Evidence Based Practice Lecture 1 Flashcards

(63 cards)

1
Q

What is EBP

A

Integration of best research evidence with clinical expertise and patient value

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2
Q

Who are those who play role in evidence based practice?

A

Consumers and producers of research

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3
Q

Why is EBP important?

A

Our knowledge can be wrong
Knowledge need to be kept up to date
Research can be bias
Practice must be informed with best quality research
Integrate research with clinical expertise and patient prefernce

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4
Q

How do we ensure patients voices are represented in decision making

A

1 Involving them in making choices about their treatments (Health care practice)
2 Carrying our patient survey (management)
3 Appointment service users to boards- hospital boards and provincial advisory

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5
Q

True or false - EBP is an expectation of NP

A

True:
1. NP should integrate Evidence informed knowledge base in advance assessment and diagnosing clients health needs
2. Implement evidence informed therapeutic interventions

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6
Q

How do you ensure evidence based practice?

A
  1. Have spirit of enquire - ask why?
  2. Are my practice evidence based?
  3. Where do I find best evidence
  4. Who can assist me to enhance knowledge
  5. Where do I find mentor?
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7
Q

What are the barriers to EBP?

A
  1. Attitudes and belief
  2. Inadequate knowledge
  3. Lack of mentors
  4. Inadequate resources
  5. Insufficient time
  6. Lack of research materials in intended topic
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8
Q

What are the facilitators of EBP

A

1 Apprioprate knowledge
2. Belief in value to EBP
3. Organizational culture that support EBP
4. Clinical practice guidelines or pre- processed evidence
5 EBP mentors

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9
Q

List steps for EBP process

A

0 cultivate a spirit of inquiry
1. Ask clinical questions in searchable format
2. Search for best evidence
3. Critically appraise the evidence
4. Integrate the evidence with clinical espertize and patient preference and values
5. Evaluate the outcome
6. Disseminate EBP results

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10
Q

What are the benefits of EBP

A
  1. Empower patients
  2. Improve outcomes
  3. Its standard for NP
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11
Q

What is research?

A

Systematic inquiry that uses structured methods to answer questions or solve problems

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12
Q

What is nursing research?

A

Systematic inquiry to develop knowledge about issues important to nursing profession

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13
Q

What is the focus of nursing research?

A
  1. Recipients of care
  2. Providers of care
  3. Health care systems
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14
Q

What is basic research?

A

Scientific investigation that involves the pursuit of knowledge for knowledge sake without specific application

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15
Q

Applied or clinical research is what?

A

Scientific investigation conducted to generate knowledge that will directly influence or improve clinical practice

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16
Q

What does rigor mean?

A

Rigor involves discipline, scrupulous adherence to detail and strict accuracy

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17
Q

What does control means in quantitative research?

A

Imposing of rules by researcher to decrease the possibility of error and increase probability that the study’s finding are accurate and reflect reality

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18
Q

What is the benefit of applied research?

A

It create knowledge that will improve health, lengthen life and decrease illness and disability

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19
Q

What are the 2 philosophical origins for research methods use

A
  1. Logical positivism/post positivism
  2. Naturalistic/ constructivism
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20
Q

What’s the philosophical origin for quantitative research?

A

Logical positivism, post positivism

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21
Q

What is the philosophical origin for qualitative research?

A

Naturalistic, interpretive and humanistic

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22
Q

What does logical positivism/post positivism consider truth as!

A

Truth is absolute

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23
Q

Logical positivism/post positivism

A

Consider truth as absolute and there is a single reality that can be defined

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24
Q

Naturalistic/constructivism

A

Reality is not fixed, reality is multiple and subjective

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25
Logical positivism/post positivism align with what type of research?
Quantitative research
26
What is the focus of quantitative research?
Concise, objective, reductionistic
27
What is the reasoning of quantitative research?
Logistic and deductive
28
What is the basis of reasoning of quantitative research?
Cause and effect relationships
29
Theoretical focus of quantitative research is what?
Test theory
30
What’s the researcher’s involvement in quantitative research?
Control
31
Measurements of data in quantitative research involve what?
Structured interviews, questionnaires, observations, scales. Physiological measurements
32
Data in quantitative research is what?
Number
33
What is the method of data analysis in quantitative research?
Statistical analysis
34
What are characteristics of findings in quantitative research?
Acceptance or rejection of theoretical propositions? Generalization
35
What is the focus of qualitative research?
Broad, subjective, holistic
36
Reasoning in quantitative research is what?
Dialectic and inductive
37
What is the basis of knowing in qualitative research?
Meaning, discovery and understanding
38
The theoretical focus in qualitative research is what?
Develop theory and framework
39
What is the researchers involvement in qualitative research?
Shared intepretation
40
What is the method of measurement in qualitative research
Unstructured interviews, observations, focus groups
41
Data in qualitative research is what!
Words
42
Analysis of qualitative research is what?
Test based analysis
43
Findings in qualitative research are;
Uniqueness, dynamic, understanding of phenomena, new theory, models and/or frameworks
44
What are the types of quantitative research
1. Descriptive research 2. Correlation research 3. Quasi- experimental research 4. Experimental research
45
What are the types of qualitative research?
Phenomenal research Grounded theory research Ethnographic research Exploratory-descriptive qualitative research Historical research
46
True or false; work flow in quantitative research is linear
True
47
What are the phases in quantitative work flow?
1. Conceptual phase 2. Design and planning phase 3. Empirical phase 4. Analytical phase 5. Dissemination phase
48
What is involved in the empirical phase of quantitative research workflow?
Data collection
49
Conceptual phase of quantitative research work flow involves what?
Defining problem, literature review, Defining frame work and formulating hypothesis
50
Design & planning phase of quantitative research involves what?
Select research design, identify population, design sampling plan, specify measurement methods and development methods to safeguard participants
51
Non- experimental design are
Cross-sectional studies Case control study Cohort study
52
Experimental design studies are:
Quasi experimental study and randomized control trials
53
In which study design is bias more feasible among the following RCT, cohort study and cross sectional study?
Cross sessional study
54
Describe concept in quantitative research
The abstract being studied e.g pain
55
Conceptual definition
The abstract or theoretical meaning of a concept being studied. e.g physical suffering caused by illness or injury
56
Operational definition
The operations(measurements) a researcher must perform to collect desired information. e.g pain score or heart rate
57
What is the meaning of variable
Characteristics or quality that takes on different values ( can vary between individuals)
58
What are the different types of variables?
Independent and dependent variables Continuous and categorical variables
59
What is data?
Piece of information collected in a study. Can be represented in graphs, chart
60
What is internal validity
The degree to which the effects detected in the study are true reflection of reality rather than a result of extraneous variables
61
What is statistical conclusion validity?
Relationships detected statistically are true and not due to chance
62
What is construct validity
The variables as measure accurately reflected the concepts under study
63
External validity and generalizability
The extent to which study findings are valid for those not in the study