Evidence Based Nursing Practice Midterm Practice II

Establish formal implementation teams

Education alone

Build excitement

Disseminate evidence

Develop clinical tools

Pilot test the practice change

Preserve energy sources

Choose a timeline carefully

Celebrate success along the way

Provide incentives such as pay increases and more paid time off.

Cognitive behavior therapy

Dialectical behavioral theory

Humanism

Putting people in a Skinner box and rewarding them with treats when they display the correct behavior and using electrical shocks when they display the incorrect behavior.

Managing the soul crushing defeat you feel when the outcome on your test is not what you expected.

A technology of patient experience designed to help patients, payers, and providers make rational medical care-related choices based on better insight into the effect of these choices on patient life

Helping families make hard choices based on the outcomes of their loved ones care.

The application of the principles of physics and materials science for analysis, design and manufacturing.

The study of ghosts and other specters.

viewing human “lived experience” as a text that is to be understood through the interpreter’s dialogical engagement

Purpose is to generate theory about how people deal with life situations that is “grounded” in empirical data

the study of essences (meaning structures) intuited or grasped through descriptions of lived experience

A study of an intervention in which subjects are prospectively followed over time; there are treatment and control groups; subjects are randomly assigned to the two groups; and both the subjects and the investigators are "blind" to the assignments.

A prospective study in which an intervention is made and the results of that intervention are tracked longitudinally. Does not meet standards for a randomized clinical trial

A qualitative review and discussion of previously published literature without a quantitative synthesis of the data

A study in which a group of patients is identified in the present and information about them is pursued retrospectively or backward in time.

Nominal

Ratio

Ordinal

Interval

descriptive, low-level data

similar to interval level, but with a true zero point

numeric values with fixed values separating each point

ranking data from lowest to highest

Environmental changes

Professional expertise

Outcome measures

Patient-centered quality care

A study in which subjects are prospectively followed over time without any specific intervention.

A study in which a group of patients is identified in the present and information about them is pursued retrospectively or backward in time.

A study of an intervention in which subjects are prospectively followed over time; there are treatment and control groups; subjects are randomly assigned to the two groups; and both the subjects and the investigators are "blind" to the assignments.

A structured analytic review of existing data, (e.g., a meta-analysis or a decision analysis)

Numeric values, with a true zero, with fixed values separating each point.

descriptive, low-level data

ranking data from lowest to highest

numeric values with fixed values separating each point

True

False

Start with a practice question or "triggers"

Implement and evaluate change in practice

Integrate and maintain change in practices

Critically analyze the evidence

Locate the best evidence

Assess the need for change in practice

Design practice change

PsychInfo

EBSCO

CINAHL

PubMed

The Change Curve Model

The Transtheoretical Model of Health Behavior Change

Diffusion of Innovations Model

Kotter and Cohen’s Model of Change

Demonstrated by a research process that is carefully documented to provide evidence of how conclusions were reached and whether, under similar conditions, a researcher might expect to obtain similar findings. Parallels reliability.

Demonstrated by providing substantiation that findings are grounded in the data. Parallels objectivity.

Demonstrated by accuracy and validity that is assured through documentation. Parallels internal validity.

Demonstrated by information that is sufficient for a research consumer to determine whether findings are meaningful to other people in similar situations. Parallels external validity.

A study of an intervention in which subjects are prospectively followed over time; there are treatment and control groups; subjects are randomly assigned to the two groups; and both the subjects and the investigators are "blind" to the assignments.

A study in which a group of patients is identified in the present and information about them is pursued retrospectively or backward in time.

A structured analytic review of existing data, (e.g., a meta-analysis or a decision analysis)

A study in which subjects are prospectively followed over time without any specific intervention.

Publishing the findings that result from implementation

Disseminating the results of the practice change

Evaluating the outcomes of the change in practice

Implementing a change in practice based on evidence

Demonstrated by information that is sufficient for a research consumer to determine whether findings are meaningful to other people in similar situations. It parallels external validity

Demonstrated by a research process that is carefully documented to provide evidence of how conclusions were reached and whether, under similar conditions, a researcher might expect to obtain similar findings. It parallels reliability

Demonstrated by accuracy and validity that is assured through documentation and is roughly parallel to internal validity in quantitative appraisal.

the conversion of one chemical element or isotope into another.

D Personality styles: Drivers

S Personality styles: Supportive and Steady

I Personality styles: Inspired

C Personality styles: Contemplators

numeric values with fixed values separating each point

similar to interval level, but with a true zero point

descriptive, low-level data

ranking data from lowest to highest

A study in which a group of patients is identified in the present and information about them is pursued retrospectively or backward in time.

A prospective study in which an intervention is made and the results of that intervention are tracked longitudinally. Does not meet standards for a randomized clinical trial

A study of an intervention in which subjects are prospectively followed over time; there are treatment and control groups; subjects are randomly assigned to the two groups; and both the subjects and the investigators are "blind" to the assignments.

A study in which subjects are prospectively followed over time without any specific intervention.

True

False

Delineate the THREATS or barriers to the projects completion with strategies to overcome them.

Identify the STAFF members who are determined to implement an initiative.

Identify the CHALLENGES in the system that may hinder the initiative.

Outline OPPORTUNITIES for success.

Identify current STRENGTHS

A: Affordable

A: Attainable

S: Specific

M: Measurable

R: Relevant

T: Time Bound

True

False

Credibility

Transferability

Confirmability

Dependability

a set of philosophical and religious beliefs[1] based primarily upon the pseudepigraphical writings attributed to Hermes Trismegistus.

