Podcast
Questions and Answers
What is the primary purpose of Evidence-Informed Practice?
What is the primary purpose of Evidence-Informed 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 involved in the critical appraisal of evidence in Evidence-Informed Practice?
What is involved in the critical appraisal of evidence in Evidence-Informed Practice?
How does Evidence-Based Practice assess the effectiveness of a practice decision?
How does Evidence-Based Practice assess the effectiveness of a practice decision?
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Which stage in Evidence-Based Practice emphasizes the need to identify and gather relevant evidence?
Which stage in Evidence-Based Practice emphasizes the need to identify and gather relevant evidence?
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What is the primary goal of evidence informed decision making in nursing?
What is the primary goal of evidence informed decision making in nursing?
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Which of the following areas does evidence informed decision making NOT typically incorporate?
Which of the following areas does evidence informed decision making NOT typically incorporate?
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Which element is NOT considered a data source for evidence informed decision making?
Which element is NOT considered a data source for evidence informed decision making?
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Who is primarily responsible for conducting evidence informed decision making activities?
Who is primarily responsible for conducting evidence informed decision making activities?
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Which of the following best describes the focus of research in nursing?
Which of the following best describes the focus of research in nursing?
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What is a key purpose of quality improvement in healthcare?
What is a key purpose of quality improvement in healthcare?
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How does systematic inquiry contribute to nursing research?
How does systematic inquiry contribute to nursing research?
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What distinguishes peer-reviewed articles in nursing research?
What distinguishes peer-reviewed articles in nursing research?
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What is the primary purpose of nursing research?
What is the primary purpose of nursing research?
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Which of the following statements best describes evidence-informed decision making in nursing?
Which of the following statements best describes evidence-informed decision making in nursing?
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What is one key benefit of nursing research mentioned in the content?
What is one key benefit of nursing research mentioned in the content?
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In the PICOT format, what does the 'I' stand for?
In the PICOT format, what does the 'I' stand for?
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Which approach is primarily used in qualitative research?
Which approach is primarily used in qualitative research?
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What is the historical significance of Florence Nightingale in nursing research?
What is the historical significance of Florence Nightingale in nursing research?
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Which of the following best differentiates quantitative and qualitative research?
Which of the following best differentiates quantitative and qualitative research?
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What does the 'T' in the PICOT format refer to?
What does the 'T' in the PICOT format refer to?
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Which research design is characterized by collecting data to generate a theory?
Which research design is characterized by collecting data to generate a theory?
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What does a deductive reasoning approach in research entail?
What does a deductive reasoning approach in research entail?
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What is the primary focus of qualitative research?
What is the primary focus of qualitative research?
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In phenomenological research, what is emphasized in the study of experiences?
In phenomenological research, what is emphasized in the study of experiences?
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Which research design focuses on developing theories grounded in real-world observations?
Which research design focuses on developing theories grounded in real-world observations?
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What is the main method used in ethnography to understand participants?
What is the main method used in ethnography to understand participants?
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What concept refers to the extent to which qualitative research findings are applicable to other situations?
What concept refers to the extent to which qualitative research findings are applicable to other situations?
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What is the initial step in the evidence-based decision-making process?
What is the initial step in the evidence-based decision-making process?
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Which of the following best describes the role of patient preferences in evidence-informed decision-making?
Which of the following best describes the role of patient preferences in evidence-informed decision-making?
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What is essential for the evaluation of research evidence in clinical practice?
What is essential for the evaluation of research evidence in clinical practice?
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Which level of evidence refers to a synthesis of primary studies using systematic review methods?
Which level of evidence refers to a synthesis of primary studies using systematic review methods?
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What is the purpose of critically appraising the evidence?
What is the purpose of critically appraising the evidence?
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What should be done after integrating research findings into a plan of care?
What should be done after integrating research findings into a plan of care?
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Which is NOT a source of research evidence mentioned?
Which is NOT a source of research evidence mentioned?
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What does the acronym PICO(T) stand for in the evidence-based practice process?
What does the acronym PICO(T) stand for in the evidence-based practice process?
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What should be assessed during the evaluation of a practice decision?
What should be assessed during the evaluation of a practice decision?
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Why is it important to gather information from multiple sources in evidence-informed decision-making?
Why is it important to gather information from multiple sources in evidence-informed decision-making?
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What is the primary purpose of the abstract in a research paper?
What is the primary purpose of the abstract in a research paper?
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Which of the following is NOT a part of a typical research paper?
Which of the following is NOT a part of a typical research paper?
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What does the term 'evidence-informed practice' primarily emphasize?
