Chapters 1 & 2 - EBP

Vocabulary flashcards based on Evidence-Based Practice in Nursing & Healthcare (4th Ed.) Chapters 1 & 2

Quadruple Aim

Improving the patient experience, improving the health of populations, reducing the per capita cost of healthcare, and enhancing the work life of healthcare providers.

How Quality Care Impacts Patient Experience

Patient experiences and outcomes are improved.

Impact of Data-Driven Practices

Ineffective interventions are reduced, thus saving costs.

How EBP Empowers Clinicians

by providing them with validated tools and knowledge, decreasing burnout.

Evidence-Based Practice (EBP)

Improves patient care using evidence, combining research, expertise, patient values.

Research

Generates new knowledge through scientific studies, RCTs, and qualitative methods.

Quality Improvement (QI)

Improves internal processes using Plan-Do-Study-Act cycles (PDSA).

Evidence-Based QI

Uses internal & external evidence and implements change based on best practices.

Seven Steps of EBP

A structured approach to improve quality and outcomes in healthcare.

Cultivate a Spirit of Inquiry

First step in EBP; essential for identifying areas for improvement.

Ask a Clinical Question

A structured question in PICOT format helps focus the inquiry.

Search for Best Evidence

Searching for the best evidence to answer the clinical question.

Critically Appraise the Evidence

to determine its validity and applicability.

Integrate the Evidence

with clinical expertise and patient values for informed decisions.

Evaluate the Outcomes

of the practice change to assess its effectiveness.

Disseminate the Outcomes

Sharing the outcomes of the EBP project to inform others and promote adoption.

Barriers to EBP

Impediments to implementing EBP effectively.

Common Barriers to EBP

Lack of time, knowledge, and access to quality resources.

Supportive Culture for EBP

Factors that foster successful EBP implementation.

Elements of Supportive Culture

Strong leadership, interdisciplinary collaboration, and dedicated mentors.

PICOT Question

Structured format for clinical questions: Population/problem, Intervention, Comparison, Outcome, Timeframe.

P in PICOT

Population/problem in a PICOT question.

I in PICOT

Intervention or issue in a PICOT question.

C in PICOT

Comparison in a PICOT question (if applicable).

O in PICOT

Outcome in a PICOT question.

T in PICOT

Timeframe in a PICOT question.

Purpose of PICOT Format

Narrows clinical focus, enables efficient database searches, and helps gather focused evidence.

Clinical Questions

Questions that directly inform patient care.

QI Questions

Questions aimed at improving internal workflow.

Research Questions

Questions focused on generating new knowledge.

Background Questions

General knowledge questions.

Foreground Questions

Specific questions based on the PICOT format.

EBP Definition

Process integrating evidence, expertise, and patient values.

7-Step EBP Process

A step-by-step approach that improves quality and outcomes.

PICOT Format

Refines clinical questions for focused search.

Distinguishing EBP, Research, and QI

Important for proper application in healthcare settings.

Supportive Environments

Make EBP implementation sustainable.

Resistance to Change as Barrier

Resistance to adopt the change may prevent successful EBP implementation.

Allocated Time for EBP Activities

Dedicated time allows healthcare providers to engage more actively in EBP activities.

Strong Leadership for EBP

Essential leadership can promote and support EBP within an organization.

Interdisciplinary Collaboration for EBP

Interdisciplinary collaboration can bring diverse expertise to EBP projects.

Importance of EBP Mentors

Mentors and champions guide EBP implementation.

Improving Outcomes with EBP

Using an EBP approach can help improve patient outcomes.

Cost Reduction with EBP

Using EBP approach can reduce the healthcare cost.

Role of RCTs in EBP

RCTs provides strong evidence by using scientific studies.

Limited access to quality resources as a barrier

Lack of quality resources can be a major barrier to EBP implementation.

Importance of Asking Focused Question

Asking a focused question in order to have better results.

Evidence Synthesis

Searching, appraising, and synthesizing research findings to answer a specific clinical question.

Knowledge Translation

The application of research findings to real-world clinical practice.

Theory-Based Implementation

The use of a theoretical framework to guide the implementation of evidence-based practice.

Comparison helps EBP

Comparing to a standard care helps to implement EBP approach