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An overview of the sources of knowledge for nursing practice, the importance of using research evidence to guide nursing practice, and the different roles nurses can play in nursing research. It covers the hierarchy of research evidence, the steps involved in evidence-based practice, and the differences between quantitative and qualitative research approaches. The document aims to equip nurses with the understanding and skills necessary to effectively utilize research findings and engage in evidence-based practice to improve patient outcomes and the quality of healthcare delivery.
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Where does knowledge for nursing practice come from? Which source of evidence should nurses used when determining best practices? - correct answer -o Tradition: this is the way it is always done o Authority: Dr. So- and so said so o Clinical experience; trial and error; intuition o Disciplined research (the best method of acquiring reliable knowledge) What is clinical nursing research? - correct answer -o Nursing research designed to guide nursing practice How do nurses use research in their work? - correct answer -Nurses use research to generate knowledge in a variety of roles including education, administration, and practice. Results of research influence best practices in numerous health care settings and affect quality of care, health care policies, and health education. Nurses day-to-day research responsibilities include data collection, sharing questions and concerns with colleagues and staying up to date on issues within nursing. What is Evidence-Based Practice? - correct answer -A problem-solving approach to the delivery of health care that integrates the best available research evidence that is from high-quality well-defined research studies that integrate with patients needs and patient values and clinical expertise What is meant by the term "the best research evidence"? - correct answer -Research findings that are methodologically appropriate, rigorous, and clinically relevant for answering pressing questions · What is the Magnet Recognition Program, and what its role in promoting EBP? - correct answer -o Recognizes health care organizations that provide increased quality nursing care, demonstrate that the health care settings commitment to evidence practice What are the different roles nurses play in nursing research? - correct answer -o Producers- actively design and undertake studies o Consumers- read research
o Continuum of participation, from producers of research to skilled consumers of research findings · What characteristics of a nurse's role as a research consumer? - correct answer -o Nurses who read research reports to keep up to date on evidence that may affect their practice o EBP depends on well informed nursing research consumers o As a part of their role, there is the expectation that every nurse be a consumer of research findings · Aside from being a producer or consumer of research, what are the various research activities in which any nurse could engage? - correct answer -o Journal club, review proposed research plans and offer suggestions, evaluate research findings · What activities take part in a journal club? - correct answer -- Discuss the evidence about a specific clinical problem -An opportunity to share and discuss new evidence of relevance to clinicians. · What research and evidence-based practice related activities are expected from Baccalaureate level nurses? - correct answer -o You will use research as a foundation for EBP o Understand EBP processes identify nursing problems and work on teams on research approach o Participate in a journal club, attend a research presentation at a conference, dinner, discuss research findings with patients, assist in the collection of data, review proposed plans, assist in the development of a research project, evaluate research findings for usefulness in practice · What are the different types of research questions? - correct answer -o Cause-Probing Studies = studies that investigate a cause and effect relationship o Therapy/ intervention o Diagnosis/ assessment o Prognosis o Etiology/ cause/ harm o Meaning/ process
What are the major steps in undertaking an EBP effort for individual nurses? For applying the EBP process at the organization level, Melnyk (2009) added two more steps. What are those steps? - correct answer -· 1. Ask; clinical questions that can be answered with research evidence · 2. Acquires; searching for and retrieving relevant evidence · 3. Appraise; and synthesize the evidence · 4. Apply; integrating the evidence with your own clinical expertise, patient preferences, and local context · Assess; the effectiveness of the decision, intervention, or advise · Step Zero: Cultivate a spirit of inquiry · Step 6: Disseminate EBP results · What are some ways to disseminate successful EBP initiatives? - correct answer -· EBP rounds · Presentations at conferences · Research reports · What are the components of a PICO question? - correct answer -· Population: what are the characteristics of the patients or population · Intervention (influence or exposure): What are the interventions or therapies of interest? What are the interventions or What are the potentially harmful influences/exposures of concern? · Comparison: what is an alternative to what you will do? · Outcome: what are the outcomes or consequences in which we are interested? Formulate PIO question? - correct answer -· In ____ (population), what is the effect of ____ (intervention), in comparison to ____ (comparison), on ____ (outcome) · Identify the keywords to be used in the database search. - correct answer -· Intervention AND Outcome · A keyword is a word or phrase that captures the key concepts in your question · Based on the type of the question, and the hierarchy of evidence:
Identify the filters (delimiters) to be used in the database search. - correct answer -§ Randomized controlled trial § 5 years · When searching for the best evidence, what should you look for first, pre-appraised evidence or primary study, and why? - correct answer -o Use pre-appraised evidence first