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Evidence Based Practice
na
10
Nursing
Professional
09/30/2009

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Term
Evidevce-based practice is..
Definition
the integration of best research evidence, with clinical expertise and a patients' values.--ALSO it is a process of using current evidence to guide practice and clinical decision-making
Term
Why use EBP?
Definition
1)Find answers to questions about caring for patients 2)practice based on evidence 3)need to understand the research process and research language
Term
Clinical research questions are based on..
Definition
1)experiences caring for patients 2)Personal experiences 3)societal concerns (ex:child obesity)-----What's HOT now??--few years ago=HIV
Term
Four approaches used in EBP
Definition
1)review evidence [research] 2)Use the nurses clinical experience 3)Look at the values and personal needs of the person/patient 4)Preferences of the individual, family & community
Term
EBP Process...(4)
Definition
1)Ask a "clinically relevant" question 2)Search for the best available evidence 3)Critically appraise the evidence 4)Apply the evidence in practice
Term
What are two situations in which nurses should actively seek research evidence?
Definition
1)where the outcomes differ without clear reason 2)unusual situations
Term
Why is EBP important?
Definition
1)provide best possible care [28% better outcome than traditional practive] 2)patient safety 3)assist the nurses to think critically about patient care situations 4)Without current best evidence, practice is rapidly outdated 5)Iprove the system of care for out patients 6)Lengthly time period for scientific finding to be incorporated into health care practice 7)Recommended by Fed Gov & professional programs 8)Third Party payers recomment EBP [Insurance CO] 9)Patients and fmaily members seek current health information on the internet 10)Evidence continually evolves 11)Implications for health care agency system wide decisions
Term
Other driving forces for EBP (4)
Definition
1) World Health Organization 2)Ministries of Health 3)Magnet Hospital Designation [Certification hospital's may get that shows they have nurses invlolved & empowered--really use EBP] 4)Specialty Nursing organizations
Term
Nursing & patient care dillemas..(2)
Definition
1)Nurses frequently practice nursing according to what they learned in nursing school---Average age of the practicing nurse if older than 40---70% of nurses graduated from nursing programs before 1990 2)Nurses frequently need info about caring for their patients--often seek info from colleagues
Term
Barriers to EBP
Definition
1)lack of time and access to resources 2)Insufficient searching skills 3)Resistance to change/tradition 4)information overload
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