evidence based nursing process to practice bracken health sciences library (adapted from a...
Post on 18-Dec-2015
215 views
TRANSCRIPT
![Page 1: Evidence Based Nursing Process to Practice Bracken Health Sciences Library (adapted from a presentation of Dr. Norma MacIntyre, School of Rehabilitation](https://reader035.vdocuments.net/reader035/viewer/2022062714/56649d265503460f949fce85/html5/thumbnails/1.jpg)
Evidence Based NursingProcess to PracticeBracken Health Sciences Library(adapted from a presentation of Dr. Norma MacIntyre,
School of Rehabilitation Therapy, Queen’s University)
![Page 2: Evidence Based Nursing Process to Practice Bracken Health Sciences Library (adapted from a presentation of Dr. Norma MacIntyre, School of Rehabilitation](https://reader035.vdocuments.net/reader035/viewer/2022062714/56649d265503460f949fce85/html5/thumbnails/2.jpg)
The importance of evidence
![Page 3: Evidence Based Nursing Process to Practice Bracken Health Sciences Library (adapted from a presentation of Dr. Norma MacIntyre, School of Rehabilitation](https://reader035.vdocuments.net/reader035/viewer/2022062714/56649d265503460f949fce85/html5/thumbnails/3.jpg)
The importance of evidence
![Page 4: Evidence Based Nursing Process to Practice Bracken Health Sciences Library (adapted from a presentation of Dr. Norma MacIntyre, School of Rehabilitation](https://reader035.vdocuments.net/reader035/viewer/2022062714/56649d265503460f949fce85/html5/thumbnails/4.jpg)
N. MacIntyre, 2005
What is Evidence-Based Practice?
An approach to clinical practice
A way to keep current with new developments
![Page 5: Evidence Based Nursing Process to Practice Bracken Health Sciences Library (adapted from a presentation of Dr. Norma MacIntyre, School of Rehabilitation](https://reader035.vdocuments.net/reader035/viewer/2022062714/56649d265503460f949fce85/html5/thumbnails/5.jpg)
Centre for Evidence-Based Medicine
What is Evidence-Based Practice?
… a methodological approach to clinical practice where evidence is used to inform decision-making about making a diagnosis (or interpreting a diagnostic test), selecting an intervention, or evaluating prognostic indicators
![Page 6: Evidence Based Nursing Process to Practice Bracken Health Sciences Library (adapted from a presentation of Dr. Norma MacIntyre, School of Rehabilitation](https://reader035.vdocuments.net/reader035/viewer/2022062714/56649d265503460f949fce85/html5/thumbnails/6.jpg)
Health Information Research Unit, McMaster, 2002
What is Evidence-Based Practice?
… an approach to health care practice in which the clinician is aware of the evidence that bears on her clinical practice, and the strength of that evidence
![Page 7: Evidence Based Nursing Process to Practice Bracken Health Sciences Library (adapted from a presentation of Dr. Norma MacIntyre, School of Rehabilitation](https://reader035.vdocuments.net/reader035/viewer/2022062714/56649d265503460f949fce85/html5/thumbnails/7.jpg)
J. A. Muir Gray, 1997
What is Evidence-Based Practice?
… an approach to decision making in which the clinician uses the best evidence available, in consultation with patient, to decide upon the option which suits that patient best
![Page 8: Evidence Based Nursing Process to Practice Bracken Health Sciences Library (adapted from a presentation of Dr. Norma MacIntyre, School of Rehabilitation](https://reader035.vdocuments.net/reader035/viewer/2022062714/56649d265503460f949fce85/html5/thumbnails/8.jpg)
D. Sackett et al, 1996
What is Evidence-Based Practice?
