Difference between QI, EBP & Research

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  • Hi Jen. I wish the explanation were less than 50 words. You pose 2 good questions. Here's an attempt to provide a simple answer: QI can be a process -- a onetime event. Process improvement should become a way-of-life, a systematic way of doing things. Best practice should be based on some type of evidence. Look at Johns Hopkins EBP model for an in-depth understanding of EBP. http://www.hopkinsmedicine.org/institute_nursing/ebp/index.html
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  • Hi Yvonne. I like this presentation. How would you differentiate the differences between Quality improvement and process improvement? Also, how to describe best practices versus evidence based practice? Thanks for you advice. Jen
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  • Thanks Jclavo. I'm glad you found it useful. Many Hospital-based nurses are struggling with the differences among the three. Feel free to contact me at ywesley@earthlink.net if you have questions.
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  • Thanks for a well organized explanation of an often confusing set of topics
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  • This was great and easy to understand!
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Difference between QI, EBP & Research

  1. 1. QI, EBP & Research: Knowing the Difference<br />Yvonne Wesley RN PhD FAAN<br />RBMC, Faculty Liaison<br />2011<br />
  2. 2. Objective<br />Upon completion of this 90-minute session, participants will be able to:<br />Differentiate quality improvement, evidence based practice and research<br />Identify similarities and sources of confusion among quality improvement, evidence based practice and research<br />Compare essentials of quality improvement, evidence based practice and research<br />
  3. 3. Why We Do What We Do<br />
  4. 4. Differentiate Purpose<br />
  5. 5. Similarities<br />Scholarly Process<br />Method<br />Sample <br />Data Collection<br />IRB<br />Results<br />Implication<br />Dissemination of Results<br />
  6. 6. Sources of Confusion<br />Human Subjects<br />Amount of risk or benefit to participants<br />Confidentiality/Anonymity<br />Generalizability<br />Ability to get published. <br />
  7. 7. Comparison<br />Dimitroff, LJ. (2011, April). Comparing and contrasting nursing research, evidence-based practice, and quality improvement: a differential diagnosis. Capital District Nursing Research Alliance 7th Annual Conference<br />
  8. 8. Shirey MR, Hauck SL, Embree JL, Kinner TJ, Schaar GL, Phillips LA, Ashby SR, Swenty CF, McCool IA. (2011). Showcasing differences between quality improvement, evidence-based practice, and research. Journal of Continuing Education in Nursing, 42(2):57-70. <br />Hospitals pursuing Magnet designation must understand and respect the distinctions between QI, EBP, and research.<br />Do not confuse one approach for the other. <br />Hospitals should facilitate distinct, yet collaborative, venues to cultivate QI, EBP, and research initiatives<br />
  9. 9. QI/PI/TQI/CQI <br />The purpose of QI is to improve internal processes and practices within a specific patient group or organization<br />QI protocols are less formal and rigorous and may change throughout the course of a QI project.<br />Data collection in QI is usually rapid cycle and uses minimal to moderate time and resources.<br />Shirey et al. (2011). <br />
  10. 10. Evidence-Based Practice<br />The purpose of EBP is to evaluate evidence along a continuum to identify the strongest or best evidence to guide nursing practice within an organizational setting and with a specific patient population<br />EBP interventions are stricter and more prescriptive than QI protocols, yet they are not as strict as research protocols.<br />EBP data collection may not be rapid cycle and involves varying resources.<br />Shirey et al. (2011). <br />
  11. 11. Research<br />The purpose of research is to generate new knowledge within the broader scientific community to produce knowledge that is generalizable beyond the study sample<br />Research study generally have tight controls for extraneous variables to provide confidence that outcomes occur as a result of defined intervention and not chance<br />Research is not rapid cycle and involves the use of resources that may vary according to scope of the study<br />Shirey et al. (2011). <br />
  12. 12. Examples<br />Quality Improvement <br />Improving the discharge time of patients <br />Improving Documentation of Critical Lab Values <br />Reduce the time between when a provider writes an order (antibiotic) and when the patient receives the order <br />Decrease infections associated with central venous catheters <br />Improve patient satisfaction <br />Decrease pressure sores with the use of pressure dressings <br />The UAB Center for Nursing Excellence<br />University of Alabama at Birmingham Hospital<br />
  13. 13. Examples<br />Evidence Based Practice <br />Assessing the Standard for Chemotherapy induced nausea and vomiting <br />Listening to Bowel Sounds <br />Best Practice for Tracheotomy Dressing <br />Positioning in the OR to prevent pressure ulcers <br />Early Mobilization to prevent pneumonia <br />
  14. 14. Examples<br />Nursing Research <br />symptoms clusters of patients with congestive heart failure <br />if women delay reporting symptoms of heart attack more than men <br />if location from hospital impacts follow up treatment of breast cancer patients <br />quality of life outcomes in heart transplant patients from pre transplant to 5 years post transplant <br />The UAB Center for Nursing Excellence<br />
  15. 15. Summary<br />
  16. 16. Suggested Readings<br />Shirey MR, Hauck SL, Embree JL, Kinner TJ, Schaar GL, Phillips LA, Ashby SR, Swenty CF, McCool IA. (2011). Showcasing differences between quality improvement, evidence-based practice, and research. Journal of Continuing Education in Nursing, 42(2):57-70. <br />Dimitroff, LJ. (2011, April). Comparing and contrasting nursing research, evidence-based practice, and quality improvement: a differential diagnosis. Capital District Nursing Research Alliance 7th Annual Conference<br />Krugman, M. (2008). Is it research, evidence-based practice, or a quality improvement project? Journal for Nurses in Staff Development. 137-139.<br />Hedges C. (2006). Research, evidence-based practice, and quality improvement. AACN Advanced Critical Care, 17(4), 457-9.<br />Beyea, SC, & Slattery MJ(2006). Evidence-Based Practice in Nursing: A Guide to Successful Implementation ©2006 HCPro, Inc<br />

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