Evidence-Based Practice

These flashcards cover key concepts and terminology from the lecture on Evidence-Based Practice in nursing.

Evidence-Based Practice

An integration of the best evidence available, nursing expertise, and the values and preferences of individuals, families, and communities.

Gold Standard

A benchmark for quality and safety in health care.

Research

The process of systematic inquiry or study to build knowledge in a discipline.

Evidence-Based Nursing

The current standard for providing safe and compassionate health care.

Nursing Care Plan (NCP)

Collecting and analyzing assessment data. Come to conclusions about patient responses, problems, interventions and outcomes.

What has changed this practice?

Nurses, physicians, and other health care professionals have started questioning even the most basic care procedures and proposed changes based on research.

What do we do with this information?

Integrate individual clinical expertise with the best available external clinical evidence and the values and expectations of the patient.

Why is EBP important?

Nursing is an applied science and the practice of nursing should be grounded in science. Use of EBP contributes to patient/family outcomes that improve health.

Nursing Process

A systematic series of actions used by nurses to provide patient care.

Steps of Nursing Process

Assesment, Diagnosis, Outcome Identification, Planning, Implementation, and Evaluation.

Assessment

The process of collecting and analyzing patient data.

Diagnosis

The determination of patient problems based on assessment data.

Outcome Identification

The process of developing and prioritizing patient-centered goals and measurable outcomes.

Implementation

The initiation of interventions identified in the plan of care.

Evaluation

The assessment of patient progress and the effectiveness of interventions.

Steps of EBP

Asking the question, Searching for evidence, Summarizing the evidence, Analyzing the evidence, Applying the evidence to practice, and Evaluating the effectiveness.

Asking the question

Clearly identifying specific patient problems

Searching for evidence

Collecting information relevant to the patients identified problems

Summarizing the evidence

Organizing literature for review

Analyzing the evidence

Critically apprising the published literature

Applying the evidence to practice

Integrating evidence with clinical expertise and patients unique needs.

Evaluating the effectiveness

Evaluating the effectiveness of the integration of evidence.

Critically Appraise

To evaluate the quality and relevance of published literature.

Clinical Expertise

The proficiency and know-how that healthcare professionals gain through experience.

Research Utilization

The process of using findings from studies in clinical practice, less systematic compared to EBP.

EBP in comparison to Research Utilization

EBP considers all research, is utilized through integrative review, includes the context of clinical expertise and value system of the patient, as well as more systematic.

EBP as a decision making approach

Places emphasis on evidence to guide decisions about which interventions to use. Also evaluates the effects of an intervention.

EBP: Consumer protection issue

Assumes that evidence- based interventions are more likely to be effective than interventions that are not evidence based.

Skills required for EBP

Includes the ability to Identify practice problem or new knowledge, Find research literature, Critically evaluate research findings, & Apply to practice through change process

Identifying Practice Problem

1. Why are we doing this?

2. Why are we doing it this way?

3. Can we produce better outcomes with greater consistency?

Literature Review

A comprehensive survey of existing research and publications on a specific topic, summarizing current knowledge and identifying gaps in the literature.

Integrative Literature Review

A comprehensive synthesis of evidence from multiple studies.

Systematic Literature Review

A structured and methodical approach to reviewing published research.

Meta-Analysis

A statistical technique that combines the results of multiple studies.

Clinical Practice Guidelines

Recommendations for patient care based on systematic reviews of evidence.

Agency for Healthcare Research and Quality (AHRQ)

A U.S. agency that produces evidence to make healthcare safer, higher quality, more accessible, and more affordable.

Application to practice

1. Does this research apply to my patient population?

2. Would this practice change improve the process of care? Patient outcomes?

3. Is there support for practice change?