GUARANTEED PASS
what are some of the indicators for this standard? •Providing a theoretical and/or evidence-
based rationale for all decisions
•Understanding the knowledge required to meet the needs of complex clients
•Knowing where/how to access learning resources when necessary
•Seeking and reviewing research in nursing, health sciences and related disciplines
•Using research to inform practice/professional service
Steps to evidence-informed practice: •1. Ask the clinical question
•2. Collect the best evidence
•3. Critique the evidence
•4. Integrate the evidence
•5. Evaluate the practice decision or change
Steps to evidence-informed practice:Ask the clinical question: what is the first thing we should
do when a clinical question arrises? what are some examples of clinical questions? Clinical
questions that arise from a nurse and practitioner first be addressed by looking to see if the
answer is readily available. Import sources of this type of information can be found in practice
guidelines available from professional associations. An example is the best practice guidelines,
developed by the registered nurses association of Ontario.
examples of clinical questions: what is the best cleaner to use when I provide mouth care to this
patient? Or you might notice that there has been an increase in patient falls under unit, leading
you to ask, how can I reduce falls on my unit?
,steps to evidence-informed practice:Ask the clinical question: what is the PICOT format?
Patient population of interest: Age, gender, ethnicity, etc. Condition, disease or health
problem
Intervention of interest: What is the best intervention (treatment, diagnostic test, prognostic
factor)?
Comparison of interest: What is the usual standard of care or current intervention?
Outcome: What result do you want to achieve as a result of the intervention?
Time: What is the time frame in which you think the change will occur?
steps to evidence-informed practice: Collect the best evidence Once you have a clear and
concise pico question you are ready to search for evidence. You can find evidence you need a
new variety of sources: agency policy and procedure manuals, quality improvement data,
existing clinical practice guidelines, or bibliographical databases.
•Peer-reviewed journals
•Search databases (ex.: CINAHL, Medline)
steps to evidence-informed practice: critique the evidence The most difficult step in the
evidence informed practice process is critiquing or evaluating the available evidence. Research
literacy is an essential competency for evidence informed practice; is the ability to locate,
understand, and critically evaluate empirical literature for application and practice.
what are the parts of a research report? •Abstract - brief summary of the article
•
Introduction - contains info about the purpose of the article
, •Literature review or background - useful background of pre existing data
•Purpose statement - focus or intent of the study
•
Study methodology (methods + design)
•
Results
•
Implications
Conclusion
steps to evidence-informed practice: integrate the evidence Your first step is to simply apply
the research and your plan of care for a patient. Use the evidence you find as a rationale for an
intervention you plan to try. For example, after being concerned about the rate of intravenous
catheter dislodgment, you consult evidence to compare the efficacy of gauze dressings with
transparent dressings. The literature suggests that fewer catheter dislodgements occur with
transparent dressings on peripheral intravenous sides than with gauze dressings, with no
increase in infiltration rates. as a result of the findings, you meet with the policy and procedure
committee of your institution to recommend the use of transparent
nursing research •A way to identify new knowledge, improve professional education and
practice, and use resources effectively
•
Some research tests nursing theories
Other research generates a theory from findings