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Terms in this set (109) VERIFIED ANSWERS
1. Define: Evidence-based Systematic approach to rational decision making
practice that facilitates achievement of best practices
2. Six steps to EBP 1. Ask a clinical question
2. Collect the most relevant and best evidence
3. Critically appraise the evidence you gather
4. Integrate all evidence with one's clinical
expertise and patient preferences and values in
making a practice decision or change
5. Evaluate
6. Share outcomes of EBP changes with others
3. Ask a clinical question • A problem or area of interest that could be
performed more efficiently, consumes healthcare
dollars, or does not make sense
• A knowledge focused trigger
, • Clinical trends
• Utilization of PICOT format to state your clinical
question
4. Why should I use PICOT • The questions you ask will eventually lead you to
format to state my clinical the evidence for an answer
question? • You want to be able to read the BEST four-to-six
articles that specifically address your practice
question
• The more focused a question you ask, the easier
it becomes to search for evidence in the scientific
literature
5. PICOT question P = Patient population of interest
I = Intervention of interest
C = Comparison of interest
O = Outcome
T = Time
6. Collect the best evidence- • Search for evidence!
what kind and includes • Evidence includes but is not limited to: agency
policy and procedure manuals, quality
improvement data, existing clinical practice
guidelines, agency experts, staff educators, risk
managers, infection control nurses, and peer
reviewed articles (specifically within the most
, recent 5 years from the present date)
7. Critically appraise the • The most difficult step in the EBP process
evidence you gather • Involves evaluation, determining if information
is valuable and can be easily applied, and if there
is enough evidence for making a nursing practice
change
• Thorough review of elements included in
evidence-based articles
8. Integrate the evidence • How will you incorporate the evidence into
practice?
• Integrate evidence with use of teaching tools,
clinical practice guidelines, policies and
procedures, and new assessment documentation
tools
• Consider staff support and available resources
• Conduct a pilot study and attempt to answer your
PICOT question
9. Evaluate and share • Did it work? Is it effective?
outcomes • Communicate the results to various groups of
nurses or other care providers (facility nursing
practice council or research committee)
10. PICO four-step process P - population of interest
I - intervention
, C - comparison
O - outcome
11. Utilization of the research • Identification of a researchable problem
process • Review of the literature
• Formulation of the research question or
hypothesis
• Design of the study
• Implementation of the study
• Drawing conclusions based on findings
• Discussion of clinical implications
• Dissemination of findings
12. Identification of a • Sources:
researchable problem * clinical situations
* the literature
* theories
• Repeat the study or design a similar one
• Test theoretical models
13. Review of the literature • Comprehensive and covers all relevant research
• Essential to locate similar or related studies that
have already been completed and on which a new
study can build
• Answer the question "what have other
researchers and theorists written about this