Spirit of Inquiry
(Curiosity about best practice)
(Curiosity about best practice)
First step of every project
What is "thinking about the problem you are trying to solve"?
Evidence that is already reviewed and validated by experts
What is pre-appraised evidence?
Do or Don't? When appraising a paper, you can abstract key findings from the review of the literature.
Don't - write down author/citation and go to primary source
Lowest (VII) Level of Evidence
What is "expert opinion"?
A research report that includes critical assessment & evaluation of all research studies of a clinical issue
What is a "systematic review"?
True or False? Nurses need to go to the literature for every clinical question.
False - Nurses are encouraged to access internal sources of evidence when appropriate
Statements produced by a panel of experts that outlines current best practices
What is a practice guideline?
Do or Don't? Appraisal includes looking at the quality of evidence (low, good, high)
Do - Good & high quality studies have a lower risk of bias influencing the results
True or False? All research designs contain the same basic elements so critical appraisal is straightforward.
False - study designs have different requirements - need to select the appropriate critical appraisal tool guide
The degree to which you can apply the results of a study to a broader context
What is "generalizability"?
Research shows that the first place that most nurses go for advice on practice is ______
To their peers
Location of best practice "wheels" to guide nurses in preventing never events (be specific)
Do or Don't? All you have to do to populate your evidence table is copy the abstract
DON'T - while the abstract is often concise and informative, it rarely includes all the information needed to judge quality
A controlled trial design that is randomized by a hospital or unit (not individual).
What is a "cluster" RCT?
Research methods are strengthened when driven by a ________?
Theory
Theory is usually based on previous research; Best when used to guide the design and evaluation of the findings
Internal source of evidence used to guide teammate decision making on topics they are accountable for
Policy & Procedure (highly recommended for use)
True or False? Advocate Health provides nurses with full access to the ANA and Other Specialty Standards
TRUE
Do or Don't? Studies of low quality are identified and removed from the "keeper" pool for eval/synthesis
DO - low quality papers should be identified and not included to make synthesis easy
Rapid critical appraisal includes 3 questions: level of evidence (design), ____________, and usefulness in practice (strength).
What is how well the study was conducted (quality)?
True or False? RCTs are designed to reduce the potential for bias that may be present in observation-based designs
True - Quality RCT results are rated higher w/ designs to establish causality and evaluate differences.
People responsible and accountable for maintaining internal sources of evidence (not in module but essential)
Clinical Nurses (e.g. Practice Council)
In a health care system with professional governance, clinical nurses are essential members of the decision-making process that creates/maintains internal evidence-based practice content to guide practice
Internal source of evidence used to guide quality improvement work
What is policy?
Do or Don't? Define your PICOT outcome and populate your evidence table so you can synthesize what makes a difference at the end.
DO
Research design where the researchers and subjects are unaware of group assignment (treatment or control)
What is "double blind"? - strategy used to reduce bias
The process of seeing similarities and differences across the body of evidence
What is "synthesis"?
(CA Part III)