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MedSurg-Chapter 2
Evidence Based Practice
Question | Answer |
---|---|
What is evidene based practice (EBP)? | a systematic process that employs current evidence to make decisions about patient care |
Dependent Nursing Intervention | Delegated by a physician Any change in practice must go through a committee |
Independent Nursing Intervention | The nurse can implement and evidence based change based on personal knowledge of the value of the intervention, as long as the change is safe and cannot harm the patient. |
Levels of Evidence | Evidence ranges from strong to weak; the rating scale used to label the quality of evidence ranges from level I ( the best) to level IV |
Level I | Systematic Reviews (Cochrane Reviews and Joanna Briggs Best Evidence Guidelines) |
Level II | Randomized Controlled Trials |
Level III | Quasi-Experimental Studies |
Level IV | Expert Opinion |
The Six Steps of EBP | Step 1: The Burning Questiosn "Why" Step 2: Search for collect relevent data Step 3: Think Critically Step 4: Measure Outcome before & after change Step 5: Put Plan into Action Step 6: Evaluate the Change |