Research Final Flashcards
(223 cards)
What is the older EBP model?
3 circles
1- Clinical state & circumstances
2- Best research evidence
3- Patient preferences & actions
Overlapping section is clinical expertise.
What is the more traditional EBP model?
4 circles
1- Health care system & service organization
2 - Relevant scientific evidence
3 - Clinical judgement
4 - Patients’ values, goals & preferences
What are the 5 stages of EBP?
- Ask
- Acquire
- Appraise & Interpret
- Apply
- Evaluate
What are the levels in the 6S pyramid?
Part of acquiring information in EBP.
Bottom to top:
Single studies
Synposes of single studies
Syntheses
Synopses of syntheses
Summaries
Systems
What is the proposed new EBP pyramid?
- Systematic reviews become the handle/lens in which we understand the other studies.
Explain EBP for researchers
Data collection is in Acquire stage
- As researchers and research teams considerable background search and literature searching will be done in Ask to make sure we have a good question.
- Appraise & interpret – based on the evidence you found you appraise it and then apply it. For researchers this stage is analyzing what you’ve collected and then thinking about how it applies in practice.
What is a background question?
- Seek general knowledge
- About a single concept
- Who, what, where, when, how & why
E.g., terminology, general pathology, general info
What is a foreground question?
- Seek specific knowledge
- Bring together multiple concepts
- Inform clinical decisions
- Foreground q’s compare, often target a certain group, qualitative or quantitative, can be peer reviewed
- Do foreground questions always have to have a comparator? NO. Some might just look at 1 intervention and whether it causes a particular effect or not.
What is the framework for foreground questions overall?
Feasible
Interesting
Novel
Ethical
Relevant
What are foreground question frameworks for quantitative?
PICO - patient/population, intervention, comparison, outcome
PICO-T - adds in time frame
What are foreground question frameworks for mixed methods?
SPIDER - sample, phenomenon of interest, design, evaluation, research type
What are foreground question frameworks for qualitative?
PEO - population/problem, exposure, outcomes/themes
SPICE - setting, perspective, intervention, comparison, evaluation
PS - patient/population, situation
What are foreground question frameworks for measurement?
COSMIN - Consensus-based standards for the selection of health measurement instruments.
What are the PICO and PICO-T used for?
Driven to investigate intervention effectiveness
What is the COSMIN designed for?
COSMIN is designed to look at the development of instruments
- Measurement – look at the development of an outcome measure tools – psychometric type studies, reliability and validity questions.
What is FINER used for?
Determining the quality of a question, rather than the structure of it.
Applicable to the researcher who is going out to collect data
Where will you find background research and what are the considerations?
Textbooks, websites, clinical experts
Consider authorship and recency
Where will you find foreground research and what are the considerations?
Research evidence 6s pyramid
Consider database coverage, question frameworks, search structure (let the question drive)
Types of quantitative research, some common research designs and evidence synthesis?
PICO - therapy, diagnosis, prognosis, etiology/harm
RCT, Cohort studies, case studies, measurement studies
Evidence - Systematic reviews/meta-analyses
What is an example of mixed methods research and evidence synthesis?
Program evaluation
Evidence - Mixed methods review, scoping reviews, clinical practice guidelines
Types of qualitative research, some common research designs and evidence synthesis
Lived experiences
Grounded theory, phenomenology, ethnography, case studies
Evidence - meta syntheses
What is a platform?
Platforms allow you to structure your searches and dig into the databases that are like pots of research they pull from
Key word vs Subject heading
Key word is an abstract or title
Subject heading is a tag that the data base has sorted for you.
Complimentary strategies
What are some ways qualitative research can support evidence for practice?
- When it presents new info
- When it discusses complex or nuanced situations
- Who it can provide into that is context specific