NSG 350 Midterm Exam Review |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
exam with correct answers |||\\\ |||\\\ |||\\\
What is EBP? - correct answer✔✔Combining research evidence and clinical expertise with
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
patient values and needs to provide cost-effective care
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First step? - correct answer✔✔PICO/T questioning guides the process
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What is PICO/T? - correct answer✔✔-Population
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-Interest/Intervention
-Comparison
-Outcome
-Time
Why is EBP important? - correct answer✔✔-All key decisions about how patients are cared for
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
should be based on research evidence
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-EBP provides a map for our care...#1 priority = positive patient outcomes
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-EBP helps facilities develop standards/protocols for care
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
How are standards/protocols generated? - correct answer✔✔Facilities/units take evidence and
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
develop a specific policy/procedure based on the evidence to promote positive patient
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
outcomes
Where do we begin when searching for evidence for EBP? - correct answer✔✔1. Clinical
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practice guidelines (e.g. Trip database) |||\\\ |||\\\ |||\\\ |||\\\
, 2. Professional organization statements/recommendations (e.g. American Heart Association)
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
3. Databases (e.g. CINAHL, Medline)
|||\\\ |||\\\ |||\\\ |||\\\
-Journals that are peer reviewed: blindly assessed by professionals |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Do not limit to PDF: biases the sample of articles retrieved
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
What is a clinical practice guideline? - correct answer✔✔Systematically derived statements to
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
assist practitioners in providing best care
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Developed as a team |||\\\ |||\\\ |||\\\
-Includes how evidence collected/graded |||\\\ |||\\\ |||\\\
-Provides recommendations based on evidence |||\\\ |||\\\ |||\\\ |||\\\
-Not unit/institution specific
|||\\\ |||\\\
What is this? |||\\\ |||\\\
-Level 1: systematic review, meta-analysis, clinical practice guideline
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Level 2: well-designed randomized control trial (RCT)
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-Level 3: well-designed controlled trial without randomization
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Level 4: well-designed cohort or correlational study
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Level 5: systematic review of descriptive or qualitative studies
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Level 6: single descriptive, qualitative study
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-Level 7: case reports of expert committees or opinion of experts - correct answer✔✔Rating
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
system for hierarchy of evidence |||\\\ |||\\\ |||\\\ |||\\\
What are the two main methods of research? - correct answer✔✔-Quantitative
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
(numbers/stats)
-Qualitative (words/experiences) |||\\\
Remember...the research question drives the method! |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
exam with correct answers |||\\\ |||\\\ |||\\\
What is EBP? - correct answer✔✔Combining research evidence and clinical expertise with
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
patient values and needs to provide cost-effective care
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
First step? - correct answer✔✔PICO/T questioning guides the process
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
What is PICO/T? - correct answer✔✔-Population
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Interest/Intervention
-Comparison
-Outcome
-Time
Why is EBP important? - correct answer✔✔-All key decisions about how patients are cared for
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
should be based on research evidence
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-EBP provides a map for our care...#1 priority = positive patient outcomes
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-EBP helps facilities develop standards/protocols for care
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
How are standards/protocols generated? - correct answer✔✔Facilities/units take evidence and
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
develop a specific policy/procedure based on the evidence to promote positive patient
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
outcomes
Where do we begin when searching for evidence for EBP? - correct answer✔✔1. Clinical
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
practice guidelines (e.g. Trip database) |||\\\ |||\\\ |||\\\ |||\\\
, 2. Professional organization statements/recommendations (e.g. American Heart Association)
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
3. Databases (e.g. CINAHL, Medline)
|||\\\ |||\\\ |||\\\ |||\\\
-Journals that are peer reviewed: blindly assessed by professionals |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Do not limit to PDF: biases the sample of articles retrieved
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
What is a clinical practice guideline? - correct answer✔✔Systematically derived statements to
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
assist practitioners in providing best care
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Developed as a team |||\\\ |||\\\ |||\\\
-Includes how evidence collected/graded |||\\\ |||\\\ |||\\\
-Provides recommendations based on evidence |||\\\ |||\\\ |||\\\ |||\\\
-Not unit/institution specific
|||\\\ |||\\\
What is this? |||\\\ |||\\\
-Level 1: systematic review, meta-analysis, clinical practice guideline
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Level 2: well-designed randomized control trial (RCT)
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Level 3: well-designed controlled trial without randomization
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Level 4: well-designed cohort or correlational study
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Level 5: systematic review of descriptive or qualitative studies
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Level 6: single descriptive, qualitative study
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Level 7: case reports of expert committees or opinion of experts - correct answer✔✔Rating
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
system for hierarchy of evidence |||\\\ |||\\\ |||\\\ |||\\\
What are the two main methods of research? - correct answer✔✔-Quantitative
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
(numbers/stats)
-Qualitative (words/experiences) |||\\\
Remember...the research question drives the method! |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
