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EBP chapter 13 building EBP nursing practice
Terms in this set (25)
conscientious integration of best research evidence with clinical expertise and patient values in delivery of high-quality, cost effective health care
barriers to EBP lack of research evidence
little info regarding effectiveness of many nursing interventions
-research generated on population data then applied to individual-may not transfer well
-draw little or no meaningful conclusions to pro and cons of nursing
-lack causative research-based more on expertise and pt preference
barriers to EBP HCP do not provide resources necessary for nurses to implement EBP
-inadequate assess to journals
-inadequate knowledge about how to implelemt change
-heavy workload-little time
-nursing admin and MD make the changes
-limited funds for research
-minimal reward for EBP cares to pt
how to implement research in practice
-management centered "concerns and triggers" brought up in meeting
-chose priority triggers and find evidence related to it
-if research forms new protocol implement it and if effective become agency policy
-development of clinical questions for guiding systemic reviews
-done before research evidence searched for
not as common
-detemine usefulness of EBP guideline
-search for best evidence to manage prob
-quality of evidence
-integrate EBP with clinical expertise
-use EBP in practice
GROVE model 5 steps
2. significance of problem
3. strength of EBP
4. link t national standard
5. cost effectiveness
evolving concept defined by NIH as translation of basic scientific discoveries into practical application
-encouraged by nursing and med to increase implementation of evidence based interventions in practice and determine if interventions are effective
-results of RCT into general practice
A publication in nursing that includes just cognitive clustering summaries of important areas of nursing research was initiated in 1983, with a volume being published each year since then. This publication is:
Annual Review of Nursing Research is a book published each year that focuses on summaries of research findings in selected area
Which of the following has been identified as a barrier to using research knowledge in nursing practice?
Nursing studies have not been adequately replicated.
What research utilization project in nursing was implemented in 1975 through 1980 to facilitate the development of clinical protocols to direct the use of selected research findings in practice?
The Conduct and Utilization of Research in Nursing (CURN) Project facilitated the development of clinical protocols to direct the use of research findings in practice. Many of these protocols (with modification) are used in practice today.
A nurse practicing in a skilled nursing center heard about a new way to prevent falls in elderly patients from the nurse practitioner providing care to patients in this center. The nurse worked with the nurse practitioner to implement a protocol to prevent patient falls. This nurse's actions are typical of:
Early adopters learn new ideas rapidly, use them, and then serve as role models in their use, but often do not create or initiate the implementation of new ideas
Nurses on a medical-surgical unit heard about a research-based protocol for preventing falls in elderly patients. The nurses were very reluctant to change and chose to continue with their old way of caring for patients and did not implement the fall protocol. These nurses' behaviors are representative of a group that Rogers identifies as:
Laggards are security oriented, tend to cling to the past, and often do not adopt new ideas.
Research findings can be implemented straight into practice as they were developed from studies. What type of implementation is this?
A nurse summarized research findings in the area of injections and developed a protocol for using these findings, with some changes based on his or her particular practice site. What type of research findings implementation is demonstrated in this example?
Reinvention implementation involves modifying research findings to fit a particular practice situation before use.
The nurse made a decision to use the protocol for giving injections that was recently implemented. What type of research utilization decision is most representative of this nurse's action?
The nurse identified a research-based protocol in the literature for preventing pressure ulcers in the elderly and encouraged the hospital to use the protocol. The nursing standards committee reviewed the protocol and revised it to fit the practice within the hospital. This is an example of what type of implementation?
A group of nurses received an educational program that described a research-based protocol for managing a pressure ulcer. The group thought the protocol to be very complex and indicated that they would use it later in their practice, but then forgot about the protocol. The nurses made what type of decision related to the protocol?
Passive rejection indicates that an agency or the nurses in the agency never seriously considered the change in practice.
Nurses were provided information on a research-based protocol for changing dressings on intravenous (IV) sites that would decrease time and infection rate. This knowledge was used to persuade the nurses to change and is an example of:
relative advantage of protocol for practice
Recently, the Agency for Health Care Policy and Research has promoted the use of research findings in practice by:
The Agency for Health Care Policy and Research has developed clinical practice guidelines to promote the use of research findings in practice.
A process that incorporates healthcare research evidence from a variety of disciplines, clinical expertise of healthcare providers, views of patients and families, and resources available to deliver health care is called:
Which of the following models focuses on critically appraising national evidence-based guidelines
Grove Model for Implementing Evidence-Based Guidelines in Practice can be used to assist one in critically appraising national evidence-based guidelines.
Which of the following is could be used as a systematic means of initiating a relevant clinical research question?
A systematic method for initiating a relevant research clinical question is the use of the PICO/T format. The PICO?T format provides the following elements of a clinical research question:
P—Population or participants of interest
I—Intervention needed for practice
C—Comparisons of interventions to determine the best for practice
O—Outcomes needed for practice
T—Timing of the study
Which of the following provides direction for the development of EBP in a clinical agency and was initially developed by Titler and colleagues in 1994 and revised in 2001?
The Iowa Model of Evidence-Based Practice provides direction for the development of EBP in a clinical agency.
Which of the following practice guidelines provides an algorithm providing direction for the selection of the most appropriate treatment method(s) for each patient diagnosed with hypertension?
The JNC 8 is the most current practice guideline for hypertension and is presented in clinical algorithms . This guideline provides clinicians with direction for the following: (1) classification of blood pressure as normal, prehypertension, hypertension stage 1, and hypertension stage 2; (2) conduct of a diagnostic workup of hypertension; (3) assessment of the major cardiovascular disease risk factors; (4) assessment of the identification of causes of hypertension; and (5) treatment of hypertension. An algorithm provides direction for the selection of the most appropriate treatment method(s) for each patient diagnosed with hypertension.
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