Introduction to Evidence-Based Practice (EBP)

Vocabulary flashcards based on the lecture notes about Evidence-Based Practice (EBP).

What is the Evidence in EBP

Collection of facts thought to be true, generated through external evidence and internal evidence

Quality improvement

Making healthcare better by finding problems and fixing them

Purpose of QI

Improve healthcare and pt outcomes

EBP

implements and evaluates interventions (try out and check new ways to improve healthcare based on research)

Process of Translational research

investigtion sourced from evidence or previous research

Purpose of transtional research

Turn research into real reatments and solutions

Final product of translational research

New knowledge to explain or improve clinical practices

Final product of resarch

New knowledge

Final product of ebp

Systems change

Final product of QI

information

Year EBP become part of healthcare

1970s

Melnyk’s 7 step approach

A framework created to describe EBP

NYP PEACE Model

Problem identification, Evidence Search, Appraise the Evidence, Conduct Research/Change Practice, Evaluate Outcome.

P in NYP PEACE MODEL

Problem identification

E in NYP PEACE MODEL

Evidence search

A in NYP PEACE MODEL

Appraise the evidence

C in NYP PEACE MODEL

Conduct research/change in practice

E in NYP PEACE MODEL

Evaluate outcomes

Research

Rigorous and systematic process that generates new knowledge through the application of basic scientific principles and theory development.

EBP

Systematic process that implements and evaluates interventions stemming from new knowledge generated by research.

External Evidence

Evidence generated from research.

Internal Evidence

Evidence generated internally within a clinical setting, such as patient assessment data, outcomes management, and quality improvement data.

PICOT

Patient population; Intervention or area of interest; Comparison intervention or group; Outcome; Time.

Dr. Archie Cochrane

Criticized the medical field in the 1970s for not using research evidence to help guide best practice. The Cochrane collaboration was founded in the 1990s.

Step ZERO of EBP

Spirit of inquiry. Reflecting on your own clinical practice.

Step ONE of EBP

Formulate a PICOT question.

Step TWO of EBP

Search for the evidence.

Step THREE of EBP

appraise the evidence, including validity, reliability, and applicability.

Step FOUR of EBP

Integrate the evidence with clinical experience and patient/family preferences.

Step FIVE of EBP

Evaluate the outcomes of practice change.

Step SIX of EBP

Disseminate outcomes of the EBP change

Barriers to EBP

Lack of knowledge, time, and resources.

Facilitators of EBP implementation

Incorporating EBP in curriculum, creating positive beliefs about EBP, mentorship, and commitment to EBP among nurse leaders.

Quadruple AIM

enhance healthcare quality, improve pt outcomes, reduce costs, empower clinicians

Who uses EBP

all healthcare providers

CEBM Levels of evidence

Ranks evidence based on reliability and strength for clinical decision making

Level 1 cebm

systematic review, meta analysis of RCTs

Level 2 cebm

Randomized controlled trials

Level 3 cebm

Non-randomized controlled cohort/follow up studies

Level 4 cebm

Case series, case control studie

Level 5 cebm

Expert opinion

Strongest evidence

Level 1, systemic reviews

Weakest evidence

Level 5, expert opinion