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Evidence Based Practice

The document discusses evidence-based practice in nursing, which involves integrating the best research evidence with clinical expertise and patient values and needs. It explains that the best research evidence is defined as the highest quality empirical knowledge developed through synthesizing quantitative, qualitative, and outcomes studies. The research synthesis processes used to summarize knowledge for evidence-based practice are also outlined, including systematic reviews, meta-analyses, meta-syntheses, and mixed-methods synthesis reviews.

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Ali Raza
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58 views14 pages

Evidence Based Practice

The document discusses evidence-based practice in nursing, which involves integrating the best research evidence with clinical expertise and patient values and needs. It explains that the best research evidence is defined as the highest quality empirical knowledge developed through synthesizing quantitative, qualitative, and outcomes studies. The research synthesis processes used to summarize knowledge for evidence-based practice are also outlined, including systematic reviews, meta-analyses, meta-syntheses, and mixed-methods synthesis reviews.

Uploaded by

Ali Raza
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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EVIDENCE-BASED PRACTICE?

The ultimate goal of nursing is an evidence-based practice that promotes quality, safe,
and cost-effective outcomes for patients, families, healthcare providers, and the
healthcare system

“Evidence-based practice (EBP) evolves from the integration of the best research
evidence with clinical expertise and patients’ needs and values”.

EBP involves the use of the best research evidence to support clinical decision in
practice.

03/24/2024 Nursing Research Medicare College of Nursing 1


Best research evidence

Best research evidence define as a summary of highest quality , current,


empirical knowledge in a specific area of health care that has been
developed from synthesis of quality studies quantitative, qualitative,
and outcomes in that area.
Evidence Based Practice

03/24/2024 Nursing Research Medicare College of Nursing 3


Synthesize Research Evidence
The research synthesis processes used to summarize knowledge varies for quantitative and
qualitative research
Research evidence in nursing and health care is synthesized by using the following processes:
1. Systematic review
2. Meta-analysis
3. Meta-synthesis
4. Mixed-methods synthesis review.

03/24/2024 Nursing Research Medicare College of Nursing 4


Systematic Review:A systematic review involves identifying, locating,
appraising and synthesizing quality research evidence for expert clinicians to
use to promote an EBP.
Systematic reviews are also used in the development of national and
international standardized guideline for managing health problems such as
acute pain, hypertension, and depression .

03/24/2024 Nursing Research Medicare College of Nursing 5


Meta-Analysis: A meta- analysis is conducted to combine or pool the
results from previous quantitative studies into a single statistical
analysis that provides one of the highest levels of evidence about an
intervention’s effectiveness.
Meta-Synthesis: It is the systematic compilation and integration of
qualitative study results to expand understanding and develop a unique
interpretation of study findings in a selected health related area.

03/24/2024 Nursing Research Medicare College of Nursing 7


Mixed-Methods synthesis review: Over the last 10 to 15 years , nurse
researchers have conducted mixed- methods studies that include
quantitative and qualitative research methods.
Mixed- methods studies as a mixed- methods systematic review.
Mixed- methods systematic reviews might include a variety of study
designs , such as qualitative research and quasi- experimental, co
relational, and /or descriptive studies
Levels of Research Evidence

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Systematic review and meta-analysis

Randomized control trial or experimental


studies

Qausi experimental studies

Mixed method systematic reviews

Descriptive correlational and cohort studies

Descriptive and qualitative studies

Opinion of expert committees and authorities


Purposes of Research
1) .Identification; to clearly identify phenomena about which little is
know.
• Name the phenomena
Qualitative studies
• What is the phenomena?
• What is its name?
Quantitative studies; begins with phenomena that has been
previously studies
Cont..
2) .Description in a descriptive studies a researcher observe, count,
describe and classify the phenomena e.g. stress and coping, pain
management. Sleep pattern
Quantitative description
Focus on prevalence, size, measurable attribute of phenomena
Qualitative description
Focuses on description of dimensions, variation and importance of
phenomena
Cont..
3.) Exploration explore full nature of phenomena rather just observing
or describing
• Explore the relationship between phenomena
• E.g. patient preoperative stress
• What factors diminish or increase patient stress?
• Is it related to nursing staff?
• Is it related to cultural background of the patient ?
Cont..
4.) Explanation offer understanding of underlying cause of phenomena
• Explain on how and why phenomena exist
5.) Prediction and control to make prediction and control phenomena
• E.g. down syndrome in infant increase with increase age of the mother
(can control by education )

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