EBP Quiz #1

definition of EBP

conscientious explicit and judicious use of theory driven research based info in making decisions about care delivery in consideration of individual needs and preferences

EBP integrates (3)

research based info

clinical experience

pt preferences

Goal: safe high quality pt care

sources of evidence (6)

tradition

authority

trial and error

personal experience/intuition

borrowed evidence

scientific research: best source

key characteristics of EBP

use critical thinking to evaluate and apply evidence

decide if current practice should stay the same - be early adopter not laggard

barriers to EBP (3)

individual: resistance, no time, undervalue research

organization: culture, no resources or leadership support

research related: too complex, no spread of info

hierarchy of evidence: level I

multiple studies: meta-analyses, systematic reviews, clinical practical guidelines

hierarchy of evidence: level II

one RCT randomized controlled trial

hierarchy of evidence: level III

quasi-experimental: non-randomized interventions

hierarchy of evidence: level IV

observational: correlational studies

hierarchy of evidence: level V

syntheses: integrative studies

hierarchy of evidence: level VI

descriptive: case studies, QI projects

hierarchy of evidence: level VII

expert reviews: narrative reviews, committees

what must you consider while looking at studies

study quality

design

bias

ethics

what is nursing research

systematic activity that builds knowledge

used to: generate new info, validate existing info, guide practice

types of research (3)

aim: descriptive, explanatory, predictive

use: basic (knowledge) vs applied (prob solving)

data: qualitative vs quantitative

structure of research article (8)

abstract, introduction, literature review, theoretical framework, methods, results, discussion, references

research vs EBP

research: generates new info, fills in gaps

EBP: applies info to care, evaluates pt outcome

evolution of nursing science

pre-1900: florence nightingale, practice informed by resesarch

1900-49: nursing education, journal development

1950-89: research incorporated into curriculum, ethics in research

1990-2009: pt safety, globalization, genetics, EMR

2010-: telehealth, ACA, staffing, covid

ethical research practices (3)

guidelines: Nuremberg code, Declaration of Helsinki, ANA

Belmont principles: justice, beneficence, respect for persons

IRB: full, expedited, exempt reviews

levels of collaboration (5)

individual: nurses

organization: infrastructure, policies, leadership

region: library, nursing programs, centers of excellence

nation: AHRQ, NINR, ANA, AHA, ADA

internation: cochane collab, STTI, Joanna Briggs

goals of nursing research (4)

generate info to improve pt outcomes

enhance quality and cost

improve delivery systems

validate nursing through EBP

sources for research problems

come from gaps in knowlege

clinical experience, literature, case studies, systematic reviews

narrowing problem of interest

passion, impact, feasability, ethics

first make sure research doesn’t already exist

problem solving vs nursing vs research process

problem solving: specific setting, best solution

nursing process: pt-centered

research: generate broadly applicable info

problem statements

what is issue being studied

purpose

aim of study

research questions

derived from problem/purpose

hypotheses

predict relationships between variables

must include dependent and independent

types of variables

independent: cause

dependent: effect

mediators: extraneous factors

confounding: interfering factors

PICOT

P: pt population or problem

I: intervention

C: comparision

O: outcome

T: time (optional)

ethical considerations

respect human right

prioritize significant pt contributions

distinguish between ethical and researchable questions

best source of evidence

primary source is original research articles

scholarly meaning

peer-reviewed journals

nonscholarly is blogs, healthline, mayo

top nursing databases

CINAHL, PubMed, Joanna Briggs, Cochane Library, PsychINFO, Google Scholar, TRIP, gvt sources

boolean operators (5)

AND: narrows search

OR: broadens search

NOT: excludes terms

?: phrases

truncation

search strategy

1. identify PICO question

2. convert into keywords

3. choose 2-3 databases

4. develop synonyms

5. use boolean logic

   1. scan results for evidence

filters

publication date

peer-reviewed status

age/language/species

full-text availibilityethi

ethical use of sources

avoid plagiarism

understand quoting, paraphrasing, summarizing

respect copyright and ask librarian if unsure