Ch. 5 - Fundamentals of Nursing
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definition of evident-based practice (EBP) | >a practical problem-solving approach to clinical practice
> applies research findings to clinical
~uses current best evidence to answer clinical question
~considers personal clinical expertise
~includes pt values and preferences
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6 Steps of EBP | 0 cultivate spirit of inquiry
1. ask a clinical question
2. collect most relevant evidence
3. critically appraise evidence
4. integrate evidence
5. evaluate the practice change
6. Share the EBP
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*clinical question: what does PICOT stand for | P - pt population; age, gender, ethnicity, disease processes
I - interventions
C - comparison; compare to status quo
O - outcome; what we want to achieve
T - time; time frame
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*collect evidence: nurse searches for research articles on the topic | uses databases and finds peer-review articles
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*appraise evidence | critically evaluates the research study, randomized control study (RCT)
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What level of research is the gold standard for research? | randomized control study RCT
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What level of research is the gold standard for EBP? | meta-analyses of RCTs
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What is the statistical analysis of many research studies? | meta-analyses
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What is the summary of many research studies? | systematic review (aka literature review or "state of the art")
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What is quantitative? | statistical data
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What is quatitative mean? | interviews and surveys
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What is the lowest level of evidence? | expert opinion
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What are the parts of a research article? | A - abstract
I - introduction
M - methods
RaD - results and discussion
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What part of the research article gives the brief summary? | abstract
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What does the introduction of a research article do? | gives purpose of title
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What is literature review/background? | summary of existing info
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What does the methods part of a research article state? | organization and conduction ie hypothesis and variables
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What part of the research article gives the evidence? | results and evidence
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What is the practical application of evidence? | clinical implications
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