developing an evidence-based practice

Question 1

evidence-based practice

Answer 1

• conscientious and judicious use of current best evidence in conjunction with clinical expertise and patient values to guide health care decisions
• encompasses research utilization but also case reports and expert opinion
• validates current practice, changes in practice, cost-effectiveness and quality of care
• high-quality
• cost-effective
• outcomes

Question 2

dissemination activities

Answer 2

• publications, consultations, conferences, and training programs
• the process of sharing research findings with stakeholders and wider audiences

Question 3

research utilization

Answer 3

• implementing findings from a research study into actual nursing practice
• you can’t always rely on just one study
• can take years before validated for standard practice
  categorized into three subsets:
• conceptual
• instrumental
• persuasive

Question 4

conceptual utilization

Answer 4

aka indirect utilization
- influences nurses thinking but not the action
- increases knowledge base and gives us more complete picture
- draw on this knowledge when making clinical decisions
- changes general approach to patients but no specific interventions
- qualitative

Question 5

instrumental utilization

Answer 5

aka direct utilization
- concrete application of research findings
- use a particular study to alter nursing interventions
-specific nursing actions are implemented, changed or stopped due to research findings
- may even lead to change in protocol

Question 6

persuasive utilization

Answer 6

aka symbolic utilization
- research findings are used as a tool to advocate for a certain practice or intervention
- might be used informally to convince colleagues to alter their clinical practice
- might be used formally to persuade an organization or institution to change a policy, procedure or practice

Question 7

EBP models

Answer 7

include
- synthesis of the evidence
- implementation of the evidence
- evaluation of the impact on client care
- consideration of the context where evidence is implemented