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?
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?
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?
What is the PICOT format used for in evidence-based practice?
What is the PICOT format used for in evidence-based practice?
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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?
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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?
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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?
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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?
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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?
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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?
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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?
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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?
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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?
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What is the primary outcome of integrating evidence into practice?
What is the primary outcome of integrating evidence into practice?
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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?
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What is a key component of integrating evidence into practice?
What is a key component of integrating evidence into practice?
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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?
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What is the primary goal of critically appraising evidence?
What is the primary goal of critically appraising evidence?
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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?
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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?
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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?
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Which step of the scientific method involves analyzing data and drawing conclusions?
Which step of the scientific method involves analyzing data and drawing conclusions?
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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?
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What is the primary purpose of translation research?
What is the primary purpose of translation research?
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What is the focus of Phase 1 clinical trials?
What is the focus of Phase 1 clinical trials?
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What is the goal of critically appraising evidence?
What is the goal of critically appraising evidence?
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What is the primary purpose of searching for evidence?
What is the primary purpose of searching for evidence?
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What is the focus of cultivating a spirit of inquiry?
What is the focus of cultivating a spirit of inquiry?
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What is the purpose of integrating evidence into practice?
What is the purpose of integrating evidence into practice?
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What is the primary focus of quantitative research?
What is the primary focus of quantitative research?
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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.
