TEST BANK For Evidence-Based Practice in Nursing & Healthcare A Guide to Best Practice 5th Edition by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt, Chapters 1 - 23, Complete Newest Version
Evidence-Based Practice in Nursing & Healthcare A Guide to Best Practice 5th Edition
Test Bank For Evidence-Based Practice in Nursing & Healthcare A Guide to Best Practice 5th Edition by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt Chapter 1 - 23 Complet
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Test Bank For Evidence-Based Practice in Nursing &
Healthcare 4th Edition by Bernadette Mazurek Melnyk; Ellen
Fineout-Overholt
Research Utilization (RU) - ANSWER: - Use of study findings in a practical application
unrelated to the original research.
- Instrumental (direct)
- Conceptual (indirect)
- Persuasive (symbolic)
Evidence Based Practice (EBP) - ANSWER: - Based clinical decisions on best possible
evidence typically high quality research.
- Use of best evidence unmaking patient care decisions.
Research Utilization (RU): Instrumental - ANSWER: - Direct
- Explicit application of knowledge gained from research to a practice.
Research Utilization (RU): Conceptual - ANSWER: - Indirect
- Use of findings to enhance one's understanding of a problem or issue in nursing.
Research Utilization (RU): Persuasive - ANSWER: - Symbolic
- Use of evidence to change minds, especially decision makers.
RU Beginnings - ANSWER: - 1970s research begins to be incorporated in nursing
curricula.
- 1970s WICHE Western Interstate Commission for Higher Education.
- 6 year project to address feasibility of fostering research through regional
collaborations.
- First major project addressing RU.
- Findings: resulted in increase in RU, but not enough sounds, reliable studies with
implications for nursing care.
- 1970s CURN: Conduct and Utilization of Research in Nursing project (run by MNA,
funded by Division of Nursing).
- Major objective --> increase use of research findings in clinical nursing practice by:
disseminating current findings, facilitating organizational changes, encouraging
collaborative research.
- Must have relevance to practice and be widely disseminated.
Steps of Research Utilization Similarities to Nursing Process - ANSWER: (ADPIE)
- Identification of clinical problem (D).
- Gathering information form existing studies, critical evaluation of research (A).
- Relevance to practice setting/patient population (P), definition of patient outcomes
(P).
- Education/training (protocol) needed for change (I).
, - Evaluation/follow-up of new practice (E).
RU 1980s-1990s - ANSWER: - 1980s and 1990s RU generally at institutional level,
innovation effectiveness evaluation.
- 1990s push for EBP.
Cochrane Collaboration - ANSWER: - Archie Cochrane
- Systematic way to evaluate evidence.
- Dissemination of evidence.
- Evidence hierarchy.
EBM (Evidence Based Medicine) - ANSWER: David Sackett, McMaster Medical School
EBP Initiatives - ANSWER: - Institute of medicine's Roundtable on EBM.
- US Preventative Services Task Force (USPSTF).
- Agency for Healthcare Research and Quality (AHRQ).
- Nation Consortium for the Advancement of pEdiatric and Adolescent Evidence
Based Practice (NCPAEP).
- Magnet Recognition Program by the American Nurses Credentialing Center.
Evidence Based Practice - ANSWER: - A life-long problem-solving approach to clinical
practice that integrates...
- Search, critical appraisal, and synthesis of the most relevant and best research
*(external evidence).*
- One's own clinical expertise, which includes *internal evidence* generated from
outcomes management or quality improvement projects, patient assessment, and
evaluation.
- Patient preferences and values.
Evidence Based Medicine/Evidence Based Practice - ANSWER: - Distinct
- Not just RCT's
- Evidence hierarchies
- Philosophical differences
EBP Continuum - ANSWER: - Nurses actively doing research
- Assisting researchers, collecting information.
- Participate in journal club.
- Informed readers, up to date practice.
EBNP - ANSWER: - Best evidence: findings of quantitative research studies.
- Clinical expertise: expert panels; consensus statements; practice groups;
practitioner experience.
- Patient preferences: satisfaction; QOL; treatment burden; Qualitative studies.
Research Process - ANSWER: - Problem identification
- Conduct research
- Follow steps of research process.
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