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Questions and Answers
What is the primary purpose of the Cochrane Collaboration?
What is the primary purpose of the Cochrane Collaboration?
- To publish healthcare journals
- To conduct clinical trials for new medications
- To support informed healthcare decisions (correct)
- To provide nursing education resources
Which database is NOT mentioned as a source of primary evidence?
Which database is NOT mentioned as a source of primary evidence?
- CINAHL
- PubMed
- Google Scholar (correct)
- EM-BASE
How many Cochrane Review Groups exist as indicated in the content?
How many Cochrane Review Groups exist as indicated in the content?
- 53 (correct)
- 100
- 120
- 75
What is a systematic review also known as?
What is a systematic review also known as?
What type of evidence can be collected directly from the patient?
What type of evidence can be collected directly from the patient?
Which of the following would be a focus area for a Cochrane Review Group?
Which of the following would be a focus area for a Cochrane Review Group?
In what year was the Cochrane Collaboration established?
In what year was the Cochrane Collaboration established?
What is the role of the Cochrane Review Groups concerning authors?
What is the role of the Cochrane Review Groups concerning authors?
What is one of the primary purposes of the Cochrane Nursing Care Field (CNCF)?
What is one of the primary purposes of the Cochrane Nursing Care Field (CNCF)?
Which of the following is NOT a core function of the Cochrane Nursing Care Field?
Which of the following is NOT a core function of the Cochrane Nursing Care Field?
Which center is located at the University of Texas Health Science Center at San Antonio?
Which center is located at the University of Texas Health Science Center at San Antonio?
In which country is the Joanna Briggs Institute located?
In which country is the Joanna Briggs Institute located?
What type of collaboration does the Cochrane Nursing Care Field engage in?
What type of collaboration does the Cochrane Nursing Care Field engage in?
What is one way the Cochrane Nursing Care Field raises awareness among nurses?
What is one way the Cochrane Nursing Care Field raises awareness among nurses?
Which of the following statements is true regarding the responsibilities of the Cochrane centers?
Which of the following statements is true regarding the responsibilities of the Cochrane centers?
What is one method the Cochrane Nursing Care Field uses to identify topics for reviews?
What is one method the Cochrane Nursing Care Field uses to identify topics for reviews?
Which barrier is commonly associated with the advancement of evidence-based practice in nursing?
Which barrier is commonly associated with the advancement of evidence-based practice in nursing?
What is one of the facilitating strategies to enhance evidence-based practice?
What is one of the facilitating strategies to enhance evidence-based practice?
Which factor does NOT act as a barrier to evidence-based practice?
Which factor does NOT act as a barrier to evidence-based practice?
What role does leadership support play in evidence-based practice?
What role does leadership support play in evidence-based practice?
Which of the following is an example of a barrier to implementing evidence-based practices?
Which of the following is an example of a barrier to implementing evidence-based practices?
What is an important aspect of an organizational culture that promotes evidence-based practice?
What is an important aspect of an organizational culture that promotes evidence-based practice?
What is the first phase of the Stetler Model?
What is the first phase of the Stetler Model?
Which phase of the Stetler Model includes critical analysis of research?
Which phase of the Stetler Model includes critical analysis of research?
In the Iowa Model, what is the first step in implementing an EBP protocol?
In the Iowa Model, what is the first step in implementing an EBP protocol?
What does the phase of comparative evaluation and decision making focus on?
What does the phase of comparative evaluation and decision making focus on?
Which of the following does the Iowa Model NOT mention as part of its process?
Which of the following does the Iowa Model NOT mention as part of its process?
What is evaluated in the last phase of the Stetler Model?
What is evaluated in the last phase of the Stetler Model?
What must occur before a new practice is officially adopted in the Iowa Model?
What must occur before a new practice is officially adopted in the Iowa Model?
Which aspect of the Stetler Model involves hands-on implementation of practice?
Which aspect of the Stetler Model involves hands-on implementation of practice?
What is the primary function of the Cochrane Database of Systematic Reviews?
