ns1012 Module 5
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28 terms
Terms | Definitions |
|---|---|
 Research utilisation | - is the mechanism used to translate the knowledge that has been generated by research into clinical practice. |
| Research utilisation efforts | - are systematically introduced within a organisaton or institution and has a more formal or structured approach to research utilisation which leads to approved practices being in the organisation's procedure manual |
| Utilising research in | - structured & systematic way promotes consistant, cost-effective, & high-quality nursing care. |
| Barriers to research utilisation | - insufficient time to read research - lack of authority to affect change - lack of research skills - inability to access & engage in research findings. - lack of confidence in accessing & evaluating research. |
| Evidence-based Nursing | 1. formulating an EBP question 2. systematically searching for evidence 3. critically appraising evidence 4. change practice where indicated 5. evaluating the effects of change Newman et al 2000 |
| Formulating a question for EB nursing | - can use the PICO Patient or populatin Intervention of interest Comparison Outcome |
| Systematically searching for evidence in EB nursing | - looking for the best evidence such a 2 or more comparable RCT's - often there is already best EBP available such in systematic reviews which is a rigourous review of evidence for practice. often they are used to base and develop clinical practice guidelines. |
| Critically appraising the evidence | - appraising the evidence for error or bias - appraisal process of conducting a systematic review or developing clinical practice guidelines |
| Changing practice when indicated | - implementation of research finding by 1. easy to read summaries of research 2.education 3. evidence-based procedure manuals. |
| Evaluating the effects of the change | - evaluates the process & outcomes of care - important method is practice evaluation is clinical audit |
| Clinical Audit | 1. determining what is the bast practice 2. investigating current practice & comparing findings to best practice 3. if necessary, implement changes to improve practice. |
| What evidence-based practice does | - make available the most current & rigorous evidence to assist nurse in guiding individualised & contextualised research-based care decsisions. |
| Evidence-based Practice comprises of | 1. converting the information you require into an answerable clinical question 2 tracking down, with maximum efficiency, the best evidence with which to answer it 3. Critically appraising that evidence for its - validity ( closeness to the truth) - impact ( size of the benefit) - applicability ( clinical usefulness) 4. integrating that appraisal with your clinical expertise, patient biology, values & circumstances & Apply the results to your clinical practice 5. Evaluating your effectiveness & efficiency in executing previous steps & seek ways to improve your performance. |
| Clinical decsisions | - use evidence to help with making decision about risks, benefits of care, intervention |
| Important tool for clinical decisions | - care pathways |
| Care pathways | - are clinical tools, developed & based on the best evidence available; therefore more likely to improve clinical effectiveness & efficiency. |
| Benefits of care pathways | - health management plan, assimilates information from a variety of source. -provides a sequence of events & timing of interventions - provides a baseline - identifies variations from normal - ensures that everyone follows prescriptive guidelines for assessment, planning, interventions, evaluations - allows for quality nursing & improvement. |
| Uniqueness of care pathways | - based on the most up to date knowledge; & is contextual to the client group & available resource. |
| Care pathway patients | - report greater satisfaction with their care |
| Embedded in Evidence-based practice | - must be critical reflection, questioning & appraisal. |
| Clinical Review | 1. Find 2. Appraise 3. Act |
| Critically appraised evidence | - randomised controlled trials - systematic reviews - cohort studies - case-controlled studies - qualitative studies - economic evaluations - diagnostic studies |
| Appraisal Tool for implementing evidence into practice & evaluation | - currency - applicability - appropriateness |
| Who is involved in research utilisation? | - client/ patient - researcher - clinician - administrator/ nurse manager -nurse educator - organisation |
| 3 approaches to exploring research literature | 1. identification & review of the clinical & research priorities in a defined area of practice. 2. Identification of problems routinely confronted in clinical practice 3. Identification of useful research findings through scanning pertinent published resources |
| Sequential exploratory | - start with qualitative research and then quantitative research support findings - identification of the prevalance of a particular phenomenon with a population - or any prob elms where there is need to interpret relationship |
| Sequential explanatory | -begins with quantitative research and uses qualitative research support findings. -used for detailed exploration of a little known problem - or to explain the result of the quantitative study |
| Scholarship | - is academic writing in either producing new ideas or/ and challenging those ideas already established. |
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