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EBP Ch.3 Questions
Understanding Evidence-Based Practice
| Question | Answer |
|---|---|
| EBP important feature #1? | Problem solving approach that considers the context of the nurse's current clinical experience |
| EBP important feature #2? | Brings together the best available research evidence by combining research with knowledge and theory |
| EBP important feature #3? | Allows patient values to be heard |
| What does research utilization emphasize? | Translating empirically derived knowledge into real world application (applying the evidence, actually doing it) |
| Research utilization is often thought of as a what of EBP? And what does it focus on? | Subset; it focuses on the application of research findings |
| What is the purpose of research utilization? | The application of available knowledge to improve patient outcomes (ex: using proper protocols when inserting a foley to reduce risk for UTI) |
| What does EBP include in addition to research utilization? | EBP also integrates clinical expertise with the best available evidence from systematic research |
| What does clinical expertise refer to? | The proficiency and judgement that nurses acquire through clinical experience and clinical practice |
| What question does EBP begin with? | "What is the best possible evidence available to solve a clinical problem?" |
| What has become the gold standard for judging the strength and quality of grading the evidence? | Randomized clinical trials (RCT0 |
| What are the 4 major categories for associated with EBP? | Therapy, treatment, diagnostic tests, and prognosis |
| What is the research practice gap? | The period of time from which knowledge is produced, to the point at which it is practiced by health care professionals |
| What are the 3 limitations that are universal to science? | 1. Shortage of coherent, consistent scientific evidence 2. Difficulties in applying any evidence to care of individual patients 3. Barriers to any practice of high quality medicine |
| What are the 3 limitations unique to the practice of EBM? | 1. A need for developing skills in researching and appraising the research 2. The limited amount of time in practice to master such skills 3. Scarce resources to access the evidence |
| What are the 2 essential components of a background question? | A question (who, what, where, how and why), and the outcome of interest. They tend to be opinion based rather than evidence based |
| The following are examples of what types of questions: "What causes migraines? What is the best diagnostic test for a kidney stone? How often should women over the age of 40 have mammograms? | Background questions |
| What do foreground questions focus more on? | Choices and decisions |
| Which 3 components of a PICOT question are ALWAYS present? | Population/problem (P), Intervention (I), Outcome (O) Ex:In patients with acute bronchitis (P), do antibiotics (I) reduce sputum production, cough or days off(O)? |