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Question

NURS6052/NURS5052/NRSE6052 Essent of Evidence

Week 1 Discussion

Where in
the World Is Evidence-Based Practice?

March 21,
2010, was not EBP’s date of birth, but it may be the date the approach “grew
up” and left home to take on the world.

When the Affordable
Care Act was passed, it came with a requirement of empirical evidence. Research
on EBP increased significantly. Application of EBP spread to allied health
professions, education, healthcare technology, and more. Health organizations
began to adopt and promote EBP.

In this
Discussion, you will consider this adoption. You will examine healthcare
organization websites and analyze to what extent these organizations use EBP.

To Prepare:

Review the
Resources and reflect on the definition and goal of EBP.

Choose a
professional healthcare organization’s website (e.g., a reimbursing body, an
accredited body, or a national initiative).

Explore the
website to determine where and to what extent EBP is evident.

NURS6052/NURS5052/NRSE6052 Essent of Evidence

Week 4 Discussion

Searching
Databases

When you
decide to purchase a new car, you first decide what is important to you. If
mileage and dependability are the important factors, you will search for data
focused more on these factors and less on color options and sound systems.

The same
holds true when searching for research evidence to guide your clinical inquiry
and professional decisions. Developing a formula for an answerable,
researchable question that addresses your need will make the search process
much more effective. One such formula is the PICO(T) format.

In this
Discussion, you will transform a clinical inquiry into a searchable question in
PICO(T) format, so you can search the electronic databases more effectively and
efficiently. You will share this PICO(T) question and examine strategies you
might use to increase the rigor and effectiveness of a database search on your
PICO(T) question.

To Prepare:

Review the
materials offering guidance on using databases, performing keyword searches,
and developing PICO(T) questions provided in the Resources.

Review the
Resources for guidance and develop a PICO(T) question of interest to you for
further study.

NURS6052/NURS5052/NRSE6052 Essent of Evidence

Week 8 Discussion

Patient
Preferences and Decision Making

Changes in
culture and technology have resulted in patient populations that are often well
informed and educated, even before consulting or considering a healthcare need
delivered by a health professional. Fueled by this, health professionals are
increasingly involving patients in treatment decisions. However, this often
comes with challenges, as illnesses and treatments can become complex.

What has
your experience been with patient involvement in treatment or healthcare
decisions?

In this
Discussion, you will share your experiences and consider the impact of patient
involvement (or lack of involvement). You will also consider the use of a
patient decision aid to inform best practices for patient care and healthcare
decision making.

To Prepare:

Review the
Resources and reflect on a time when you experienced a patient being brought
into (or not being brought into) a decision regarding their treatment plan.

Review the
Ottawa Hospital Research Institute’s Decision Aids Inventory at
https://decisionaid.ohri.ca/.

Choose “For
Specific Conditions,” then Browse an alphabetical listing of decision aids by
health topic.

NOTE: To
ensure compliance with HIPAA rules, please DO NOT use the patient’s real name
or any information that might identify the patient or organization/practice.

NURS6052/NURS5052/NRSE6052 Essent of Evidence

Week 10 Discussion

Developing
a Culture of Evidence-Based Practice

As your EBP
skills grow, you may be called upon to share your expertise with others. While
EBP practice is often conducted with unique outcomes in mind, EBP practitioners
who share their results can both add to the general body of knowledge and serve
as an advocate for the application of EBP.

In this
Discussion, you will explore strategies for disseminating EBP within your organization,
community, or industry.

To Prepare:

Review the
Resources and reflect on the various strategies presented throughout the course
that may be helpful in disseminating effective and widely cited EBP.

This may
include: unit-level or organizational-level presentations, poster
presentations, and podium presentations at organizational, local, regional,
state, and national levels, as well as publication in peer-reviewed journals.

Reflect on
which type of dissemination strategy you might use to communicate EBP.

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