Nursing Research Council © 2008 ABC's of EBP

830 views
788 views

Published on

1 Comment
0 Likes
Statistics
Notes
  • helpful website help others. This website has practice exams for various nursing classes as well as videos, presentations, notes, nclex help, and many other tools that already are helping me. Hope they help


    http://www.rnpedia.com/
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • Be the first to like this

No Downloads
Views
Total views
830
On SlideShare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
18
Comments
1
Likes
0
Embeds 0
No embeds

No notes for slide

Nursing Research Council © 2008 ABC's of EBP

  1. 1. Nursing Research Council © 2008 ABC’s of EBP Easy Exchanges in Evidence Based Practice Education Session IV: February 2008
  2. 2. Nursing Research Council © 2008 Using Evidence Based Resources
  3. 3. Nursing Research Council © 2008 Steps in Evidence Based Practice 1. Ask the burning clinical question. 2. Collect the most relevant and best evidence. 3. Critically appraise and synthesize the evidence. 4. Integrate all evidence with one's clinical expertise, patient preferences and values 5. Evaluate the practice decision or change
  4. 4. Nursing Research Council © 2008 Using PICO  PPatient/population of interest • Particular characteristic (e.g., age; special subgroup) • Setting  IIntervention of interest • Define • Focus search  CComparison of interest • Another treatment • Usual standard of care  OOutcome of interest • May be more than one!
  5. 5. Nursing Research Council © 2008 In elders with hip replacement, is a combination of low molecular-weight heparin and pneumatic compression more effective in reducing the incidence of deep vein thrombosis than pneumatic compression therapy alone? Clinical Question
  6. 6. Clinical Question P = I = C = O = Elders w/ hip replacement LMW Heparin + Pneumatic Compression Pneumatic Compression  Incidence of DVT In elders with hip replacement, is a combination of low molecular-weight heparin and pneumatic compression more effective in reducing the incidence of deep vein thrombosis than pneumatic compression therapy alone? Nursing Research Council © 2008
  7. 7. Evidence Based Resources Regular vs. Premium Databases (CINAHL, MEDLINE/PubMed:  Cover a broad range of the nursing and medical literature. Some of this is research/evidence based, but not all. Evidence Based Resources – Value-Added:  Offer a synthesis or summary of the current evidence  Evaluate the quality of the research  Make recommendations for practice Nursing Research Council © 2008
  8. 8. Nursing Research Council © 2008 Steps in Evidence Based Practice 1. Ask the burning clinical question. 2. Collect the most relevant and best evidence. 3. Critically appraise and synthesize the evidence. 4. Integrate all evidence with one's clinical expertise, patient preferences and values 5. Evaluate the practice decision or change
  9. 9. Evidence Based Resources  Available through Miner Online Cochrane Database of Systematic Reviews Essential Evidence Plus Best Evidence UpToDate & PIER Journals that summarize primary research, including: • Evidence Based Medicine (ACP Journal Club) • Evidence-Based Nursing • Evidence-based Complementary & Alternative Medicine Nursing Research Council © 2008
  10. 10. Evidence Based Resources  Available on the Internet – Free! National Guidelines Clearinghouse Health Services Technology/Assessment Texts • AHRQ’s Evidence Reports • Guide to Clinical Preventive Services Briggs Institute for Evidence Based Nursing RNAO Clinical Practice Guidelines NYS Dept. of Health - Clinical Guidelines National Institutes of Health • Use the search box to look for "practice guidelines" or "clinical guidelines." Nursing Research Council © 2008
  11. 11. Evidence Based Resources  Professional & Other Organizations (Fee) AACN (Am. Assoc. of Critical-Care Nurses) • Links to standards of care and other clinical practice information. Includes both free and "member-only" information, as well as links for purchasing published standards. AWHONN (Association of Women's Health, Obste • Includes a list of the AWHONN-published evidence-based practice guidelines which are available for purchase. Summaries of the guidelines are available through the NGC by searching on "AWHONN." Oncology Nursing Society • Includes information on evidence-based practice, as well as the Evidence-Based Resource Area, intended to: "provide nurses with a guide to identify, critically appraise and use evidence to solve clinical problems" and to "assist nurses...in developing evidence- based practice protocols." Nursing Research Council © 2008
  12. 12. Nursing Research Council © 2008 ABCs of EBP Easy Exchanges on Evidence Based Practice Session V: Integrating Evidence into Practice Tuesday, March 25, 2008 7:45 a.m. & 2 p.m.

×