Intro to EBP- Week 1 flashcards

Flashcards about intro to EBP

EBP

Evidence based practice

EBP according to Schmidt and Brown

“A process involving the examination and application of research findings or other reliable evidence that has been integrated with scientific theories.”

• Enhance healthcare quality

• improve patient outcomes

• reduce costs

• Empower clinicians

Quadruple aim of EBP

What framework is used to describe Evidence-Based Practice.

Melnyks 7 step approach

PEACE Model

Problem identification

Evidence Search

Appraise the Evidence

Conduct Research/Change Practice

Evaluate Outcome

Research

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

QI

improving processes specific to a local system and patient outcomes

Final product of QI

Information

Final product of EBP

Systems change

Final Product of Research

New knowledge

Translational research

Systematic investigation source from evidence of previous research

EBP Competencies for Registered Nurses

Competencies including questioning clinical practices, describing clinical problems using internal evidence, formulating clinical questions using PICOT format, searching for external evidence, and participating in critical appraisal of evidence.

Internal Evidence

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

External Evidence

Evidence generated from research.

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.

Step ZERO (EBP)

Spirit of inquiry

Step ONE (EBP)

Formulate a PICOT question

Step TWO (EBP)

Search for the evidence

Step THREE (EBP)

Critically appraise the evidence

Step FOUR (EBP)

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

Step FIVE (EBP)

Evaluate the outcomes of practice change

Step SIX (EBP)

Disseminate outcomes of the EBP change.

Who should use EBP?

All healthcare professionals

what is the highest quality study in EBP?

Systematic review

What is the second highest quality study in EBP?

Randomize control

What is the third highest quality study in EBP?

Cohort studies

What is the lowest quality study in EBP?

Case controls

Barriers to EBP

• Lack of knowledge

• time constraints

• limited resources

Facilitators of EBP implementation

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