What does the term 'evidence-informed practice' primarily emphasize?
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Which of the following statements best describes evidence-based medicine?
Which of the following statements best describes evidence-based medicine?
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How do RNAO Best Practice Guidelines (BPG) primarily function?
How do RNAO Best Practice Guidelines (BPG) primarily function?
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Which aspect of nursing does the CNO entry to practice document emphasize?
Which aspect of nursing does the CNO entry to practice document emphasize?
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What is one of the primary goals of implementing evidence-based practices in nursing?
What is one of the primary goals of implementing evidence-based practices in nursing?
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What is a key component of the concept of professionalism in nursing, according to the RNAO?
What is a key component of the concept of professionalism in nursing, according to the RNAO?
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Study Notes
Evidence Informed Practice/Research
- Evidence-informed practice/research is a process crucial for nurses' decision-making.
- It involves using the best available evidence, combining it with clinical expertise, and understanding patient values.
- Understanding the process and methodology of research is essential.
How to Make Important Decisions
- People use various factors, including gut feelings, trusted opinions, the internet, and books, to make decisions.
- What should nurses rely on for decision-making?
Ends in View
- Explain the need for evidence to inform nurse decision-making.
- Identify steps in evidence-informed decision-making.
- Discuss methods used to develop new nursing knowledge.
- Explain how nursing research improves nursing practice.
- Identify various approaches for new nursing knowledge development.
- Understand the process of reading evidence-informed journal articles.
Nursing Research
- Nursing research is a primary means to discover new knowledge for improving patient care.
- A systematic examination of topics important to nursing is key to defining and refining existing knowledge and discovering new knowledge to improve standards of practice.
Definitions
- "Google" is not a synonym for "research".
- "Google" is an internet search engine.
What is Research?
- Research is a primary means of discovering new knowledge and applying it to improve patient care.
- Research is a systematic assessment of phenomena relevant to nursing.
- Validating, refining, and discovering new knowledge improves nursing practice.
Importance of Nursing Research
- Nursing research empowers every nurse in their clinical practice.
- It assists in decision-making and helps nurses gain knowledge to improve patient care.
History of Nursing Research
- Nursing research began with Florence Nightingale during the Crimean War.
- Nursing research evolved throughout the 1900s and into the 21st century with the establishment of university nursing programs, research journals, conferences, and support programs.
- Government funding has played an important role in nursing research.
Research Process
- Research questions must be asked and the study's purpose defined.
- Relevant literature background and what is known should be studied to support the topic.
- An established theory or conceptual framework needs to be used, describing the problem, contributing factors, and potential outcomes.
- Research design should be determined to address the question.
- Setting, sample size, and participant recruitment methods must be described.
- How data will be collected and analyzed.
- Study findings, implications and limits should be communicated.
Research Questions (PICOT Format)
- Patient, problem, population of interest
- Intervention of interest
- Comparison of interest
- Outcome
- Time frame for change
Clinical Questions (PS Format)
- Population
- Situation
Research Design
- An overall plan to answer the research question.
- Design varies depending on the research approach.
- The approach helps to determine the research design.
Qualitative vs Quantitative
-
Qualitative: studies phenomena, data is narrative, reasoning is inductive, trustworthiness is important, meaning is within the context, cannot be measured
- Concepts, constructs, and variables are studied
- Numerical data is collected
-
Quantitative: studies concepts, constructs, and variables, data is numerical, reasoning is deductive, reliability and validity is important, measures relationship
- Meaning is within a specific context
Deductive vs Inductive
- Deductive: moves from general principles to specific predictions.
- Inductive: moves from specific observations to more generalized rules.
Qualitative
- Qualitative research poses questions about nursing phenomena, focuses on subject perspective, and seeks to determine the extent to which findings can be transferred to other situations.
Qualitative Designs - Phenomenological
- Phenomenology stems from philosophy and psychology, looking at lived experiences
- It presumes that only those experiencing the phenomenon can describe it.
- Discusses descriptions of seniors' perceptions and relationships with home care providers.
Qualitative Designs - Grounded Theory
- Sociology-based, identifies patterns of behavior and uses constant comparison.
- Emerging categories and concepts are key to theoretical development.
- Real-world observations are used to develop theories.
Qualitative Designs - Ethnography
- Ethnography draws on anthropology and focusses on understanding the world view of participants within a cultural setting.
- Observational fieldwork is critical to understanding behavior and events.
- Focuses on participants' meanings of actions.
Qualitative Designs - Participatory Action Research
- The idea that knowledge can be political and used to exert power.
