5 Steps of EBP
Convert information needed into an answerable clinical question.
What is "Ask"?
The collection of facts believed to be true
What is Evidence?
The "P" in PICOT stands for
What is Population/Patient Problem?
Number of primary levels of evidence
What is 4?
___ a clear question about the patient's issue and determine an ultimate goal, such as improving a procedure to help their specific condition
What is "Ask"?
Track down best evidence for answering the question.
What is "Acquire"?
Part of EBP process, generates new knowledge
What is Research?
The "I" in PICOT stands for
What is Intervention?
Evidence level acquires evidence from randomized, controlled trials and is considered the most reliable
What is Level A?
_______ the best evidence by searching relevant clinical articles from legitimate sources.
What is "Acquire"?
Critically appraise the evidence for validity, impact, & applicability.
What is "Appraise"?
A common standard EBP measure used in hospitals to decrease HAIs (hospital acquired infections)
What is Hand Hygiene?
What does the "C" in PICOT stand for?
Comparison
Evidence level contains evidence obtained from quality-designed control trials without randomization
What is Level B?
________ the resources gathered to determine if the information is valid, of optimal quality compared to the evidence levels, and relevant for the patient.
What is "Appraise"?
Integrate the evidence into your clinical decision making.
What is "Apply"?
There 8 rights: patient, time, route, reason, reaction, drug, dose, and documentation apply to this evidenced based practice
What is medication administration?
The "O" in PICOT stands for
What is Outcome?
Evidence level that typically gets implemented when there is limited information about a condition and acquires evidence from a consensus viewpoint or expert opinion
What is Level C?
_____ the evidence to clinical practice by making decisions based on your nursing expertise and the new information.
What is "Apply"?
Evaluate steps 1-4 and seeks ways to improve next time.
What is "Audit"?
Reducing variations in care by standardizing procedures based on evidence.
What is the Rationale for EBP?
The "T" in PICOT stands for
What is Time?
Evidence level that is usually applied to complex cases and gets its evidence from more than one of the other levels
What is Level ML (multi-Level)?
_____ outcomes to determine if the treatment was effective and should be considered for other patients.
What is "Audit"?