Exam 3: Need for evidence based practice

Question 1

Evidence based care

Answer 1

Looks for the very best scientific and clinical evidence for treating and managing a problem
Improves quality, safety, and patient outcomes
Increases nurse satisfaction
Reduces costs

Question 2

The best evidence comes from

Answer 2

well-designed
systematically conducted research studies
in scientific/peer-reviewed journals
(gosh, this sounds like criteria that would formulate a test question)

Question 3

Sources of evidence

Answer 3

Textbooks
Articles from nursing and health care literature
Peer-reviewed journals

Question 4

Application of evidence

Answer 4

Differ based on patients’ values, state of health, preferences, concerns, or expectations.
Involves ethical and accountable professional nursing practice.
Use critical thinking skills.

Question 5

Steps of evidence based practice

Answer 5

Cultivate 
Ask 
Search 
Appraise 
Integrate 
Evaluate 
Communicate/share

Question 6

Cultivate a spirit of inquiry

Answer 6

Must have never ending spirit of inquiry
Constantly questioning current practices
Cultivate/work at an institution where nurses are ENCOURAGED to question practice.s.

Question 7

Developing a PICOT question

Answer 7

Patient population of interest
Intervention of interest
Comparison of interest
Outcome
Time

Question 8

Ask experts for help

Answer 8

Nursing faculty
Librarians
Advanced practice nurses
Staff educators/developers
Risk managers
A medical librarian can

Question 9

A medical librarian can

Answer 9

Identify the databases that are available to you

Identify key words that will provide the best answer to your PICOT question

Question 10

After critiquing all articles for a PICOT question:

Answer 10

Synthesize or combine the findings

Consider the scientific rigor/quality of evidence and whether it has application in practice

Question 11

Critiquing artless requires a systematic approach to determine

Answer 11

Value
Feasibility
Usefulness of evidence.

Question 12

Pilot study can show

Answer 12

if changes can be implemented easily

Question 13

Always consider a

Answer 13

Pilot study

Question 14

apply research in your

Answer 14

plan of care for a patient

Question 15

What should be done after a pilot study

Answer 15

Incorporate into policies and procedures.
Education about the change must occur.
Large-scale change requires planning

Question 16

After applying evidence,

Answer 16

evaluate th outcome

Question 17

Nursing research

Answer 17

A way to identify new knowledge, improve professional education and practice, and use resources effectively
Many professional and specialty nursing organizations support the conduct of research for advancing nursing science.

Question 18

Outcomes for research

Answer 18

Helps patients/providers make informed decisions on the basis of current evidence.
Typically focuses on the benefits, risks, costs, and holistic effects of a treatment on patients.
Outcomes must be observable or measurable.

Question 19

Scientific method is THE

Answer 19

foundation of research

Question 20

scientific method is the most

Answer 20

reliable and objective means acquiring and conducting research and gaining knowledge

Question 21

the scientific method is a

Answer 21

step-by-step process to ensure that findings from a study are valid, reliable, and generalizable to a similar group of subjects.

Question 22

research allows you to

Answer 22

study nursing questions and problems in greater depth within the context of nursing

Question 23

Quantitative data

Answer 23

Experimental research
Nonexperimental research
Surveys
Evaluation research

Question 24

Qualitative data

Answer 24

Ethnography
Phenomenology
Grounded theory

Question 25

Research process

Answer 25

``` Identify area of inquiry Literature review Form research team Design study Obtain approval from participants Informed consent, confidentiality Collect data, considering data limitations Address implications for nursing practice ```

Question 26

Performance improvement

Answer 26

A formal approach for the analysis of health care-related processes

Question 27

performance improvement outcome measures

Answer 27

Begins at staff level in identifying quality problems

Question 28

Sentinel events

Answer 28

a patient safety event that results in death, permanent harm, or severe temporary harm

Question 29

Active errors

Answer 29

made by people on the front line such as clinicians and nurses

Question 30

Latent errors

Answer 30

: less apparent failures of organization or design that contribute to the occurrence of active errors

Question 31

PI + EBP =

Answer 31

Excellent patient care and outcomes