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Why is it critical to employ evidence based practice as a registered nurse?
- Clients are more informed of their medical health
- It guides nurses to structure how to make accurate, timely, and appropriate clinical decisions
- Using EBP allows the nurse to provide the best and most accepted care for their clients
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What are the steps involved in evidence based practice?
- Ask a clinical question
- Collect the most relevant and best evidence
- Critically appraise the evidence you gather
- Integrate all evidence with one's clinical knowledge and the patient's values & preferences
- Evaluate the practice decision or change
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What are the elements of PICO question and why is it important to use as many elements as possible when developing a clinical question?
- P = Pt population of interest - ID Pts by age, gender, ethnicity, and health problem
- I = Intervention of interest - What intervention is worthwhile to use in practice
- C = Comparison of interest - Usual standard of care
- O = Outcome - Desired results
- The more focused a question you ask, the easier it will be to search for evidence
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How can the nurse collect the best evidence to support practice?
- Search agency policy and procedural manuals, QI data, existing practice guidelines, and computerized bibliographical databases such as CINAHL or MEDLINE.
- Peer-reviewed articles have been reviewed by experts in the subject and hold more biases.
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When critiquing evidence what should the nurse do first?
- Evaluate the scientific merit and clinical acceptability of each study's findings.
- Then, with a group of studies and expert opinion deter one what findings have stung enough basis for use in practice.
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How does the nurse integrate evidence into practice?
- 1. Apply the research in your plan to care for a client
- 2. Use the evidence you find as rationale for an intervention you plan to try
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Once evidence is used in practice what methods could the nurse use to evaluate its effectiveness?
Study design, how the research was conducted, and the data analysis
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What is the importance of nursing research?
- Nursing is a profession.
- Nurses are accountable for interventions/outcomes.
- It is from consumer demands as well as being requirements of external agencies.
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What is quality improvement and how might it be utilized on a nursing unit?
- as an approach to the continuous study and improvement of the processes of providing health care services to meet the needs of patients and others & inform health care policy.
- Ongoing process designed to prevent problems and errors that would have adverse effects on patients
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