evidence based practice/research

Question 1

what are 2 potential meanings of evidence based practice

Answer 1

1. use of research as ONE of many forms of evidence
2. process by which poor/ineffective pracitces are weeded out and better practice is identified and implemented

Question 2

define evidence based practice

Answer 2

using best available evidence, clinical expertise and patient values to make informed decisions about healthcare

Question 3

forms of non-research forms of evidence: peer review, clinical audit (experimental data technically), benchmarking, established clinical expertise, tradition (e.g it has always been done this way), experience, policy and guidelines

Question 4

what is benchmarking as a form of evidence

Answer 4

• setting/establishing of a standard (benchmark) by community of practitioners and followed by them

Question 5

anecdotal evidence means non-research evidence

thus literature can be categorised into research and anecdotal

Question 6

studies (not of standard of scientific criteria) can use cheap methodologies than fail to give best form of control and randomisation thus suffers from effect of bias or more variables unaccounted for.

debatable if adds to knowledge and evidence base.

Question 7

too much reliance on intuition can work against principles of evidence-based practice

e.g of intuition is nurse wants to ask for much specification of patient condition etc but it’ll take to long so she asks for main symptom and intuitively adjusts the room, equipment etc for what she suspects will be needed

Question 8

unpublished endeavour

• e.g practitioner or benchmark group uses research to find somehthing new but the work isnt accessible to wider audience of practitioners and cant benefit for that research. despite local intiative 9the practitioner) managing to base practice on evidence, it is their responsibility and duty to ensure that knowledge is passed on

Question 9

research is important for quality improvement

research should be well designed and good quality

research should be justifiable in terms of benefits, safe and cause no harm

research must have informed consent

participants can withdraw at any time

info about patients must be confidential

Question 10

basically, research generates the knowledge and EBP applies it