Understanding Evidence-Based Practice
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| EBP important feature #1? | Problem solving approach that considers the context of the nurse's current clinical experience
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| EBP important feature #2? | Brings together the best available research evidence by combining research with knowledge and theory
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| EBP important feature #3? | Allows patient values to be heard
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| What does research utilization emphasize? | Translating empirically derived knowledge into real world application (applying the evidence, actually doing it)
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| 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
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| 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)
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| What does EBP include in addition to research utilization? | EBP also integrates clinical expertise with the best available evidence from systematic research
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| What does clinical expertise refer to? | The proficiency and judgement that nurses acquire through clinical experience and clinical practice
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| What question does EBP begin with? | "What is the best possible evidence available to solve a clinical problem?"
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| What has become the gold standard for judging the strength and quality of grading the evidence? | Randomized clinical trials (RCT0
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| What are the 4 major categories for associated with EBP? | Therapy, treatment, diagnostic tests, and prognosis
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| 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
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| 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
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| 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
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| 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
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| 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
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| What do foreground questions focus more on? | Choices and decisions
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| 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)?
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