of searching for evidence in evidence-based practice?
What is the primary purpose of searching for evidence in evidence-based practice?
What is the primary outcome of integrating evidence into practice in evidence-based practice?
What is the primary outcome of integrating evidence into practice in evidence-based practice?
What is the primary purpose of evaluating the outcomes of practice decisions in evidence-based practice?
What is the primary purpose of evaluating the outcomes of practice decisions in evidence-based practice?
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?
Which of the following is an essential step in integrating evidence into practice?
Which of the following is an essential step in integrating evidence into practice?
What is the primary purpose of using a systematic approach to critically appraise evidence?
What is the primary purpose of using a systematic approach to critically appraise evidence?
Which of the following is a key characteristic of cultivating a spirit of inquiry in evidence-based practice?
Which of the following is a key characteristic of cultivating a spirit of inquiry 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 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 a key component of integrating evidence into practice?
What is a key component of integrating evidence into practice?
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 the primary goal of critically appraising evidence?
What is the primary goal of critically appraising evidence?
What is the primary purpose of using the PICOT format in searching for evidence?
What is the primary purpose of using the PICOT format in searching for evidence?
What is a key strategy for sustaining knowledge use in evidence-based practice?
What is a key strategy for sustaining knowledge use in evidence-based practice?
What is the primary goal of cultivating a spirit of inquiry in evidence-based practice?
What is the primary goal of cultivating a spirit of inquiry in evidence-based practice?
Which step of the scientific method involves analyzing data and drawing conclusions?
Which step of the scientific method involves analyzing data and drawing conclusions?
What type of research focuses on the benefits, risks, costs, and holistic effects of a treatment on patients?
What type of research focuses on the benefits, risks, costs, and holistic effects of a treatment on patients?
What is the primary purpose of translation research?
What is the primary purpose of translation research?
What is the focus of Phase 1 clinical trials?
What is the focus of Phase 1 clinical trials?
What is the goal of critically appraising evidence?
What is the goal of critically appraising evidence?
What is the primary purpose of searching for evidence?
What is the primary purpose of searching for evidence?
What is the focus of cultivating a spirit of inquiry?
What is the focus of cultivating a spirit of inquiry?
What is the purpose of integrating evidence into practice?
What is the purpose of integrating evidence into practice?
What is the primary focus of quantitative research?
What is the primary focus of quantitative research?
Study Notes
Evidence-Based Practice
- Evidence-based practice (EBP) is a problem-solving approach that combines the best evidence with a clinician's expertise, patient preferences, and health care resources in making decisions about patient care.
- EBP involves the best scientific evidence from well-designed, systematically conducted research studies found in scientific, peer-reviewed journals.
Steps of Evidence-Based Practice
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- Cultivate a spirit of inquiry: constantly questioning current practices leads to consistent use of EBP.
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- Ask a clinical question in PICOT format: P (Patient population), I (Intervention), C (Comparison), O (Outcome), and T (Time).
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- Search for the best evidence: sources include agency policy, procedure manuals, quality improvement data, existing clinical practice guidelines, and journal articles.
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- Critically appraise the evidence: synthesize or combine findings, consider scientific rigor, and determine value, feasibility, and usefulness.
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- Integrate the evidence: apply research in plan of care, educate about change, plan for large-scale change, pilot study, and incorporate into policies and procedures.
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- Evaluate the outcomes of practice decision or change: determine effectiveness, need for modifications, and whether to discontinue.
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- Communicate the outcomes of the evidence-based practice decision: to clinical staff, nursing practice council, clinicians, and professional conferences.
The Need for Evidence-Based Practice
- EBP institutions demonstrate a culture that encourages nurses to question practices.
- Integration involves teaching tools, clinical practice guidelines, policies, and procedures.
Scientific Method
- 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, nonexperimental, and surveys
- Qualitative research: inductive reasoning
Nursing Research
- A way to identify new knowledge, improve professional education and practice, and use resources effectively.
- Many professional and specialty nursing organizations support the conduct of research for advancing nursing science.
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 comparing 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, health care providers, and those in health care policy make informed decisions based on current evidence.
- Typically focuses on benefits, risks, costs, and holistic effects of a treatment on patients.
- Outcomes must be observable or measurable.
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Description
Test your knowledge of evidence-based practice, including forming clinical questions in PICOT format and searching for the best evidence.
