Health & Medical Dissemination of Evidence Based Practice Questions

Research-Chapter 13: Building an Evidence-Based Nursing Practice;Fundamentals in Nursing- Chapter 13: Evidence-Based Practice and Nursing Research; Nursing Concepts Online:Exemplar Links to Associated E-Books

1.Define Evidence-Based Guidelines.rigorous, explicit clinical guidelines that have been developed based on the best researchevidence available in that area. 

2.How are guidelines developed for EBP?by a team or panel of expert clinicians (nurses, physicians, pharmacists, and other healthprofessionals), researchers, and sometimes consumers, policy makers, and economists.The expert panel works to achieve consensus on the content of the guideline to provideclinicians with the best information for making clinical decisions in practice.

3.Describe the Stetler Model of Research Utilization to facilitate Evidence-Based Practice.An initial model for research utilization in nursing was developed by Stetler and Marramin 1976 and expanded and refined by Stetler in 2001 to promote evidence-based practicefor nursing. The Stetler Model of Research Utilization to Facilitate Evidence-BasedPractice provides a comprehensive framework to enhance the use of research evidenceby nurses to facilitate an evidence-level practice. The research evidence can be used atthe institutional or individual level.

4.Describe the Iowa Model of Evidence-Based Practice to Promote Quality of Care.This is a method to guide the steps to help identify issues, research solutions andimplement changes. The Iowa model highlights the importance of considering the entirehealthcare system from the provider, to the patient, to the infrastructure, using researchwithin these contexts to guide practice decisions.

5.Describe the Grove Model for Implementing Evidence-Based Guidelines in Practice.Nurses identify a practice problem, search for the best research evidence to manage theproblem in their practice, and note that an evidence-based guideline has beendeveloped.

6.What are a few examples of AHRQ practice guidelines?The Agency for Healthcare Research and Quality (AHRQ) developed The NationalGuideline Clearing house to house the thousands of evidence-based guidelines that havebeen developed for use in clinical practice. Some guidelines are: acute pain managementin infants, children, and adolescents; prediction and prevention of pressure ulcers inadults; urinary incontinence in adults; management of functional impairments withcataracts.

7.Identify several locations where we can Access Evidence-Based Guidelines.http://www.evidence.nhs.uk.http://www.guidelines.govhttp://www.ebscohost.com/pointOfCare/nrc-abouthttp://nice.org.ukhttp://cncf.cochrane.org