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N405 Exam 1

Terms in this set (292)

most definitions of evidence-based practice include what 3 components?
research-based information
clinical expertise
patient preferences
what is evidence based practice?
the conscientious, explicit, and judicious use of theory-derived, research-based information in making decisions about care delivery to individuals or groups of patients and in consideration of individual needs and preferences
to participate in EBP, nurses must do what three things?
use critical thinking to review research publications and other sources of info
evaluate information
use clinical decision-making skills to apply evidence to patient care
what is research utilization?
using the results of a single research study to change practice
what are 7 sources of evidence?
traditional
authority
trial and error
personal experiences
intuition
borrowed evidence
scientific research
true or false?

traditional and authoritative sources of evidence are usually reliable
false
what source of evidence is based on the notion that a certain way of doing things is "the way we've always done it"?
traditional
what source of evidence is based on policies and procedures?
authority
how can personal experiences increase use of EBP?
can increase confidence in evidence
what source of evidence is based on prior experience and a situation that "doesn't seem right"?
intuition
why is borrowed evidence a useful source of evidence in pediatrics?
fewer studies done in the younger population, so oftentimes base evidence on guidelines for the adult population
what is the best source of evidence?
scientific research
what must nurses do to practice EBP? (3)
use scientific research to build body of knowledge
emphasize theory-driven, research-based info to guide practice
use evidence hierarchy to appraise evidence and research designs
arrange the following from highest to lowest level of evidence:

1)RCT
2)cohort studies/case-controlled studies
3)systematic review of descriptive studies/qualitative studies (meta-synthesis) or correlational studies
4)meta-analysis/systematic review of RCTs/current practice guidelines
5)opinions of authorities/reports of expert committees/manufacturer recommendations/traditional literature reviews
6)controlled trials without randomization (quasi-experimental)
7)single descriptive study/qualitative study or case series studies/case reports/concept analysis
4, 1, 6, 2, 3, 7, 5
what are 6 barriers to adopting an evidence-based practice?
money, time, tradition, transfer of knowledge to team, organization/department resistant to change, no support
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