Evidence based health care is
the integration of individual clinical expertisewith
the best available external clinical evidence and the values and expectations of the patient
![Page 9: Evidence Based Nursing Process to Practice Bracken Health Sciences Library (adapted from a presentation of Dr. Norma MacIntyre, School of Rehabilitation](https://reader035.vdocuments.net/reader035/viewer/2022062714/56649d265503460f949fce85/html5/thumbnails/9.jpg)
N. MacIntyre, 2005
Evidence-Based Practice Involves life-long, self-directed, problem-
based learning
Involves exploring the relationship between clinical reasoning and research evidence
Involves practice
![Page 10: Evidence Based Nursing Process to Practice Bracken Health Sciences Library (adapted from a presentation of Dr. Norma MacIntyre, School of Rehabilitation](https://reader035.vdocuments.net/reader035/viewer/2022062714/56649d265503460f949fce85/html5/thumbnails/10.jpg)
N. MacIntyre, 2005
Keeping Up? Do nothing … and get out of date Depend solely on courses/conferences Choose the main professional journal(s) and
read them cover to cover every month
Learn how to find and appraise the evidence to answer questions that come from clinical practice
![Page 11: Evidence Based Nursing Process to Practice Bracken Health Sciences Library (adapted from a presentation of Dr. Norma MacIntyre, School of Rehabilitation](https://reader035.vdocuments.net/reader035/viewer/2022062714/56649d265503460f949fce85/html5/thumbnails/11.jpg)
Ontario College of Nurses, 2002
Evidence Based Nursing PracticeKnowledge Standard
Each nurse possesses, through basic education and continuing learning, knowledge relevant to her/his professional practice
![Page 12: Evidence Based Nursing Process to Practice Bracken Health Sciences Library (adapted from a presentation of Dr. Norma MacIntyre, School of Rehabilitation](https://reader035.vdocuments.net/reader035/viewer/2022062714/56649d265503460f949fce85/html5/thumbnails/12.jpg)
Ontario College of Nurses, 2002
Evidence Based Nursing PracticeKnowledge Standard Indicators
Providing a theoretical and/or evidence-based rationale for all decisions
Understanding the knowledge required to meet the needs of complex clients
Knowing where/how to access learning resources when necessary
![Page 13: Evidence Based Nursing Process to Practice Bracken Health Sciences Library (adapted from a presentation of Dr. Norma MacIntyre, School of Rehabilitation](https://reader035.vdocuments.net/reader035/viewer/2022062714/56649d265503460f949fce85/html5/thumbnails/13.jpg)
Ontario College of Nurses, 2002
Evidence Based Nursing PracticeKnowledge Standard Indicators
Seeking and reviewing research in nursing, health sciences and related disciplines
Using research to inform practice/professional service
![Page 14: Evidence Based Nursing Process to Practice Bracken Health Sciences Library (adapted from a presentation of Dr. Norma MacIntyre, School of Rehabilitation](https://reader035.vdocuments.net/reader035/viewer/2022062714/56649d265503460f949fce85/html5/thumbnails/14.jpg)
Ontario College of Nurses, 2002
Evidence Based Nursing PracticeKnowledge Application Standard
Each nurse continually improves the application of professional knowledge
![Page 15: Evidence Based Nursing Process to Practice Bracken Health Sciences Library (adapted from a presentation of Dr. Norma MacIntyre, School of Rehabilitation](https://reader035.vdocuments.net/reader035/viewer/2022062714/56649d265503460f949fce85/html5/thumbnails/15.jpg)
Ontario College of Nurses, 2002
Evidence Based Nursing PracticeKnowledge Application Standard Indicators
Ensuring practice is based in theory and evidence and meets all relevant standards/guidelines
Assessing/describing the client situation using a theory, framework or evidence-based tool
Managing multiple nursing interventions simultaneously
![Page 16: Evidence Based Nursing Process to Practice Bracken Health Sciences Library (adapted from a presentation of Dr. Norma MacIntyre, School of Rehabilitation](https://reader035.vdocuments.net/reader035/viewer/2022062714/56649d265503460f949fce85/html5/thumbnails/16.jpg)
Ontario College of Nurses, 2002
Evidence Based Nursing PracticeKnowledge Application Standard Indicators
Evaluating/describing the outcome of specific interventions and modifying the plan/approach
Integrating research findings into professional service and practice
![Page 17: Evidence Based Nursing Process to Practice Bracken Health Sciences Library (adapted from a presentation of Dr. Norma MacIntyre, School of Rehabilitation](https://reader035.vdocuments.net/reader035/viewer/2022062714/56649d265503460f949fce85/html5/thumbnails/17.jpg)
Copyright ©2004 BMJ Publishing Group Ltd.
Thompson, C. et al. Evid Based Nurs 2004;7:68-72
The cognitive continuum.
![Page 18: Evidence Based Nursing Process to Practice Bracken Health Sciences Library (adapted from a presentation of Dr. Norma MacIntyre, School of Rehabilitation](https://reader035.vdocuments.net/reader035/viewer/2022062714/56649d265503460f949fce85/html5/thumbnails/18.jpg)
N. McKibbon, 1999
Five Steps of Evidence-Based Practice
Define the Question Identify Question ~ Search and Screen Literature
~ Refine Question
Collect the Evidence
Critically Appraise the Evidence for Validity and Relevance
![Page 19: Evidence Based Nursing Process to Practice Bracken Health Sciences Library (adapted from a presentation of Dr. Norma MacIntyre, School of Rehabilitation](https://reader035.vdocuments.net/reader035/viewer/2022062714/56649d265503460f949fce85/html5/thumbnails/19.jpg)
N. McKibbon, 1999
Five Steps of Evidence-Based Practice
Integrate the Evidence and Patient Factors Make & Carry Out the Decision
Evaluate the Process Results ~ Self-reflection
![Page 20: Evidence Based Nursing Process to Practice Bracken Health Sciences Library (adapted from a presentation of Dr. Norma MacIntyre, School of Rehabilitation](https://reader035.vdocuments.net/reader035/viewer/2022062714/56649d265503460f949fce85/html5/thumbnails/20.jpg)
PICO A clinical question should incorporate at least
three elements
Patient Age, sex, ethnicity, etc. Condition, diseases, general health status
Intervention Education, diagnostics, treatment plan, self-care,
etc.
