Evidence Based Nursing Practice question well answered rated A+

Evidence Based Nursing Practice Research Utilization (RU) - correct answer - Use of study findings in a practical application unrelated to the original research. - Instrumental (direct) - Conceptual (indirect) - Persuasive (symbolic) Evidence Based Practice (EBP) - correct answer - Based clinical decisions on best possible evidence typically high quality research. - Use of best evidence unmaking patient care decisions. Research Utilization (RU): Instrumental - correct answer - Direct - Explicit application of knowledge gained from research to a practice. Research Utilization (RU): Conceptual - correct answer - Indirect - Use of findings to enhance one's understanding of a problem or issue in nursing. Research Utilization (RU): Persuasive - correct answer - Symbolic - Use of evidence to change minds, especially decision makers. RU Beginnings - correct answer - 1970s research begins to be incorporated in nursing curricula. - 1970s WICHE Western Interstate Commission for Higher Education. - 6 year project to address feasibility of fostering research through regional collaborations. - First major project addressing RU. - Findings: resulted in increase in RU, but not enough sounds, reliable studies with implications for nursing care. - 1970s CURN: Conduct and Utilization of Research in Nursing project (run by MNA, funded by Division of Nursing). - Major objective -- increase use of research findings in clinical nursing practice by: disseminating current findings, facilitating organizational changes, encouraging collaborative research. - Must have relevance to practice and be widely disseminated. Steps of Research Utilization Similarities to Nursing Process - correct answer (ADPIE) - Identification of clinical problem (D). - Gathering information form existing studies, critical evaluation of research (A). - Relevance to practice setting/patient population (P), definition of patient outcomes (P). - Education/training (protocol) needed for change (I). - Evaluation/follow-up of new practice (E). RU 1980s-1990s - correct answer - 1980s and 1990s RU generally at institutional level, innovation effectiveness evaluation. - 1990s push for EBP. Cochrane Collaboration - correct answer - Archie Cochrane - Systematic way to evaluate evidence. - Dissemination of evidence. - Evidence hierarchy. EBM (Evidence Based Medicine) - correct answer David Sackett, McMaster Medical School EBP Initiatives - correct answer - Institute of medicine's Roundtable on EBM. - US Preventative Services Task Force (USPSTF). - Agency for Healthcare Research and Quality (AHRQ). - Nation Consortium for the Advancement of pEdiatric and Adolescent Evidence Based Practice (NCPAEP). - Magnet Recognition Program by the American Nurses Credentialing Center.