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READ THE POWERPOINT AND ANSWER THE Q FROM U OWN WORD
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EVIDENCED BASED CARE
EVIDENCE-BASED CARE
Initially began in Canada
Evidence-based care
•
The process of providing clinically competent care that
is based on the best scientific evidence available
Includes all health disciplines
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IMPLEMENTATION OF EVIDENCE PRACTICE
Find a source of evidence-based content that is
developed using good research techniques
The evidence-based content itself must be
efficient for clinicians to use at the bedside
Integrate the evidence-based content into order
sets, plans of care, and documentation forms
THE ACE STAR MODEL OF KNOWLEDGE
TRANSFORMATION
Provides a framework for systematically putting
evidence-based practice into operation
Star points
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•
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Knowledge discovery
Evidence summary
Translation into practice recommendations
Integration into practice
Evaluation
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IMPORTANCE OF EBC
There is a lack of agreed-upon standards
or processes that are based on evidence
EBC is a process approach to collecting,
reviewing, interpreting, critiquing, and
evaluating research
Leads to a state-of-the-art integration of
knowledge and evidence that can be
evaluated and measured through
outcomes
Should be viewed as the highest level of
care
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NURSING AND EBC
The agency for Healthcare Research and Quality
(AHRQ) launched twelve evidence-based practice
centers
The initiative partnered with public and private
organizations to improve the quality,
effectiveness, and appropriateness of care
Nurses work with patients in deciding treatment
options
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ATTRIBUTES OF EBC
Need to define the meaning of evidence in
each health care agency
Use the term in daily practice
• Look for best evidence when evaluating new
goals and programs
•
Fundamental principles in EBC
Evidence alone is never sufficient to make a
clinical decision
• Evidence-based care involves a hierarchy of
evidence to guide decision making
•
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CHALLENGES FOR NURSES
Rapidly growing body of scientific literature
•
No unaided human being can read, recall, and act
effectively on the volume of material
Literature is not in a form that is suitable for
application to practice
•
Needs to be evaluated and transformed in order to be
useful
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CONDUCTING EVIDENCE REPORTS
IN NURSING
Select problem
Review the evidence
Summarize the evidence
Report results
Make recommendations for potential clinical
applications
Implement agreed-upon practice changes
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PROMOTING EVIDENCE-BASED
BEST PRACTICES
The U.S. health care system does not have
uniform definitions of what constitutes efficient,
effective, quality health care
It is difficult to get all clinical health care
providers to apply EBC processes at the unit
level
EBC processes must be uniform enough to be
valid, but also adaptable to specific needs of
institutions
EBC requires involvement of and collaboration
between clinical practitioners and health care
researchers
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Best Practice: In Class Discussion #2
Name: ______________________________________________________________________________
Throughout your education, evidence based practice principles have been utilized, from your core
nursing classes, to research. It has been written in literature however that “some clients who are ill get
well despite nursing care, not as a result of nursing care.”
Please briefly answer the following questions.
1. Does the quality of nursing care have an impact on client outcomes?
2. Do you feel that quality nursing care can make a difference in client’s lives?
3. Identify 5 criteria based on evidence based practice, experience, and prior learning that you would
use to define “quality nursing care”. These criteria should reflect what you believe that nurses do that
makes a difference.
1.____________________________________________________________________________
2.____________________________________________________________________________
3.____________________________________________________________________________
4.____________________________________________________________________________
5.____________________________________________________________________________
4. How does best practice impact our current and future practice?
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
5. What are some methods of best practice principles that you have utilized?
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
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