spirit of inquiry
ongoing curiosity about best evidence to guide clinical decision making
step zero
continual cultivation of a spirit of inquiry
what are the 6 steps of evidence-based practice?
- ask clinical questions in PICOT format
- search for the best evidence
- critically appraise the evidence
- integrate the evidence with clinical evidence and pt preferences and values
- evaluate the outcomes of the practice decisions or changes based on evidence
- disseminate EBP results
rapid critical appraisal uses 3 important questions to evaluate a study’s worth
- are the results of the study valid?
- what are the results and are they important?
- will the results help me care for my patients?
foreground questions
questions that are specific and relevant to the clinical issue; they have to be asked in order to determine which of 2 interventions is most effective in improving pt outcomes
background questions
broader and when answered, provide general knowledge
-may begin with what or when
which components of PICOT are important?
P I O
what is the first step to quality improvement?
quality assurance
what is the major difference between QA and QI?
QI moves findings from QA into action
what type of sampling does correlational and experimental research?
random sampling
quasi-experimental research uses what type of sampling?
use of a convenience or accidental sample
pilot study
trial run of the research (identifies problems)
what are the 4 main designs for quantitative research?
descriptive, experimental, correlational, quasi-experimental
problem-focused triggers
those identified by staff through QI, risk surveillance, benchmarking data, financial data, or recurrent clinical problems (Ex. incidence of central line occlusion in oncology patients)
knowledge-focused triggers
ideas generated when staff read research, go to conferences, etc. (Ex. prevention of nosocomial pressure ulcers)
schemas for grading evidence - what 2 important areas are essential?
- quality of evidence
2. strength of the body of evidence