What is the primary function of the Cochrane Database of Systematic Reviews?
How often are Cochrane Reviews updated and published online?
How often are Cochrane Reviews updated and published online?
How many databases are included in the Cochrane Library?
How many databases are included in the Cochrane Library?
What is the main output of the Cochrane Collaboration?
What is the main output of the Cochrane Collaboration?
Which of the following databases is NOT part of the Cochrane Library?
Which of the following databases is NOT part of the Cochrane Library?
What type of summaries does the Cochrane Database provide for its reviews?
What type of summaries does the Cochrane Database provide for its reviews?
What role do Cochrane Centers play in the Cochrane Collaboration?
What role do Cochrane Centers play in the Cochrane Collaboration?
As of May 2015, how many Cochrane Reviews and protocols were available?
As of May 2015, how many Cochrane Reviews and protocols were available?
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Study Notes
Evidence Summaries
- Evidence summaries are accessible in various databases like PubMed, CINAHL, Cochrane Library, Joanna Briggs Institute, and library catalogs.
- Primary evidence can come from direct patient interactions, clinical trials, peer-reviewed articles, conference proceedings, and large datasets.
Cochrane Collaboration
- An international nonprofit established in 1993, enhancing informed healthcare decisions.
- Involves contributors from over 120 countries.
- Comprises 53 Review Groups, each focusing on different healthcare topics, offering methodological and editorial support.
Cochrane Reviews
- Provide the best available information about healthcare interventions' effectiveness.
- A systematic review integrates results from various original studies to summarize findings in a focused area.
- Example: “Interventions for Preventing Falls in Older People Living in the Community,” which identifies effective fall prevention measures.
Cochrane Library
- The primary publication platform for the Cochrane Collaboration, containing six key databases:
- Cochrane Database of Systematic Reviews (CDSR)
- Cochrane Central Register of Controlled Trials (CENTRAL)
- Cochrane Methodology Register (CMAR)
- Database of Abstracts of Reviews of Effects (DARE)
- Health Technology Assessment Database (HTA)
- NHS Economic Evaluation Database (EED)
Cochrane Database
- Central output location for Cochrane Reviews, updated monthly and published quarterly in DVD format.
- Over 6,300 reviews and 2,400 protocols were available as of May 2015.
- Abstracts are freely accessible online and presented in clear, understandable language.
Cochrane Centers
- Located globally, these centers support collaboration and training among Cochrane members.
- Responsibilities include promoting Cochrane resources, organizing events, and fostering research collaborations.
Cochrane Nursing Care Field (CNCF)
- Focuses on systematic reviews relevant to nursing by identifying unmet topics and primary studies.
- Aims to raise awareness, disseminate findings, and secure funding for nursing-related Cochrane reviews.
Evidence-Based Nursing Practice Centers
- Notable centers include:
- Academic Center for Evidence-Based Nursing at the University of Texas Health Science Center
- Joanna Briggs Institute in Australia
- Sarah Cole Hirsh Institute for Best Nursing Practices in Cleveland.
Models to Promote Evidence-Based Practice
Stetler Model
- Five phases guiding EBPs:
- Preparation: Gather supporting information.
- Validation: Critical analysis of research.
- Comparative evaluation: Assess evidence fit for clinical settings.
- Translation and application: Implementing practice changes.
- Evaluation: Informal and formal evaluation methods.
Iowa Model
- Focuses on a continuum for EBP implementation, including:
- Identifying triggers, forming a team, synthesizing research, piloting practices, evaluating outcomes, and disseminating results.
Barriers to Evidence-Based Practice
- Common challenges include:
- Heavy workloads, lack of management support, insufficient resources, limited authority for practice changes, and resistant workplace culture.
Facilitators of Evidence-Based Practice
- Cultivating an organizational culture that values clinical inquiry is crucial:
- Leadership support for EBP projects, mentorship, access to guidelines, evidence-based policies, and journal clubs enhance the EBP environment.
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