Evidence Based Practice in Nursing

evidence-based practice (EBP)

"The integration of best research evidence with clinical expertise and patient values"

Reliable Websites/Organizations

-Agency for Healthcare Research and Quality (AHRQ) -American Nurses Credentialing Center (ANCC) -Centers for Medicare and Medicaid -Centers for Disease Control and Prevention -Department of Health and Human Services (DHHS) -Food and Drug Administration (FDA) -Health Resources and Services Administration (HRSA) -National Council Licensure Examination

More reliable domains

.edu .org .gov

Which topics should you consider when determining whether a website can be trusted? Select all that apply. 1.Source 2.Privacy 3.Date of publication 4.Website traffic

1. source 2. privacy 3. date of publication

PICO

A standard used today to investigate evidence-based care in medicine and nursing P—patient, problem, or population (e.g., age, ethnicity, or gender, type of clinical problem) I—intervention (the types of clinical intervention) C—comparison (a comparison of interventions) O—outcome (the type of patient care outcome)

Best research evidence

Clinically relevant research. It includes outcomes and effectiveness patient care.

Five C's

Current Credible Content accurate Construction logical Clear information

Domain Suffixes

Edu Org Gov Net Com

True or false? All health-related websites can be trusted to provide reliable information?

False

True or false? When you are conducting research online it is important to know who funds the website you are viewing

False

True or False? An ezine article is subjected to a complex peer review process.

False Rationale: Ezine articles are written by reporters, who may or may not be nurses or persons with expertise in nursing. Scholarly articles undergo a peer review process.

True or False? Information literacy is a subset of health literacy.

False Rationale: Health literacy is a subset of information literacy.

True or False? Educational material should be written at least an eighth-grade level.

False Write at 5th grade level

How do you know if it is a quality source?

Five C's

Articles considered "out of date"

Greater than 5 years old

low health literacy

Important for discharge planning and patient education BE written at a 5th grade level BE clear and concise AVOID using medical jargon INCLUDE non written materials

Subjective data

Influenced by personal feelings or opinions ex: Patient states, "I feel sick...." Reports, Written Consultations,

Objective data

Observed, measurable, can only be what it is ex: Vital Signs, Lab Values, Rash, X-Ray

.org

Organization

Clinical expertise

The ability to use clinical skills and past experience to provide effective, appropriate patient care

Patient values

The unique preferences, concerns, and expectations that each patient brings to a clinical encounter that are used when making clinical decisions

True or False? Information technology skills involve three types of knowledge.

True Rationale: Three types of knowledge are necessary for information technology skills: -Current skills -Foundational concepts -Intellectual abilities

URL

Uniform Resource Locator

.com

commercial interprise

Information literacy requires...

critical thinking

.edu

educational institution

.gov

government

.net

network

Construction

•Easy to navigate the website? •Is it logical? •What about ads, pop-ups?

Content

•Referenced to current literature? •Is information peer reviewed? •Scientific information or testimonials? •Is there any commercial funding? •Are the links to reputable resources? •Can you validate the information provided? •Partial or full-text articles available?

Current

•When was the site last updated? •Is the material dated and revised frequently?

Credibility

•Who is responsible for the content of the website? •Who is the author/ What are their credentials? •Are they qualified on the topic?

Clarity

•Written for appropriate audience? •Any ambiguity? "Gray" areas? Bias? Opinions?

information literacy

-Awareness of need for information -Ability to find it -Ability to analyze its validity and relevance -Ability to interpret it for use

Quality information is...

-Current -Comprehensive -Precise -Clear -Accurate -Free from bias

Factors that affect online journals

-Perceptions that the quality of content is lower than that of printed journals -Bibliographical indexes still refuse to index these journals -Too many on web hard to distinguish what is valid and reliable information -Some believe that ONLY printed journals are peer reviewed -Unlike printed journals, which as the product of a publishing company, most online journals start with financial or organizational support.

Impact of healthcare professional's information literacy

-Requisite for using and generating nursing research. -Scientific foundation for practice used to promote health, prevent diseases, manage illness symptoms, and assist with care for persons receiving palliative care and at the end of life. -Synthesizing the results of a literature search is an important tool for improving the quality of patient care as well as the first step in any research study.

Teaching information literacy, one must have knowledge about...

-Specialized library databases with nursing literature citations -How to search the databases -How to appreciate and understand research articles

health literacy

-Subset of information literacy -Degree to which individuals have capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions

Purpose of scholarly nursing journals

-To communicate/share new ideas about a subject to which that journal is devoted -To report the results of research projects/ experiments

peer-reveiwed journal

-the journal editorial board are experts on the subject matter -they review for accuracy w/ writing and documentation

Standards for information literacy (5)

1."What question do I need to ask to assess a practice issue and where are the information resources?" 2."What is the problem I am trying to solve and what are the appropriate resources to use?" 3."How good is the information I found? Do I need to search for more?" 4.Using the information to address the clinical practice problem and sharing the findings with others. 5.Demonstrating awareness of the socioeconomic, ethical, and legal issues for access and use of the information.

Which nursing organization is striving to become a global source of information on evidenced-based practice (EBP) nursing? 1.National League of Nursing 2.American Nurses Association 3.Sigma Theta Tau International 4.American Academy of Pediatrics

3.Sigma Theta Tau International

Best Practice

a directive, evidence-based, and quality-focused concept which is used in the nursing literature within the educational, administrative, clinical and theoretical/conceptual domains.