Evidence Based Practice: Exam 4

what kind of planning will you need to before a podium/oral presentation?

-length and format of the presentation -content to be addressed -expectations -handouts

what do you need to plan for with a poster presentation?

-poster creation -printing -transportation

what 3 things are used in change models?

1. best external evidence 2. clinical expertise 3. patient preferences and values

what should a moderator do during a panel presentation? (5 things)

1. brief introduction of each panelist and their expertise or experience with the evidence based topic 2. select audience members who have questions to ask of panelists 3. repeat questions (or have panelists do it) for the audiences benefit 4.remind the audience members or panelists of time constraints if too much time is used 5. redirect the panelists comments as needed to ensure that one or 2 panelists do not dominate the session

what are 2 disadvantages of webinars, podcasts, and videocasts?

1. every user may or may not have the technology hardware or software or experience to use it 2. unless the interactive feature is integrated into the podcast, the learning is primarily a passive instruction approach

what are 4 benefits of change models?

1. help us organize our thinking about EBP 2. help us to understand how various aspects of EBP work together to improve care and outcomes 3. guide and design implementation approaches 4. help guide practitioners to implement EBP into practice

what are the 7 common characteristics across change models?

1. identify a problem that needs addressing 2. identify stakeholders (change agents) that will help make the change in practice happen -change agents: individual most likely to assist in promoting a change in practice - change agents are ALWAYS stakeholders, but stakeholder are NOT ALWAYS change agents 3. identify a practice change known to be effective by high quality research designed to address the problem 4. identify, and, if possible address potential barriers 5. use effective strategies to disseminate info about the change to those who will be implementing it 6. implement the change 7. identify activities to help sustain the change

what are the steps of the iowa model? (7)

1. identify triggering issues/opportunities 2. state the question or purpose is this topic a priority? 3. form a team 4. assemble, appraise, and synthesize body of evidence is there sufficient evidence? 5. design and pilot the practice change is change appropriate for adoption in practice? 6. identify and sustain the practice change 7. disseminate the results

what should a moderator do before the panel? (4 things)

1. prepare an overview of the panel's purpose, brief biographical introductions of panelists, and their evidence-based topic 2. speak with panelists individually to obtain information about their presentation and expertise 3. exchange logistic info 4. assure that panelists remarks meet the session

what are 2 advantages of webinars. podcasts, and videocasts?

1. simple to access 2. can be downloaded and archived for later conveniance

Which of the following areas is the least important to address when choosing a journal for a manuscript submission? A.The readership profile of the journal B.Whether the article will have an accompanying commentary C.The lag time between manuscript acceptance and its publication D.The average length of time it takes for peer review

B. Whether the article will have an accompanying commentary Rationale: The readership profile is important to know, as this will determine whether there is a good "fit" between journal and manuscript. Turnaround times for review and between acceptance and publication are important, as clinically relevant research results should be disseminated as quickly as possible to support practice changes. If the manuscript submitted is well supported by evidence and/or has a sound research design, then whether or not a commentary will accompany it should not matter.

There are many opportunities to disseminate your work through various media. Which of the following is likely to reach the largest audience? A.Podium presentation at a large conference B.Poster presentation at a large conference C.Publication in a peer-reviewed journal D.News story

C. Publication in a peer-reviewed journal Rationale: Although presentations at large conferences (both podium and poster) and having the news do a story on your work are exciting and offer opportunity to reach a large audience, publication in a peer-reviewed journal provides you the best opportunity to disseminate to the largest audience for many years to come.

Which of these strategies is the best advice to podium speakers who are using slide presentations? A.Use several different fonts and font sizes throughout the presentation B.Present as much written material as possible on each slide C.Vary the slide background from slide to slide D.Change slides not less than every 30 seconds

D. Change slides not less than every 30 seconds Rationale: Changing slides faster than every 30 seconds does not give the audience an opportunity to process the content. Alternately, presenting too much content on one slide usually means that font size needs to decrease and less white space is seen, which makes reading difficult. Varying slide backgrounds and font types and sizes between slides is distracting to audiences.

Evidentialism is the process by which an evidence-based clinical decision is reached solely on external evidence. True or false?

False: Rationale: Evidentialism is the framework for understanding how research evidence can be combined through the practitioner's expertise with patients' concerns, history, family and cultural context, and disease trajectory to develop an evidence-based plan of care.

Which of these would be an example of shared decision making (SDM)? A.The nurse brings discharge instructions to the patient that is being discharged from the urgent care. B.Hospitalized patients are provided with a menu allowing them to choose what they would like to eat for each of the day's meals. C.The nurse midwife sits down with the expecting couple and holds a conversation about what to expect during labor and delivery, answers all questions, and crafts a birth plan with them. D.The pharmacists asks if the patient has any questions when they go to the retail pharmacy to pick up their prescriptions.

The nurse midwife sits down with the expecting couple and holds a conversation about what to expect during labor and delivery, answers all questions, and crafts a birth plan with them. Rationale: Answers A, B, and D reflect a paradigm in which patients/families cannot understand or are not able to participate in decisions about health care. Berwick's statements contradict these paternalistic assumptions about health care consumers.

what is the goal of shared decision making?

achieving best outcomes and empowering patients and their families

what is a webinar?

an interactive synchronous online presentation that allows participants to ask questions or make comments

before a podium or an oral presentation, you will need to _________________ your audience: who are they, whats their background, how many?

analyze

what is a podcast?

digital audiofile made available on the internet for downloading to the computer or mobile device, typically available as a series that can be received by subscribers automatically

what kind of "consultation" is a brief consultation, on the ground and occur informally between colleagues in the HALLWAY?

hallway consultations

what is evidentialism?

is a framework for understanding how research evidence and patients concerns, history, family and cultural context and disease trajectory are used in a decision making process by clinicians to determine an evidence based plan of care

what are 6 organizational barriers to implementing EBP?

lack of interest, lack of motivation, lack of leadership support for EBP, lack of vision, lack of strategy, lack of direction among managers

should the panelists look at other panelists when responding to his or her comments?

no- speak directly to the audience

what is a video-cast?

online delivery of a video on demand, video clip content

what kind of presentation... -is usually made up of a moderator and panelists -helps to share different perspectives on the topic -is an effective way to disseminate information/experiences/perspectives from various professions and clinical sites -and can be both formal and informal

panel presentation

What kind of presentation... -allows for more interaction between the presenter and the audience -are usually displayed for longer periods of time -are less intimidating for presenters -and are better for visual learners

poster presentation

what kind of presentation... -is an informal way to disseminate information to small groups -are typically 6-12 people -have a conversational atmosphere -allow for a group discussion about practical application of content -need for a suitable room - and use printed handouts if necessary

roundtable

what is 2 -way communication that brings the patients voice together with the clinicians voice to make mutually clinical decisions, and includes the use of common language that fosters engagement?

shared decision making

change agents are always _______________________, but not all _________________________ are change agents

stakeholders

webinars and podcasts/videocasts are used to communicate information to a ________________ audience

targeted

before a podium or oral presentation, you'll need to assess the _____________________ capabilities/resources: AV equipment, recording, internet access, microphones, teach support?

technology