![Page 21: Evidence Based Nursing Process to Practice Bracken Health Sciences Library (adapted from a presentation of Dr. Norma MacIntyre, School of Rehabilitation](https://reader035.vdocuments.net/reader035/viewer/2022062714/56649d265503460f949fce85/html5/thumbnails/21.jpg)
PICO
Comparison Intervention Placebo, etc.
Outcome Expected and actual effects on patient
![Page 22: Evidence Based Nursing Process to Practice Bracken Health Sciences Library (adapted from a presentation of Dr. Norma MacIntyre, School of Rehabilitation](https://reader035.vdocuments.net/reader035/viewer/2022062714/56649d265503460f949fce85/html5/thumbnails/22.jpg)
PICO
Do nurse led tobacco cessation interventions result in decreased smoking rates after hospital admission for coronary heart disease?
![Page 23: Evidence Based Nursing Process to Practice Bracken Health Sciences Library (adapted from a presentation of Dr. Norma MacIntyre, School of Rehabilitation](https://reader035.vdocuments.net/reader035/viewer/2022062714/56649d265503460f949fce85/html5/thumbnails/23.jpg)
PICO
PATIENT (Adult) coronary heart patients Smokers Discharged from hospital
INTERVENTION Nurse led tobacco cessation programmes
![Page 24: Evidence Based Nursing Process to Practice Bracken Health Sciences Library (adapted from a presentation of Dr. Norma MacIntyre, School of Rehabilitation](https://reader035.vdocuments.net/reader035/viewer/2022062714/56649d265503460f949fce85/html5/thumbnails/24.jpg)
PICO
COMPARISON (Non-nurse led tobacco cessation programmes
Self-administered, non-nurse administered, etc.) No comparison
OUTCOME Lower rates of tobacco use among Patient group
![Page 25: Evidence Based Nursing Process to Practice Bracken Health Sciences Library (adapted from a presentation of Dr. Norma MacIntyre, School of Rehabilitation](https://reader035.vdocuments.net/reader035/viewer/2022062714/56649d265503460f949fce85/html5/thumbnails/25.jpg)
PICO
Not all questions are of a clinical nature
Intervention can be interpreted very broadly
![Page 26: Evidence Based Nursing Process to Practice Bracken Health Sciences Library (adapted from a presentation of Dr. Norma MacIntyre, School of Rehabilitation](https://reader035.vdocuments.net/reader035/viewer/2022062714/56649d265503460f949fce85/html5/thumbnails/26.jpg)
SUNY Downstate Medical Center, 2003
Evidence Pyramid
![Page 27: Evidence Based Nursing Process to Practice Bracken Health Sciences Library (adapted from a presentation of Dr. Norma MacIntyre, School of Rehabilitation](https://reader035.vdocuments.net/reader035/viewer/2022062714/56649d265503460f949fce85/html5/thumbnails/27.jpg)
SUNY Downstate Medical Center, 2003
Evidence Pyramid
“Important medical questions are typically studied more than once, often by different research teams in different locations. A meta-analysis combines results from different studies, hopefully averaging out any differences caused by random change or local variation and getting at something close to the real truth. In general a meta-analysis, if you can find one, will be a better guide to practice than an individual article.”
![Page 28: Evidence Based Nursing Process to Practice Bracken Health Sciences Library (adapted from a presentation of Dr. Norma MacIntyre, School of Rehabilitation](https://reader035.vdocuments.net/reader035/viewer/2022062714/56649d265503460f949fce85/html5/thumbnails/28.jpg)
Claude Moore Health Sciences Library, 2003
Evidence Based Resources Models
Usefulness = Relevance x Validity Work
![Page 29: Evidence Based Nursing Process to Practice Bracken Health Sciences Library (adapted from a presentation of Dr. Norma MacIntyre, School of Rehabilitation](https://reader035.vdocuments.net/reader035/viewer/2022062714/56649d265503460f949fce85/html5/thumbnails/29.jpg)
Claude Moore Health Sciences Library, 2003
Evidence Based Resources Models
![Page 30: Evidence Based Nursing Process to Practice Bracken Health Sciences Library (adapted from a presentation of Dr. Norma MacIntyre, School of Rehabilitation](https://reader035.vdocuments.net/reader035/viewer/2022062714/56649d265503460f949fce85/html5/thumbnails/30.jpg)
Claude Moore Health Sciences Library, 2003
Evidence Based Resources Models
![Page 31: Evidence Based Nursing Process to Practice Bracken Health Sciences Library (adapted from a presentation of Dr. Norma MacIntyre, School of Rehabilitation](https://reader035.vdocuments.net/reader035/viewer/2022062714/56649d265503460f949fce85/html5/thumbnails/31.jpg)
See you at the Search Sessions!
Mon. Sept. 24 OR Wed. Sept. 268:30 – 9:30
Bracken Library eLab