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15 Cards in this Set
- Front
- Back
give a general overview of what research is:
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Research
Systematic, planned investigation Problem to be investigated Predetermined outcome Contribute to understanding the world |
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give a general overview of what EBP is:
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Systematic search for best evidence
Use evidence for clinical decisions Individual needs of patient Bring about practice changes |
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how is research compared to EBP?
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Structured
Exclusion/inclusion criteria less rigorous Used to justify need for research |
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how is EBP compared to research?
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Systematic review with strategy for inclusion and exclusion
Used as part of evidence, base clinical decisions |
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what does chochrane collaboration do?
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Designates interventions as EBP focus
states that randomized clinical trials (RCT) as gold standard for evidence |
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what is the McMaster Medical School perspective
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EBM – research & scientific data considered superior to authority opinion
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why are RCTs at the pinnacle of most evidence?
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because this design controls threats to internal validity
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we "systematically review" RCTs. what does this mean?
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we follow pre-established criteria that create stringent parameters for study evaluation
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why is Multidisciplinary Evidence-Based Practice good?
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because there are different views.
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what is some non-research evidence that we use to guide clinical or management practice?
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Benchmarking data
Cost effectiveness analysis Pathophysiology Retrospective or concurrent chart review Quality improvement and risk data International, national and local standards Infection control Patient preferences Clinical experience |
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what are the 4 phases of the Center for Advance Nursing Practice Evidence-Based Practice Model?
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Evidence-triggered
Evidence supported Evidence observed Evidence based |
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what happens in the evidence triggered phase?
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Identified as practice and knowledge. Clinical questions raised by clinicians & data sources from organization
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what happens in the Evidence-supported Phase?
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Existing evidence for best practice e.g. reported scientific research, outcome-based research, authoritative literature
Critique tool Synthesis tool Evidence summation |
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what happend in the Evidence-observed Phase?
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Pilot study
Point prevalence study Product evaluation fair Cost/benefit analyses |
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what happens in the evidence based phase?
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This is where you should have everything together. What will be the contribution of the change? You have to compare the before and after change in practice.
Best practice established Cost/benefit analysis Contribution to advances in professional practice Outcomes improvement |