Purpose is to generate theory about how people deal with life situations that is “grounded” in empirical data

viewing human “lived experience” as a text that is to be understood through the interpreter’s dialogical engagement

the study of essences (meaning structures) intuited or grasped through descriptions of lived experience

Assimilation

Implementation

Stagnation

Fruition

Determination

Preparation

The education level of the nurses who will implement the guideline

The strength of the evidence that underlies the guideline

The validity of the process that was used to develop the guideline

The commitment of the caregivers who will put the guideline into practice

Rules developed by the Joint commission that limit the number of hours a nurse can work in a week.

Systematically developed statements based on the best available evidence.

Rules developed by the ANA that dictate nurse compensation.

Protocols developed by a single practitioner based on his/her interactions with patients.

A study of an intervention in which subjects are prospectively followed over time; there are treatment and control groups; subjects are randomly assigned to the two groups; and both the subjects and the investigators are "blind" to the assignments.

A study in which a group of patients is identified in the present and information about them is pursued retrospectively or backward in time.

A study in which subjects are prospectively followed over time without any specific intervention.

A structured analytic review of existing data, (e.g., a meta-analysis or a decision analysis)

The Clinical Scholar Model

The ARCC model

The model for evidence-based Practice change

The Iowa model

Disseminate the evidence that underlies the change

Bring in EBP experts to speak to staff members

Organize discussions and meetings with EBP mentors

Remind staff of their obligation to provide optimal care

True

False

True

False

demonstrated by accuracy and validity that is assured through documentation. It is roughly parallel to internal validity in quantitative appraisal.

Demonstrated by information that is sufficient for a research consumer to determine whether findings are meaningful to other people in similar situations. Parallels external validity.

Demonstrated by a research process that is carefully documented to provide evidence of how conclusions were reached and whether, under similar conditions, a researcher might expect to obtain similar findings. Parallels reliability.

Demonstrated by the title and degree of the researcher.

Increase a sense of urgency

Build the guiding team

Create short-term wins

Make the change stick

Empower action and remove barriers

Crush the opposition

Don't let up

Communicate for "buy in"

Get the vision right

True

False

Evaluation

Preparation

Comparative evaluation/decision making

Assessment

Translation/application

Validation

True

False

Demonstrated by information that is sufficient for a research consumer to determine whether findings are meaningful to other people in similar situations. Parallels external validity.

Demonstrated by accuracy and validity that is assured through documentation and is roughly parallel to internal validity in quantitative appraisal.

Demonstrated by a research process that is carefully documented to provide evidence of how conclusions were reached and whether, under similar conditions, a researcher might expect to obtain similar findings. Parallels reliability

The difference between the number of subjects that follow up in a research study and the number lost in a stratified sample.

Action

Contemplation

Precontemplation

Preparation

Observation

Maintenance

Administration

Quality management

Finance

Human resources

group of people whose members identify with each other through a common heritage, consisting of a common culture, including a shared language or dialect. The group's ethos or ideology may also stress common ancestry, religion, or race.

the study of a social group’s culture through combining participant observation, in-depth interviews, and the collection of artifacts

a method of measuring motions of the ground, including those of seismic waves generated by earthquakes, volcanic eruptions and other seismic sources.

judging another culture solely by the values and standards of one's own culture

Contains systematically developed statements that include recommendations, strategies, or information.

The clinical practice guideline was produced under the auspices of medical specialty associations; relevant professional societies, public or private organizations, government agencies at the Federal, State, or local level; or health care organizations or plans.

A Clinical practice guideline can be developed and issued by an individual not officially sponsored or supported by one of the above types of organizations.

Corroborating documentation can be produced and verified that a systematic literature search and review of existing scientific evidence published in peer reviewed journals.

The full text guideline is available upon request.

Documented evidence can be produced or verified.

Provides guidance for nurses and other clinicians in making decisions about day-to-day practices that affect patient outcomes

Widely recognized for its applicability and ease of use by multidisciplinary healthcare teams

A pragmatic multiphase change process with feedback loops

A set of interventions mapped out in the shape of the state of Iowa.

Domain 1: Scope and purpose-- concerned witht he overall aim of the guideline, the specific health questions and the target population.

Domain 2: Stakeholder involvment-- Focuses on the extent to which the guidelines was developed by the appropriate stakeholders and represents the views of its intended users.

Domain 3: Financial backing-- refers to the costs associated with implementing a guideline into practice.

Domain 3: Rigor of development-- relates tot he process used to gather and synthesize the evidence, the methods to formulate the recommendations and to update them.

Domain 4: Clarity of presentation-- deals with the language, structure and format of the guideline

Domain 5: Applicability-- pertains to the likely barriers and facilitators to implementation, strategies to improve uptake and resource implications of applying the guidelines.

Domain 6: editorial independence-- is concerned with the formulation of recommendations not being unduly biased with competing interests.

numeric values with fixed values separating each point

ranking data from lowest to highest

descriptive, low-level data

similar to interval level, but with a true zero point

the study of essences (meaning structures) intuited or grasped through descriptions of lived experience

Purpose is to generate theory about how people deal with life situations that is “grounded” in empirical data

- viewing human “lived experience” as a text that is to be understood through the interpreter’s dialogical engagement

The theory about seismic events as measured through ethnography.

True

False