Term
| define evidence based practice |
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Definition
| the intergration of the best available research and clinical expertise in the context of patient characteristics,culture,pt references,values |
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Term
| what is the over all goal of evidence base practice |
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Definition
standardize practice
maximize good practice
reduce costs
improve quality of care |
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Term
| evidenced based nursing practice is the process by which nurses |
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Definition
make clinical decisions
research evidence
expertise and preferences |
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Term
_____ _______is a major barrier
to incorporating evidenced based practice |
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Definition
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Term
| why is research important to improve and know evidence based practice |
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Definition
improves health care outcomes
17 years behind in research and implementation - ex SIDS |
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Term
| what are the three key features of evidence based practice? |
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Definition
problem solving, researched
knowledge and theory
allows for patients values and input in cp |
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Term
| what are the steps in finding low and high quality evidence based info |
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Definition
question
search
appraise critically
apply evidence
evaluate |
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Term
| a well built clinical question includes |
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Definition
patients disorder or ds
the intervention or finding under review
comparison intervention
outcome |
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Term
| two back ground questions |
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Definition
who what when wear
focus on disorder test or tx |
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Term
| four key components of foreground qustions |
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Definition
managing pateint with ds
intervention
comparitive intervention
outcome |
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Term
| example of a back ground qustion |
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Definition
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Term
| ex of foreground question |
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Definition
| in children with strep is amoxicillin as effective as pcn in short term antibiotic therapy |
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Term
| what is the most important step in the evidence based process |
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Definition
| developing the clinical question |
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Term
| WHAT ARE THE 4 ELEMENTS REQUIRED IN DEVELOPING QUESTION |
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Definition
P-PT POPULATION OR PROBLEM
I-INTERVENTION ISSUE OF INTEREST
C-COMPARISON OF INTERVENTION
O-OUTCOME TO BE MEASURED OR ACHIEVED |
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Term
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Definition
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Term
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Definition
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Term
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Definition
EBMR-
SEVERAL ELECTRONIC DATA BASES
MEDLINE
HEALTH STAR
CHOCHRINE LIBRARY
NAT. GUIDELINES CLEARING HOUSE
AHRQ |
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Term
| WHAT IS INFORMATION LITERACY |
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Definition
THE ABILITY TO RECOGNIZE WHEN INFO IS NEEDED
LOCATE
EVALUATE
EFFECTIVELY USE INFO |
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Term
| level one ranking in reference material what criteria was met |
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Definition
randomized 80% follow up
inception cohort studies for prognostic info
systemic reviews of level 1 reports
MOST VALID |
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Term
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Definition
patient orientated outcomes. implies an association
not reliable evidence |
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Term
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Definition
less than 80n% f/u
nonrandomized
diagnostic studies w/out adeuate reference standards |
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Term
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Definition
| hormone replacement therapy was associated with reduced cardiiovascular events in large cohort studies but then shown not to be preventitive in randomized trials |
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Term
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Definition
not based on analyze or pt orientated outcomes
case series
case reports
expert opinion
conclusions extraploted indirectly from scientific studies |
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Term
| the weakness level of evidence |
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Definition
| opinions from authorities or reprts |
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Term
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Definition
the systemic review or meta analyze randomized controled
evidence based practice guidelines
SYSTEMIC
RANDOM
EVIDENCE BASE PRACTICE GUIDELINES |
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Term
| KNOWLDGE OF THE RESEARCH DESIGN AND STATS |
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Definition
| CRITICAL APPRAISAL WHAT DOES IT REQUIRE ? |
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Term
| WHAT ARE THE THREE BASIC QUESTIONS IN RESEARCH |
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Definition
IS IT WORTH LOOKING AT THE RESULTS, IS IT RELIABLE
WHat ARE THE RESULT
ARE THE RESULTS RELEVANT TO THE PATIENT |
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Term
| CARPERS 4 FUNCTIONAL OF KNOWING |
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Definition
EMPERICAL
ETHICS
PERSONAL
AESTHETIC |
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Term
| __________ KNOWING IS IDEAL FOR USE IN EVIDENCE BASED PRACTICE |
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Definition
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Term
| EMPERICAL KNOWING FOUSES ON |
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Definition
METHODS OF APPRAISING
APPLYING AVAILABLE DATA
RESEARCH TO UNDERSTAND
INFORM DECIISON MAKING |
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Term
| WHat are the limitations of evidence based practice |
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Definition
evidence
individual
health care system
nursing |
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Term
| methods of treatment transformed to |
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Definition
reflect clinical expertise
scientific evidence backed
pt's values and preferences
circumstanes |
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Term
| THE INTENT OF EBP IS TO IMPROVE PT OUTCOMES BY |
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Definition
EVALUATING AND TRACKING OUTCOMES' AND
VALIDATED BY REPORTS BY PATIENTS |
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Term
| THE ANCC DEVELOPED WHAT PROGRAM |
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Definition
| MAGNETIC RECOGNITION PROGRAM |
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Term
| WHAT IS THE PURPOSE OF MAGNETIC RECOGNITIONPROGRAM THAT WAS DEVELOPED BY ANCC |
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Definition
EXCELLENT PT OUTCOMES THROUGH APPLYING EXCELLENT PROACTIVE PT CARE
SETTING STANDARD IN PT CARE |
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