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2025-2026 Evidence Based Practice in
Health Care 235 Solutions completely
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Questions & Answers to evidence based practice - ANSWER Questions:
- How does evidence apply in nursing/health care?
- What point is there in doing nursing research?
- Why should I be doing this unit?
Answers:
- Clinicians are expected to use current best evidence to underpin their clinical practice
- Educators are required to use evidence of current best practice to engage students, link theory to
practice and inspire future researchers.
Evidence-based healthcare - ANSWER - Should be based on information derived from research
- There is no longer a place in health care for clinical practice to be based on personal medical clinician
preference, folklore, or 'watch one, do one, teach one' mentality
- Evidence based healthcare: The conscientious use of current best evidence in making decisions about
the care of individual patients or the delivery of health services
- Current best evidence is up to date information from relevant, valid research about the effects of
different forms of health care, the potential for harm from exposure to particular agents, the accuracy
of diagnostic tests, and the predictive power of prognostic factors
Evidence-based medicine - ANSWER - The practice of evidence-based medicine means integrating
individual clinical expertise with the best available external clinical evidence from systematic research
and patient values.
Evidence-based clinical practice - ANSWER - Evidence-based clinical practice is a problem-base approach
where research is used to inform clinical decision-making. It involves the integration of the best
,2025-2026 Evidence Based Practice in
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available evidence with clinical expertise, each patient's value and circumstances, and consideration of
the clinical practice context.
Why is EBP important? - ANSWER - Aims to provide most effective care available, with aim of improving
patient outcomes
- Patients expect that they will receive best possible care based on best evidence
- EBP promotes an attitude of inquiry amongst health professionals (gets us thinking 'why am I doing
this?')
- It is our professional responsibility to be integrating the best/most recently available evidence into our
practice
- When we integrate (combine) the best available evidence with information from our clinical
knowledge, patients and practice context, the reason behind our clinical decisions becomes more
apparent and this serves to reinforce both our accountability and our claim to be a health professional
- Important role to play in wise resource use/allocation:
-Finite resources in all aspects of healthcare
-Evidence is used to support funding
-If no evidence supports effectiveness of a particular intervention
-Good quality evidence that a particular intervention is harmful or not effective, then it will not be
funded
5 main steps in the EBP process - ANSWER 1) Convert the need for evidence into an answerable
question
2) Track down the best evidence with which to answer that question
3) Critically appraise the evidence for impact, applicability, and validity
4) Integrate the evidence into your practice
5) Evaluate how well you did steps 1-4 and, what steps might be needed to improve/complete the
process
Asking answerable questions - ANSWER - Patient and/or problems
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- Intervention
- Comparison intervention (where relevant)
- Outcomes (clinical)
- Time-frame
- We want a question that helps us search the literature for evidence from research that has already
been done
Patient with poorly controlled blood pressure (example) - ANSWER - "Is exercise a better strategy than
medication to manage hypertension for adult men?"
-No - have to do the research to answer this
- "What strategies are recommended to optimise management of hypertension in adult men?
-Yes - can search the literature for evidence from research that has already been done
Locating the evidence - ANSWER - Searching (usually libraries) for most up to date and relevant research
reports and their recommendations for practice
- There is no longer a place in modern healthcare for clinical practice to be based on personal medical
clinician preference, folklore, or 'watch one, do one, teach one' mentality
What is wrong with opinion-based clinical practice? - ANSWER - We are often very blind/biased as to
whether the information provided is authoritative (evidence based) or authoritarian (opinions based)
- If such advice were to be critically analysed
-Some would be found to be effective
-Some would be found to be useful
-Some would be found to be harmful
Research is: - ANSWER - Systematic
- Rigorous
- Part of professionalism
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- Knowledge driven:
-Answer questions
-Solve problems
-Discover
-Develop
-Refine
-Validate
-Expand
Research - ANSWER The systematic and rigorous process of inquiry which aims to describe phenomena
and to develop and test explanatory concepts and theories.
Systematic - ANSWER Has a clearly organised approach to data gathering and analysis which can be
followed by future readers; an organised method with inter-related parts.
Rigorous - ANSWER Precise standards by which the quality of all research is measured: if the study is
rigorous its results are 'strong'.
Not all evidence is necessarily the best - ANSWER - Not all clinical research/published material provided
the same level (strength) of evidence to answer a clinical question
- Not everything that is published (even in refereed journals) constitutes 'good' evidence
- Health professionals need a little bit of knowledge about research to be able to look at a paper and say:
-Yes: well done, useful and applicable
-No
- Hierarchies/levels of evidence have been developed as a guide to what/which study designs are likely
to produce the 'best' evidence for different types of practice