Why be concerned about creating a supportive environment for EBP? - Answer (1)New
evidence is continually surfacing
(2)Practioners must incorporate the tremendous amount of newly generated knowledge into
their daily routines
(3)Yet
(4)There is always a delay from evidence to practice
Choosing an EBP Model: - Answer Standardized approach--Evaluated for:
(1)fit, feasibility and acceptability
(2)educational background, leadership, experience and practice needs of staff
(3)Presence of partnerships for EBP initiatives
(4)Culture and environment of the organization
(5)availably and access to sources of evidence
Ensuring committed organizational leadership:
Why is supportive leadership so important? - Answer Supportive leadership is essential in
successful implementation of EBP
What is leadership role? - Answer (1)Create a supportive environment
(2)empower clinicians
(3)Be responsive tenets of EBP
What is committed leadership? (2) - Answer (1)Encourages a spirit of inquiry
(2)cultivates organizational context, work culture and practice environment
Let it happen leader: - Answer passive style that lets it happen
The help it happen leader: - Answer pulled into process by change rather than leading the
path
Make it happen leader? - Answer Intentional approach-systemic, planned and engages the
process to ensure adoption, spread and sustainability
, Establishing the organizational culture: - Answer (1)speak to the spirit of inquiry and life-long
learning
(2)Address a work environment that demands and supports the HC team members
accountability for practice and decision making
(3)Include the goal of improving patient centered care outcomes through EBP clinical,
operational and administration DM
Overcoming barriers to fostering an EBP culture: - Answer (1)Time constraints
(2)Lack of supportive leadership
(3)Lack of organizational infrastructure
(4)Health care team members
(5)Lack of communication
(6)Lack of incentives, recognition and rewards
What is evidence based practice? - Answer a problem solving approach to clinical
decision-,making within a healthcare organization. EBP integrates the best available scientific
evidence with the best available experiential )patient and practitioner) evidence. EBP considers
internal and external influences on practice and encourages critical thinking in the judicious
application of such evidence to the care of individual patients, a patient population, or a
system . EBP uses a current research and non-research evidence to produce high quality health
care. The challenge for healthcare providers is to use such evidence to implement the best
interventions to improve patient outcomes
§EBP supports and informs clinical, administrative, and educational decision-making. Combining
research, organizational experience (including quality improvement and financial data), clinical
expertise, expert opinion, and patient preferences ensures clinical decisions are based on all
available evidence. EBP enhances efficacy (the ability to reach a desired result); efficiency (the
achievement of a desired result with minimum expense, time, and effort); and effectiveness
(the ability to produce a desired result). Additionally, EBP weighs, benefit, and cost against a
backdrop of patient preferences. - Answer
HOW IS EVIDENCE-BASED PRACTICE USED TO IMPROVE NURSING PRACTICE - Answer §In
nursing education?
§In public health?
§In acute care hospitals?
§In outpatient settings?
§In interdisciplinary teamwork?
§In disease specific treatment?
§In pharmaceutical interventions?
§In patient or family centered rehabilitation?