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14 Cards in this Set
- Front
- Back
Characteristics of good question: |
• Simple, direct, and encourage an answer. • Clearly linked to the goal. • Identify the target population. • Guide to the appropriate intervention required. • Determine what type of study is needed. • Identify background characteristics that might influence outcomes. |
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Challenges of EBN |
New, Unfamiliar. Need to develop good search strategies. Must identify best Database. Need to do critical appraisals.
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To carry out EBN the following factors must be considered: |
Sufficient research must have been published on the specific topic.
The nurse must have skill in accessing and critically analyzing research.
The nurse's practice must allow her/him to implement changes based on EBN. |
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Factors facilitate the application of EBP |
Educational emphasis on EBP in nursing schools and hospitals.
Administrative support. Time. Clearly written and well done research reports. Library and internet access in the clinical area. |
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Types of Evidence Resources |
1. Textbooks and Journals. 2. Consolidated Resources and Beyond. |
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Rating System for the Hierarchy of Evidence for Intervention/Treatment Questions |
Systematic review and Meta- analysis. Cohortstudy and Case – control study. |
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Getting EBP to the Staff |
Power Point Presentation. • New employee orientation. EBP not in original curricula. |
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A PubMed Subject Search |
Be specific •Use key words for main concepts |
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The evidence – based practice process involves the following steps: |
Problem identification Synthesis: Critique: |
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Difficulties in applying evidence in practice because of the following factors: |
Poor access to best evidence and its guidelines. ■b) Organizational barriers. ■c) Ineffective continuing education programs. ■d) Low patient adherence to treatment. |
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Levels of evidence: |
Descriptive surveys 7. Case studies 8. Decision analysis |
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Problems with information sources |
Too slow.
Change is hard to achieve. Just in time information. Improvement techniques |
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Importance of using and applying EBP |
To improve quality of care provided by nurses. To increase patient satisfaction. To achieve excellence in care delivery. |
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What are the skills that can facilitate application of EBP? |
The ability to clearly identify the problems of practice . The ability to find research literature. The ability to evaluate the research findings. The ability to apply the research results into practice. |