Question: What are the learning outcomes for EBP?

Answer: 1. Describe EBP to include the components of research evidence, clinical expertise, and patient preference and values.

2. Determine valid reasons for modifying evidence-based clinical practice based on patient values. (QSEN)

3. Demonstrate the ability to individualize patient care based on scientific rationale, evidence & patient values.

4. Select a reliable/credible source when accessing evidence-based information.

5. Relate the concept of EBP to the concepts of clinical decision making & caring.

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Question: What are the 3 components to EBP?

Answer: 1. Clinical Expertise

2. Best Research Evidence

3. Patient Values & Preferences

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Question: How does QSEN define EBP?

Answer: The best current evidence with the expertise of the clinician and the patients values and preference’s to make a clinical decision about health care

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Question: EBP is a collaborative process and invloves who?

Answer: all members of the HC team the patient and their loved ones

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Question: How do you ask a clinical question

Answer: ▪︎Always question what doesn’t make sense

▪︎Always question what needs to be clarified

▪︎Use problem and knowledge focused triggers to think critically about clinical and operational issues on your nursing unit

▪︎A knowledge focused trigger is a question regarding new information available on a topic

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Question: What does PICOT stand for?

Answer: P: population of interest

I: Intervention of interest

C: Comparison Interest

O: Outcome

T: Time

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Question: Collecting the best evidence

Answer: ▪︎Once you have a clear question you are ready to search for evidence

▪︎Use a variety of creatable sources

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Question: Hierarchy of evidence

Answer: Evidence is most commonly gathered from external sources

-Peer-reviewed journal articles

Evidence, including peer-reviewed journal articles, must be critically appraised

When evaluating the credibility of a source use the 6 criteria for websites

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Question: Critically appraise the evidence

Answer: Published within the last 5 years

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Question: What is considered current in the world of reaseach?

Answer: ▪︎This can be one of the most exciting parts of the process as you have done most of the difficult parts to get to this point

▪︎This is the step when you as the RN will develop a protocol & implement it

▪︎The process of implantation needs to be systematic, charred, and consistent

▪︎All those involved need to be 100% on board with the implantation of the new EBP idea or there will be no clear outcome to support the new intervention

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Question: Integrate the evidence

Answer: ▪︎Requires valid & reliable measurement tools

-How well does the intervention work?

-How effective was the clinical

decision for your patient or practice

▪︎Never implement a practice change without evaluating its effect

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Question: Evaluating Outcomes

Answer: ▪︎Patient preference is fundamental to the EBP process

**These are the unique values,

concerns & expectations each person

brings to the clinical encounter

▪︎Patient preferences must be integrated

into clinical decisions, if they’re to

serve the patient

▪︎Patients have the right to participate in

their health care decisions

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Question: Patient preferences & values

Answer: The patients themselves

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Question: Providers are ethically obligated to involve who? In the decision-making process

Answer: Patient centered care is defined as the recognition that the patient (or designee) is the source of control and full partner in providing compassionate and coordinated care based on respect for patient preferences, values & needs

▪︎The 3 cornerstones are integrated

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Question: What is QSEN’s deification of patient-centered care?

Answer: through incorporating patient preferences

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Question: How are EBP & patient-centered care linked?

Answer: Never!

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