Nurses love EBP
The letters EBP stand for this type of inquiry.
What is Evidence Based Practice?
This acronym that can be used to formulate questions to guide the search for best evidence.
What is PICO(T)?
These are the benefits of EBP to professional practice?
What are Improved quality care for patients and provides best evidence for clincians actions and decision making?
This can be a major barrier to implementation of best practice.
What is resistance to change?
This is the foundation in which charge nurses can create a culture of EBP on a unit?
What is support staff participation in EBP projects and EBP implementation efforts?
After completing an evidence table, this is performed to determine the strengths and limitations of the articles/studies to determine if the intervention can be feasibly,safely and reasonably implememned in your practice
What is Literature Appraisal?
This is what the "P" in PICOT stands for.
What is the Population?
These individuals responsible for leading, implementing and sustaining EBP projects and best practice
What is charge nurses and nursing staff?
Nurses often state this is a barrier to completing an Evidence Based Practice Project.
What is lack of time?
This is one way in which a charge nurse can create a culture of EBP on a unit.
What is declare EBP an expectation and clarify your expectations?
The first step in the EBP Process.
What is identify the clinical issue or problem that is relevant to your practice?
This letter in PICOT may not always be included
What is "T" for Time or Time Frame?
Greater EBP implementation leads to these benefits.
What is
-Increased nurse/clinician satisfaction,
-Increased staff cohesion,
-Higher RN job satisfaction, lower turnover,
-Improved patient outcomes?
Nurses working in hospitals with this highly coveted designation, awarded by the American Nurses Credentialing Center for excellence in nursing, are more likely to report the adoption of evidence-based care at their institutions.
What is Magnet designation?
When staff present a practice change to the unit leaders, this is one way in which the Charge Nurse can guide best practice to support a proposed practice change.
What is ask for best available evidence or guide staff access to resources?
This can be defined as: "A brief, comprehensive summary of the contents of the article; it allows readers to survey the contents of an article quickly and, like the title, it enables persons interested in the document to retrieve it. . . .”
What is an abstract?
The "I" in PICO stands for this.
What is "I?" The Intervention you are considering
The EBP culture and environment needs to be clear and visible for it to be supported and embraced. The ONS goal is that EBP is incorporated into these documents to make expectations clear.
What are Vision, Philosophy, Mission, Strategic Plan, Competencies, Interviews, and Job Descriptions?
There is a common term to describe: Lack of research skill, negative attitudes, lack of administrative support, and time constraints.
What are Barriers to EBP?
These are resources available to staff supporting the search for evidence.
What are the EBP Sharepoint,
-Clinical References Online (UpToDate, Cochrane, Elsevier, VA/DOD CPGs,
-EBP Coord., CNS, APN, CNL, Nurse Scientist, Librarian
EBP integrates these three components
What are use of current best evidence by the nurse and shared with the patient, the nurse's knowledge and expertise, and the patient's preferences and values.
The "O" in PICOT stands for this
What is Outcome?
This needs to be present within the organization to create a culture that supports EBP.
What is Effective Clinical Leadership? This includes institutional support, resources, feedback on outcomes.
These are needed to sustain EBP.
What is a culture and environment that support EBP, (including the provision of infrastructure) support by leaders and managers)
~Bernadette Melnyk, 2014
These are ways in which the Charge Nurse can support staff in the successful implementation of an EBP project.
What are support the EBP champions and project,
-Set clear expectations and seek feedback
-Hold staff accountable; timely feedback and highlight efforts