Evidence Based Nursing Practice| Questions
with 100% Correct Answers
Research Process - ✔️✔️- Problem identification
- Conduct research
- Follow steps of research process.
- Findings usually not immediately applicable - need to be translated through RU/EBNP.
Research Utilization - ✔️✔️- Clinical Problem ID
- Use existing research to solve problem.
- Follow steps of RU
- Findings usually applied at organizational level.
Evidence Based Nursing Practice - ✔️✔️- Clinical problem ID
- Use existing research
- Synthesize all evidence, integrate patient preference and clinical expertise.
- Findings applied at bedside, tailored to individual patient.
Evidence Hierarchies - ✔️✔️- Rank evidence according to strength of evidence provided.
- Typically related to effectiveness of healthcare interventions.
- Not meaningful for certain questions: meaning, process.
RU/EBP Resources - ✔️✔️- Systematic reviews that integrate evidence about a topic in a rigorous,
systematic way.
- Traditional narrative reviews are being placed.
- Meta-analyses that integrate findings across quantitative studies statistically.
- Meta-syntheses that integrate and amplify findings across qualitative studies.
- Other reappraised evidence (clinical practice guidelines, syncopes of studies in EBP journals,
critically appraised topics).
- Models and theories for EBP or RU.
Levels of Evidence - ✔️✔️1) Systematic reviews of RCTs
2) Individual RCT
3) Systematic reviews non-RCT (correlational)
4) Individual correlational studies
5) Systematic reviews of descriptive studies
6) Individual descriptive studies
7) Exert opinion of respected authorities or expert panels
*Highest level of evidence is systematic review of findings from MULTIPLE RCTs.*
Barriers to RU/EBP - ✔️✔️- Research-related barriers: scarcity of published replications.
- Nurse-related barriers: insufficient skills in locating and appraising evidence.
, - Organizational barriers: lack of financial support and staff release time for EBP.
Nursing Barriers - ✔️✔️- Lack of knowledge
- Information overload
- Lack of role models
- Lack of time or money
- Resistance to change
- Misperceptions - require education
Facilitators - ✔️✔️- Support from leaders and peers
- Adequate time
- Resources
- Journal clubs and EBP rounds
- Determined effort is often required in order to address barriers and facilitate the implementation
of EBP.
Steps of Evidence Based Practice - ✔️✔️- Cultivate a spirit of inquiry.
- Ask the burning clinical question in PICOT format.
- Search for and collect the most relevant best evidence.
- Critically appraise the evidence (i.e., rapid critical appraisal, evaluation, and synthesis).
- Integrate the best evidence with one's clinical expertise and patient preferences and values in
making practice decision or change.
- Evaluate outcomes of the practice decision or change based on evidence.
- Disseminate the outcomes of the EBP decision or change.
EBP in Organizational Setting - ✔️✔️- Select a topic or problem.
- Knowledge-focused triggers - begins with an innovation or research finding (e.g., might emerge
in a journal club).
- Problem-focused triggers - begins with a perplexing or troubling clinical situation.
Background - ✔️✔️- foundation questions about a clinical issue.
- What is osteoporosis and what is it's pathology?
Foreground - ✔️✔️- Questions that can be answered by current best research evidence on
diagnosis, assessment, treatment or understanding meaning, cause or prognosis.
- What is it like to be an elderly woman with osteoporosis in the northeast?
Types of Questions - ✔️✔️- Etiology
- Diagnosis
- Therapy
- Prevention
- Prognosis
- Qualitative (meaning; insight into patients experience/perspective).
Asking the Nursing Question - ✔️✔️(PICOT)
with 100% Correct Answers
Research Process - ✔️✔️- Problem identification
- Conduct research
- Follow steps of research process.
- Findings usually not immediately applicable - need to be translated through RU/EBNP.
Research Utilization - ✔️✔️- Clinical Problem ID
- Use existing research to solve problem.
- Follow steps of RU
- Findings usually applied at organizational level.
Evidence Based Nursing Practice - ✔️✔️- Clinical problem ID
- Use existing research
- Synthesize all evidence, integrate patient preference and clinical expertise.
- Findings applied at bedside, tailored to individual patient.
Evidence Hierarchies - ✔️✔️- Rank evidence according to strength of evidence provided.
- Typically related to effectiveness of healthcare interventions.
- Not meaningful for certain questions: meaning, process.
RU/EBP Resources - ✔️✔️- Systematic reviews that integrate evidence about a topic in a rigorous,
systematic way.
- Traditional narrative reviews are being placed.
- Meta-analyses that integrate findings across quantitative studies statistically.
- Meta-syntheses that integrate and amplify findings across qualitative studies.
- Other reappraised evidence (clinical practice guidelines, syncopes of studies in EBP journals,
critically appraised topics).
- Models and theories for EBP or RU.
Levels of Evidence - ✔️✔️1) Systematic reviews of RCTs
2) Individual RCT
3) Systematic reviews non-RCT (correlational)
4) Individual correlational studies
5) Systematic reviews of descriptive studies
6) Individual descriptive studies
7) Exert opinion of respected authorities or expert panels
*Highest level of evidence is systematic review of findings from MULTIPLE RCTs.*
Barriers to RU/EBP - ✔️✔️- Research-related barriers: scarcity of published replications.
- Nurse-related barriers: insufficient skills in locating and appraising evidence.
, - Organizational barriers: lack of financial support and staff release time for EBP.
Nursing Barriers - ✔️✔️- Lack of knowledge
- Information overload
- Lack of role models
- Lack of time or money
- Resistance to change
- Misperceptions - require education
Facilitators - ✔️✔️- Support from leaders and peers
- Adequate time
- Resources
- Journal clubs and EBP rounds
- Determined effort is often required in order to address barriers and facilitate the implementation
of EBP.
Steps of Evidence Based Practice - ✔️✔️- Cultivate a spirit of inquiry.
- Ask the burning clinical question in PICOT format.
- Search for and collect the most relevant best evidence.
- Critically appraise the evidence (i.e., rapid critical appraisal, evaluation, and synthesis).
- Integrate the best evidence with one's clinical expertise and patient preferences and values in
making practice decision or change.
- Evaluate outcomes of the practice decision or change based on evidence.
- Disseminate the outcomes of the EBP decision or change.
EBP in Organizational Setting - ✔️✔️- Select a topic or problem.
- Knowledge-focused triggers - begins with an innovation or research finding (e.g., might emerge
in a journal club).
- Problem-focused triggers - begins with a perplexing or troubling clinical situation.
Background - ✔️✔️- foundation questions about a clinical issue.
- What is osteoporosis and what is it's pathology?
Foreground - ✔️✔️- Questions that can be answered by current best research evidence on
diagnosis, assessment, treatment or understanding meaning, cause or prognosis.
- What is it like to be an elderly woman with osteoporosis in the northeast?
Types of Questions - ✔️✔️- Etiology
- Diagnosis
- Therapy
- Prevention
- Prognosis
- Qualitative (meaning; insight into patients experience/perspective).
Asking the Nursing Question - ✔️✔️(PICOT)
