evidence-based practice clinical decision making that integrates the best
available research with clinical expertise and
patient characteristics and preferences
disciplined research best method of acquiring reliable knowledge;
evidence-based findings
paradigm world view or general perspective of the
world's complexities
,NURS 328 - Quiz #1
Positivist Paradigm - reality exists
- research is independent from those
researched
- values and biases are to be held in check
- one right answer
- most likely to be allied with quantitative
research
,NURS 328 - Quiz #1
constructivist paradigm - reality is multiple and subjective
- researcher interacts with those being
researched
- subjectivity and values are inevitable and
desirable
- most likely to be allied with qualitative
research
Archie Cochrane - developed Cochrane Collaboration
- Called for efforts to make research summaries
about interventions available to health care
providers
, NURS 328 - Quiz #1
David Sackett developed a learning strategy called evidence
based medicine which has broadened to the
use of best evidence by all health care
practitioners
evidence heirarchy - ranks evidence sources according to the
strength of evidence they provide
systematic reviews of randomized - pinnacle of the evidence hierarchies
clinical trials (RCTs) - considered "gold standard"
3 barriers to EBP 1) quality and nature of research
2) characteristics of nurses
3) organizational factors