The Corn State
Gone to Pasture
"PICOT-LO"
Ask for EBP
How It's Always Done
100
This is the evidence based practice model that White Memorial has currently adopted as their model
What is the Iowa model?
100

This is the colloquial phrase that refers to the traditional practices that become entrenched and resistant to change. This is what Evidence Based practice seeks to eliminate. 

What are "sacred cows"?

100

This is your research question. It is an acronym to help you formulate a clinical question and guide your search for evidence

What is a PICOT question?
100
The definition of this practice is: "it is 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 systemic research." 
What is Evidence Based Practice?
100

Peer reviewed articles, quality improvement data, randomized controlled trials, case studies, and expert opinion are examples of these

What are good examples of evidence that you can gather in your research?

200
In the Iowa Model, you do this after you have sufficient research
What is piloting and evaluating the practice change?
200
When preoperative hair removal is necessary, it should be performed with a surgical clipper rather than a razor
What is "best practice" supported by evidence? 
200
The P in PICOT stands for this
What is Population?
200
Research regarding the "implementation of use of skin to skin contact and birth" may be considered an example of this
What is an example of evidence based practice research? 
200

Fair treatment of subjects including the equitable distribution of burdens and benefits in reasearch

What is Justice?
300

This is step number 2 in the Iowa Model

What is "stating the question or purpose"?
300
This is a major barrier for Evidence Based Practice
What is resistance to change?
300
The "I" in PICOT stands for this
What is Intervention?
300
CINAHL, Cochrane Library, EBSCO, Medline, and Nursing Reference Center
What are research databases that you can use?
300

In this step, you must consider finding individuals with appropriate skills and expertise to accomplish the elements of the project. It will also be essential to include a clinical expert in the disease and population being studied.

What is creating a team?

400

You need to confirm this after you state your question/purpose and prior to creating your team.

What is: "is this topic a priority for the organization?"

400
These are some ideas in building your knowledge base to help eliminate "sacred cows" in your practice
(Multiple correct responses... Some correct responses include:) What is attending Grand Rounds/ presentations, assessing gaps in policy and practice...
400
The C in PICOT stands for this
What is Comparison?
400

It aims to provides the most effective care that is available, with the aim of improving patient outcomes. It promotes an attitude of inquiry in health professionals and starts us thinking: Why am I doing this in this way? Is there evidence that can guide me to do this in a more effective way?

Why is evidence- based practice important?

400

In relation to ethics, the researcher's responsibility to maximise the potential benefits of the research while minimising risks of harm or discomfort for the participant

What is Beneficence?
500
This is the initial step you should take in conducting your EBP research (using the Iowa model)
What is identifying the issue or opportunities?
500
Benzodiazepines such as lorazepam are a first- line treatment for insomnia, agitation, and delirium in older adults
What is an example of a "sacred cow"? (this is what EBP seeks to challenge/ eliminate)
500
The more focused a question you ask, the easier it becomes to search for evidence in the scientific literature. The questions you ask will eventually lead you to the evidence for an answer.
What is the importance of using the PICOT format to state your clinical question?
500

These are three major aspects of evidence that you need to critically appraise

What is validity, impact and applicability?

500

An ethical principle that requires the researcher to not disclose any informaiton revealed by the subject or discovered by the researcher to ensure that data is accessible only to authorized individuals.

What is confidentiality?
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