CH 5 Evidence Based Practice Flashcards
What does it mean to do nursing research and what is a PICOT question?
What does PICOT stand for?
Patient population of interest Intervention of interest Comparison of interest Outcome Time
What are the 6 steps to evidence based practice (EBP)?
- Ask the clinical question
- Collect the best evidence
- Critique the evidence
- Integrate the evidence
- Evaluate the practice decision or change
- Share the outcomes of EBP changes with others
What is the purpose of nursing research?
to identify new knowledge, improve professional education and practice, and use resources effectively (in the context of nursing)
What is the purpose of outcomes management research?
to assess and document the effectiveness of health care services and interventions; and a response of the health care industry to demands from policy makers, insurers, and the public
What is the difference between quantitative and qualitative research?
- Quantitative research precisely measures and quantifies a study’s variables
- Qualitative studies phenomena that are difficult to quantify or categorize
What are the five basic steps to the research process?
Identify problem Design study Conduct study Analyze data Use the findings
What is an Institutional review board (IRB)?
An IRB includes scientist and others that ensure ethical principals are followed in the study
What does informed consent mean?
- Participants receive full and complete information
- They can understand the information
- They have free choice to participate
- They understand how their confidentiality will be kept
What is the purpose of Performance Improvement/ Quality Improvement?
to achieve measurable improvements in the efficiency, effectiveness, performance, accountability, outcomes, and other indicators of quality services and processes
True or False? Patient preference and values is part of EBP
True! We always have to include the patient in decisions
Are expert clinicians a good source of evidence?
Yes! They are frequently building their own practice and know how to solve clinical problems
What is at the very top of the hierarchy of evidence?
Systematic reviews and metaanalysis of randomized controlled trials (RCTs)
What are the main parts of a research article?
Abstract
Introduction
Narrative
Results
What should we consider when looking at a research article for a PICOT question?
Do the articles answer the PICOT question?
Is the evidence valid and reliable?
Is the change feasible?
What should you consider when implementing a change?
Is it supported by staff?
enough resources?
