N 255 Evidence Based Practice lecture:EBP and PICO questions - Essay Prowess

N 255 Evidence Based Practice lecture:EBP and PICO questions

N 255 Evidence Based Practice lecture:EBP and PICO questions

EBP and PICO questions

Evidence-based Practice (California State University Chico)

N 255 Evidence Based Practice lecture

EBP: problem solving approach to clinical decision-making it facilitates:

  1. effective care
  2. equitable care
  3. patient/family centered care
  4. safe care
  5. timely care Why is EBP important?
  • It helps to speed up the transition from research to practice—avoidance of

“Knowledge Creep”

  • the slow process of getting research ideas into practice
  • Decreases the variations in patient care across
  • Improvement in patient outcomes when nurses use interventions based on evidence versus standard care

Three elements to EBP

EBP uses the best available evidence from

  1. research
  2. nursing expertise
  3. patient preference

these need to within the context of available resources

  • available resources: how to weigh the benefits, harm, and cost of providing care (limited health care dollars)

Nursing tradition vs nursing clinical expertise

  • tradition: doing what you always do for no other reason than habit
  • expertise: being able to tell others what you know, thinking about what you know and asking others to critique what you know

7 essential features of the professional nursing (ANA standards)

  1. Provision of a caring relationship that facilitates health and healing
  2. Attention to range of human experiences & response to health & illness within social environments
  3. Integration of assessment data with knowledge gained from an appreciation of the patient
  4. Application of scientific knowledge to the process of diagnosis and treatment through the use of judgment and critical thinking
  5. Advancement of professional nursing knowledge through scholarly inquiry
  6. Influence on social & public policy to promote social justice
  7. Assurance of safe, quality, and evidence-based practice Application to EBP
  8. Honoring the patient preferences & values in shared decision making
  9. Determining the applicability of evidence to an individual patient & his/her context
  10. Gathering individual or local data & situating them with evidence from the research gr

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