Nurs 302 Quiz 1 – Questions With Trusted Solutions
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Terms in this set (73)
What is Evidence Based Practice? A lifelong problem-solving approach to clinical
practice that integrates into 3 components.
the conscientious, explicit, and judicious use of
current best evidence in making decisions about the
care of the individual patient. It means integrating
individual clinical expertise with the best available
external clinical evidence from research
What are the three components of 1. Clinical expertise
EBP? 2. Best research evidence
3. Patient values and preferences
Why is EBP important EBP is important because it aims to provide the most
effective care that is
available, with the aim of improving patient
outcomes. Patients expect to receive the most
effective care based on the best available evidence
*Medical knowledge and accepted practice change
rapidly
*Volume of research articles is expanding
exponentially
*Integrating the evidence into your practice regularly
makes it easier to find and apply the evidence during
busy clinical schedules
*It allows you to blend patient preferences with the
research, resulting in patient-centered care
,What is the quadruple aim? 1. Better patient outcomes
2. Reduced costs
3. Better population health
4. Provider satisfaction
What are background questions? address general questions about a disease,
condition, or process
- are the "what is", "why do", and "how does" kind of
questions.
- Novice practitioners such as health professions
students, typically have more background questions.
As one moves from novice to expert, practitioners
typically find themselves answering more foreground
questions in their day to day practice.
What are foreground questions - answer pointed questions regarding a specific
patient or population
- often investigate comparisons (e.g two treatment
approaches or two diagnostic tests)
PICOT Question format P = Population
I = intervention
C = comparison
O = outcome
T = time
example PICOT question In hospitalized adults (P), how does the use of
contact precautions(I) compared to standard
precautions © impact patient outcomes and quality
of care (O) during hospitalization (T)
P in PICOT Population
How would you describe a group of patients similar
to yours? What are the most important characteristics
of the patient? This may include the primary problem,
disease, or co-existing conditions. Sometimes the
demographics of a patient might be relevant to the
diagnosis or treatment of a disease
, I in PICOT Intervention
Which main intervention prognostic factor, or
exposure are you considering? What do you want to
do for the patient? Prescribe a drug? order a test?
order a surgery? what factors may influence the
prognosis of the patient such as age, co-existing
problems, or previous exposure.
C in PICOT Comparison
What is the main alternative to compare with the
intervention? are you trying to decide between two
drugs, a drug and no medication or placebo, or two
diagnostic tests? Your clinical question may not
always have a specific comparison.
O in PICOT Outcome
What can you hope to accomplish, measure, improve
or affect? What are you trying to do for the patient?
Relieve or eliminate the symptoms? Reduce the
number of adverse events? Improve function or test
scores?
T in PICOT Time
The time it takes to demonstrate an outcome (i.e., the
time it takes for the intervention to achieve an
outcome or how long participants are observed)
Save
Terms in this set (73)
What is Evidence Based Practice? A lifelong problem-solving approach to clinical
practice that integrates into 3 components.
the conscientious, explicit, and judicious use of
current best evidence in making decisions about the
care of the individual patient. It means integrating
individual clinical expertise with the best available
external clinical evidence from research
What are the three components of 1. Clinical expertise
EBP? 2. Best research evidence
3. Patient values and preferences
Why is EBP important EBP is important because it aims to provide the most
effective care that is
available, with the aim of improving patient
outcomes. Patients expect to receive the most
effective care based on the best available evidence
*Medical knowledge and accepted practice change
rapidly
*Volume of research articles is expanding
exponentially
*Integrating the evidence into your practice regularly
makes it easier to find and apply the evidence during
busy clinical schedules
*It allows you to blend patient preferences with the
research, resulting in patient-centered care
,What is the quadruple aim? 1. Better patient outcomes
2. Reduced costs
3. Better population health
4. Provider satisfaction
What are background questions? address general questions about a disease,
condition, or process
- are the "what is", "why do", and "how does" kind of
questions.
- Novice practitioners such as health professions
students, typically have more background questions.
As one moves from novice to expert, practitioners
typically find themselves answering more foreground
questions in their day to day practice.
What are foreground questions - answer pointed questions regarding a specific
patient or population
- often investigate comparisons (e.g two treatment
approaches or two diagnostic tests)
PICOT Question format P = Population
I = intervention
C = comparison
O = outcome
T = time
example PICOT question In hospitalized adults (P), how does the use of
contact precautions(I) compared to standard
precautions © impact patient outcomes and quality
of care (O) during hospitalization (T)
P in PICOT Population
How would you describe a group of patients similar
to yours? What are the most important characteristics
of the patient? This may include the primary problem,
disease, or co-existing conditions. Sometimes the
demographics of a patient might be relevant to the
diagnosis or treatment of a disease
, I in PICOT Intervention
Which main intervention prognostic factor, or
exposure are you considering? What do you want to
do for the patient? Prescribe a drug? order a test?
order a surgery? what factors may influence the
prognosis of the patient such as age, co-existing
problems, or previous exposure.
C in PICOT Comparison
What is the main alternative to compare with the
intervention? are you trying to decide between two
drugs, a drug and no medication or placebo, or two
diagnostic tests? Your clinical question may not
always have a specific comparison.
O in PICOT Outcome
What can you hope to accomplish, measure, improve
or affect? What are you trying to do for the patient?
Relieve or eliminate the symptoms? Reduce the
number of adverse events? Improve function or test
scores?
T in PICOT Time
The time it takes to demonstrate an outcome (i.e., the
time it takes for the intervention to achieve an
outcome or how long participants are observed)
