Research Chapter 10: Evidence Based Clinical Practice and
Guidelines
1. What did guidelines used to be based in before EBP?: several studies combined expert opinion
2. What are guidelines based on today?: most commonly on research studies and systematic reviews
3. Evidence Based Clinical Practice Guideline (EbCPG): This is a set of recommendations for care that is informed by
systematic reviews of evidence. They are a translation of research evidence in the real world, and may be considered research
evidence if they are well produced.
4.Examples of Nursing EbCPG: engaging clients that use substances care of patients with mild traumatic brain injury
chemotherapy induced n/v in adults CPG for carotid artery stenting
end of life care during the last days and hours
5.Research Evidence: Refers to recommendations of Evidence Based Clinical Practice Guidelines, conclusions of Systematic
Reviews, and findings of original studies.also can be complemented by expert opinion- subjective, better if opinion comes from
multiple different experts (credibility)
6.How are EbCPGs generic?: - not designed for a particular organization or agency
- offered as guidelines of care in a variety of settings
- usually adapted by clinical project teams into care protocols specific to their setting, patients, staff
7. Care Protocols: These are the result of EbCPGs that are adapted into care protocols specific to their setting, patients, and
staff. Serve as the standards of care in that they provide evidence based guidelines for care providers.
8. Standardizing the process of care based on research evidence has the potential to.....: 1. increase the use of clinical
actions that are more effective 2. reduce the use of actions that are of minimal value or put patients at risk 3. reduce undesirable
variations in care
9. What does the use of care protocols that are evidence based do?: Increases: patient safety quality of care patient
outcomes
10. What are the different forms of care protocols?: standardized care plans care map decision algorithms
care bundles standard
order sets clinical
procedures clinical
pathways
may be incorporated into electronic decision support and communications systems of healthcare organizations
11. True/False: Patient centered care and standardized plans of care are compatible.: True
** the nurse must be observant and sensitive to patients to care given in accordance with standardized plans
standardized care plans benefit most but not all patients
12. Professional caregivers exert judgment and take into account:: the patients... conditions preferences
1/8
, Research Chapter 10: Evidence Based Clinical Practice and
Guidelines
life situation personal
goals
when planning and giving care
13. How do project teams developing care protocols benefit from working with EbCPGs rather than systematic reviews?:
EbCPGs save time
a group with expertise has made the translation from research evidence to recommended care now al they
need to do is develop a care for incorporating into organization
14. Process: Findings from an individual study systematic review clinical practice guideline
clinical protocol
15. EbCPGs Production: Process has been widely agreed upon and quality standards for them have been formulated.
16. 1.: Establish clear purpose for the guideline
17. 2.: Convene a developmental panel
18. 3.: Establish inclusion and exclusion criteria for what will qualify as relevant evidence
19. 4.: Search health care literature systematically and broadly for relevant evidence
20. 5.: Evaluate the quality of all evidence sources
21. 6.: Evaluate the body of the evidence as a basis for making recommendations
22. 7.: Translate the evidence into recommendations
23. 8.: Assign confidence grades to each recommendation
24. 9.: Seek input regarding the guideline from outside experts and the public
25. 10.: Produce a guideline documet
26. Purpose: Specific goal for the project that is set by the organization/association commissioning the development of a
guideline.
clear purpose statement = development panel proceeds in sync and on mission
conveys to potential users what they can expect
27. The purpose statement may include:: a health condition that requires management or prevention
a patient population with certain conditions
2/8
Guidelines
1. What did guidelines used to be based in before EBP?: several studies combined expert opinion
2. What are guidelines based on today?: most commonly on research studies and systematic reviews
3. Evidence Based Clinical Practice Guideline (EbCPG): This is a set of recommendations for care that is informed by
systematic reviews of evidence. They are a translation of research evidence in the real world, and may be considered research
evidence if they are well produced.
4.Examples of Nursing EbCPG: engaging clients that use substances care of patients with mild traumatic brain injury
chemotherapy induced n/v in adults CPG for carotid artery stenting
end of life care during the last days and hours
5.Research Evidence: Refers to recommendations of Evidence Based Clinical Practice Guidelines, conclusions of Systematic
Reviews, and findings of original studies.also can be complemented by expert opinion- subjective, better if opinion comes from
multiple different experts (credibility)
6.How are EbCPGs generic?: - not designed for a particular organization or agency
- offered as guidelines of care in a variety of settings
- usually adapted by clinical project teams into care protocols specific to their setting, patients, staff
7. Care Protocols: These are the result of EbCPGs that are adapted into care protocols specific to their setting, patients, and
staff. Serve as the standards of care in that they provide evidence based guidelines for care providers.
8. Standardizing the process of care based on research evidence has the potential to.....: 1. increase the use of clinical
actions that are more effective 2. reduce the use of actions that are of minimal value or put patients at risk 3. reduce undesirable
variations in care
9. What does the use of care protocols that are evidence based do?: Increases: patient safety quality of care patient
outcomes
10. What are the different forms of care protocols?: standardized care plans care map decision algorithms
care bundles standard
order sets clinical
procedures clinical
pathways
may be incorporated into electronic decision support and communications systems of healthcare organizations
11. True/False: Patient centered care and standardized plans of care are compatible.: True
** the nurse must be observant and sensitive to patients to care given in accordance with standardized plans
standardized care plans benefit most but not all patients
12. Professional caregivers exert judgment and take into account:: the patients... conditions preferences
1/8
, Research Chapter 10: Evidence Based Clinical Practice and
Guidelines
life situation personal
goals
when planning and giving care
13. How do project teams developing care protocols benefit from working with EbCPGs rather than systematic reviews?:
EbCPGs save time
a group with expertise has made the translation from research evidence to recommended care now al they
need to do is develop a care for incorporating into organization
14. Process: Findings from an individual study systematic review clinical practice guideline
clinical protocol
15. EbCPGs Production: Process has been widely agreed upon and quality standards for them have been formulated.
16. 1.: Establish clear purpose for the guideline
17. 2.: Convene a developmental panel
18. 3.: Establish inclusion and exclusion criteria for what will qualify as relevant evidence
19. 4.: Search health care literature systematically and broadly for relevant evidence
20. 5.: Evaluate the quality of all evidence sources
21. 6.: Evaluate the body of the evidence as a basis for making recommendations
22. 7.: Translate the evidence into recommendations
23. 8.: Assign confidence grades to each recommendation
24. 9.: Seek input regarding the guideline from outside experts and the public
25. 10.: Produce a guideline documet
26. Purpose: Specific goal for the project that is set by the organization/association commissioning the development of a
guideline.
clear purpose statement = development panel proceeds in sync and on mission
conveys to potential users what they can expect
27. The purpose statement may include:: a health condition that requires management or prevention
a patient population with certain conditions
2/8
