Evidence-Based Practice PDF

8/1/2024 Evidence-based Practice Objectives Compare and contrast different types of research Define evidence-based practice and how it applies to nursing practice Demonstrate basic research skills and professional writing using APA to...

8/1/2024 Evidence-based Practice Objectives Compare and contrast different types of research Define evidence-based practice and how it applies to nursing practice Demonstrate basic research skills and professional writing using APA to write a paper START 2 http://www.escapefiremovie.com/trailer 1  8/1/2024 Why do we need to know Evidence-Based Practice (EBP)? We need to know Evidence-Based Practice so we can fix our broken health care system! What is Evidence-Based Practice? “the process of systematically finding, appraising, and using research findings as a basis for making decisions about patient care” (Cherry & Jacob, 2023, p.93) START 5 Where Did It Start For Nursing ~Florence Nightingale Crimean War Became first epidemiologist Known for initiating nursing research START 6 2  8/1/2024 What is Research? “process of systematic inquiry of study to build knowledge in a discipline. The purpose is to develop an empirical body of knowledge for a discipline or profession” (Cherry & Jacob, 2023, p.92) EBP research starts with nurse’s questioning something they see in practice and asking themselves “is this the best way to do this to improve patient outcomes” Some examples: Confirming nasogastric tube placement Aspirating before giving an intramuscular injection START 7 Steps in the Research Process 1. Identify the research problem. 2. Review of the literature. 3. Formulate the research question or hypothesis. 4. Design the study. Experimental Cause and effect: Intervention—Dependent and Independent Variable Control group Non-experimental – Descriptive, Relationship Qualitative 5. Implement the study. 6. Draw conclusions based on findings. 7. Identify limitations of the study and implications of the study. Disseminate the findings. START (Cherry & Jacob, 2023, p. 95-106) Looking for Research Articles: Research OR Clinical? Helder O. K., Brug, J., Looman, C.W.N., van Goudoever, J. B., & Kornelisse, R. F. (2010). The impact of an education program on hand hygiene compliance and nosocomial infection incidence in an urban Neonatal Intensive Care Unit: An intervention study with before and after comparison. International Journal of Nursing Studies, 47, 1245–1252. Mathur, P. (2011). Hand hygiene: Back to basics of infection control. Indian Journal of Medical Research, 134(5), 611-620. 1. Which of the above articles is a literature review or clinical article? Why? 2. Which of the above articles is a research article? Why? 3. How could each type of article be used when writing a papers? START 3  8/1/2024 Types of research design Quantitative Measurable, objective, creates numerical data Survey Experimental Meta-analysis Quasi- experimental Qualitative Subjective, used for discovery, exploration, interviewing main technique used Phenomenology Ethnography Grounded theory START 10 Roles of the Staff Nurse in Nursing/Health Care Research Consumer Utilizer Participant Protector of Human Rights START Roles of the Nurse in Nursing/Health Care Research (Burns & Grove, 1993; LoBiondo-Wood & Haber, 2006) ) - Develop and coordinate - Develop nursing knowledge funded research programs through research - Conduct independent funded research - Collaborate -Provide Clinical Expertise -Conduct quality improvement monitoring -Assist with data collection - Utilize research findings in practice - Critique research findings - Generate clinical questions - Assist with data collection - Utilize research findings in practice with supervision - Assist with identification of research problems AD BSN MS PhD Post START MN Doc 4  8/1/2024 Role of the Staff Nurse: Research Consumer “Critique essential for appropriate utilization of nursing research” “Nursing role involves constantly updating practice” “Many nurses unaware of relevant research findings” “Nurses need to accept responsibility and design methods for remaining current in their practice areas” – Bulletin boards with current studies posted – Discussion groups (Burns & Grove, 1993) START Evidence-Based Practice Evidence-Based Nursing Evidence based nursing “involves the following steps.” 1. “Formulation of an answerable question to address a specific patient problem or situation; ??? 2. Systematic searching for the research evidence that could be used to answer a question; 3. Appraisal of the validity, relevance and applicability of the research evidence; 4. Integration of the research evidence with other information that might influence the management of the patient’s problems: clinical expertise, patient preferences…and available resources; 5. Implementation. 6. Evaluation.” (DiCensio, Ciliska, Marks, McKibbon, Cullum, & Thompson. (2005). Evidence-based nursing. Retrieved 29 January 2005 from http://www.cebm.utoronto.ca/syllabi/nur/print/resources.htm) START 14 When conducting a systematic research, it is important to search nursing focused databases. Common ones include: PubMed CINAHL MEDLINE OVID START 15 5  8/1/2024 So Once We Do The Research, Then What? Get the evidence into practice Can be difficult to create change Hold in-services Be available to answer questions Promote the change START 16 Objectives Compare and contrast different types of research Define evidence-based practice and how it applies to nursing practice Demonstrate basic research skills and professional writing using APA to write a paper START 17 6