QUESTIONS AND ANSWERS SURE A+
✔✔3. Critically appraise the evidence you gather. - ✔✔§ Evidence-based articles
include the following elements: •
§ Abstract. An abstract is a brief summary that quickly tells you if the article is research
or clinically based. An abstract summarizes the purpose of the article. It also includes
the major themes or findings and the implications for nursing practice. •
§ Introduction. The introduction contains more information about the purpose of the
article. the abstract and introduction help you decide if you want to continue to read the
entire article.
§ Literature review or background. The literature review offers an argument about what
led the author to conduct a study or report on a clinical topic. This section of an article is
very valuable
Manuscript narrative. The "middle section" or narrative of an article differs according to
the type of evidence-based article it is. A clinical article describes a clinical topic, which
often includes a description of a patient population, the nature of a certain disease or
health alteration, how patients are affected, and the appropriate nursing therapies. An
author sometimes writes a clinical article to explain how to use a therapy or new
technology. A research article contains several subsections within the narrative,
including the following:
Purpose statement, method or design, results or conclusion, & clinical implication
, ✔✔parts within the narrative when critically appraising an article - ✔✔· Purpose
statement: Explains the focus or intent of a study. It includes research questions or
hypotheses—predictions made about the relationship or difference among study
variables (concepts, characteristics, or traits that vary within or among subjects). An
example of a research question is: Does music therapy reduce a patient's pain and
anxiety? •
· Methods or design: Explains how a research study was organized and conducted to
answer the research question or test the hypothesis. This section explains the type of
study that was conducted (e.g., RCT, case control study, or qualitative study) and the
amount of subjects or people who participated in the study. In health care research,
subjects often include patients, family members, or health care staff. The methods
section is sometimes confusing because it explains details about how the researcher
designed the study to obtain the most accurate results possible. Use your faculty
member as a resource to help interpret this section. •
· Results or conclusions: Clinical and research articles have a summary section. In a
clinical article the author explains the clinical implications for the topic presented. In a
research article the author details the results of the study and explains whether a
hypothesis is supported or how a research question is answered. This section includes
a statistical analysis if it is a quantitative research study. A qualitative study summarizes
the descriptive themes and ideas that arise from the researcher's analysis of data. Do
not let the statistical analysis in an article overwhelm you. Read carefully and ask these
questions: Does the researcher describe the results? Were the results significant? A
good author also discusses limitations to a study in this section. The information on
limitations is valuable in helping you decide if you want t
✔✔4. Integrate all evidence with your clinical expertise and patient preferences and
values. - ✔✔§ Your first step is simply to apply the research in your plan of care for a
patient. Use the evidence you find as a rationale for an intervention you plan to try.
✔✔5. Evaluate the outcomes of practice decisions or changes using evidence. - ✔✔§
How does the intervention work? How effective was the clinical decision for your patient
or practice setting? Sometimes your evaluation is as simple as determining if the
expected outcomes you set for an intervention are met
✔✔6. Share the outcomes of EBP changes with others. - ✔✔§ As a professional nurse,
it is critical to contribute to the growing knowledge of nursing practice
✔✔Components of a picot question - ✔✔· P = Patient population of interest
· I = Intervention of interest
· C = Comparison of interest
· O = Outcome
· T = Time
✔✔Practice guidelines - ✔✔· Summary publication designed to summarize findings of
research/advise practitioners on current standard of care