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Chapter 2: Funda;
fundamentals of nursing EBP
| Question | Answer |
|---|---|
| Research utilization (RU) | use of findings from disciplined research in a practical application |
| RU vs. EBP | RU initiates research, EBP asks what is best research for action |
| Estabrooks studied RU and found what 3 types of RU? | indirect research (concept) utilization, direct research (instrumental) utilization, and persuasive (decision making) utilization |
| Conduct and Utilization of Research in Nursing (CURN) Project | increase use of research findings in nursing practice |
| Level 1 | a) systematic reviews of RTCs b) systematic reviews of NRTCs |
| Level 2 | a) RCT b) NRTC |
| Level 3 | systematic review of correlational/observational studies |
| Level 4 | Single correlational/observational studies |
| Level 5 | Systematic reviews of descriptive/qualitative/physiologic studies |
| Level 6 | single descriptive/qualitative/physiologic study |
| Level 7 | Opionons of authorities, expert communities |
| Barriers of Nursing research | Quality/nature of research, nurses' characteristics, organizational factors |
| Meta-analysis vs. metasynthesis | Findings of a study are one piece of information vs. more focused on interpreting information |
| Critically Appraised Topics (CATs) | clinical bottom line, quick summary of clinical question and apprasial of evidence |
| Models of EBP process | Diffusion of Innovations Theory, PARIHS Model, Stetler Model, Iowa Model (used most often) |
| Background vs. foundational questions | Background is previously known information such as etiology, while foundational is searching for latest evidence for processes |
| PICOT | Population, intervention, comparison, outcome and time |
| Appraising evidence steps | Evidence qulity, magnitude of effects, precision of estimates, peripheral effects, financial issues, and clinical relevance |
| EBP process | Asking clinical questions, searching and collecting relevant evidence, appraising and synthesizing evidence, integrating into practice, and assessing effectiveness |
| Triggers of EBP | Problem-focused and knowledge foculed |
| Implementation potential | Transferability: implementation is proper for your area. Feasibility: do we have proper supplies for implementation? Cost-tobenefit ratio |
Created by:
kalensnyder
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