- Collaboration between researchers and participants to define problems, select approaches, and utilize findings.
- Researchers work with vulnerable groups.
- Involves thorough, in-depth analysis of individual, groups, institutions or other social units.
- Systematic studies are used to uncover facts and relationships about past events.
Quantitative Designs - Experimental
- Randomized controlled trials are used to determine relationships between variables.
- Random assignment to a group; Control group for comparison.
- Manipulation of a special treatment is done
- Hypothesis about the action of the variable is statistically tested.
Quantitative Designs - Quasi-experimental
- Lacks one of the characteristics of an experimental design (e.g. randomization, control group etc).
Quantitative Designs - Descriptive (Surveys)
- Gather data from groups or populations.
- Yields information on the topic of interest regarding relationship between variables.
- Sampling size can influence results accuracy.
- Measurement tools must yield accurate measurements.
Quantitative Designs - Exploratory Descriptive
- Describes populations or variables not previously studied.
- Provides detailed descriptions; no relationship is described.
- No active intervention is conducted by the researcher.
- Use of statistical analysis.
Research Synthesis
- Systematic review appraisal and synthesizing of findings from the literature on a specific topic.
- Literature screening and appraisal for quality.
- Work is often conducted in teams
- Generates new knowledge through findings synthesis.
Types of Research Synthesis
- Integrative reviews: Explore the breadth and depth of a topic.
- Scoping reviews: Map the extent, range and nature of research.
- Concept analysis: Refine the meaning of a concept.
- Qualitative meta-synthesis: Synthesizes qualitative findings.
- Meta-analysis: Integrates results from primary studies.
- Mixed-method synthesis: Reviews empirical qualitative, quantitative and mixed-methods studies.
Ackerman et al (2021)
- Discusses innovation based on three different projects.
Reading Research Papers
- Crucial to recognize the importance of each part of the research paper.
Parts of a Research Paper
- Abstract
- Introduction
- Literature review
- Method
- Results/Findings
- Discussion
Evidence Informed Practice
- Continuous process for selecting best available evidence.
- Essential to achieving optimum outcomes for patients, communities.
- Important element of nursing practice.
Evidence Based Practice
- Conscientious, explicit & judicious use of current best evidence to make decisions regarding patient care.
- Combines clinical expertise with best evidence from research.
Example of EBP - RNAO BPGs
- Focuses on developing and disseminating best practices.
- Translates research evidence into practical recommendations.
- Enhances work environments, and improves quality of care.
What did you find in BPG's?
- Person & Family centered care: development, potential for integration into practice.
What is Evidence-Informed Decision Making
- Ongoing process integrating research findings, clinical expertise, clients' preferences, and resources.
- Flexible approach utilizing various evidence levels.
Evidence-Informed Clinical Decision Making
- Obtaining information from multiple sources (research, theories, experts, patient preferences, etc.).
Evidence Based Process
- Requires appropriate question development.
- Collection of relevant evidence in a critical manner.
- Integrates evaluation with expertise and patient values.
Asking the question
- PICO(T) or PS format for a clear question.
Collect Best Evidence
- Databases for published empirical studies; peer reviewed.
Levels of Evidence (Quantitative)
- Levels of evidence for quantitative research.
Levels of Evidence (Table)
- Table summarizing levels of evidence sources.
Sources of research evidence
- Different sources to find research
Critique the evidence
- Essential competency for evidence-informed practice.
- Evaluate empirical literature for application.
Integrate the evidence
- Applying research into plans of care.
- Pilot studies might be considered.
Evaluate the change
- Formal evaluation, if necessary
- Long term evaluation timeframe.
Evidence-Informed Practice (Summary)
- Continuous process to use best available evidence to provide excellent patient care.
EBP vs EIP Comparison
- Comparison table highlighting differences between Evidence-Based Practice and Evidence-Informed Practice.
How do they differ?
- Evidence-Informed decision making is broader than EBP.
- Includes patient values, beliefs, practices, cultural context, relevant resources and more.
Evidence-Informed Decision Making Structure
- Includes work processes for improving patient outcomes, and patient records from the specific area or population.
Peer-Reviewed Articles
- Questions about peer-reviewed articles and how to ensure when searching.
In Summary
- Summary of evidence-informed decision making and practice and highlights the important role of research.
Next Week
- Upcoming study and project work
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Description
Test your knowledge on Evidence-Informed Practice with this quiz. Explore the key steps, critical appraisal methods, and effectiveness assessments involved in the Evidence-Based Practice process. Perfect for students and professionals looking to deepen their understanding of this essential practice.
