ppt课件-understandingandarticulatingthedifferencesbetweenqi.pptVIP

* Understanding and Articulating the Differences Between QI, Research or Evidence Based Practice Regina Taylor, MN, RN, ACNS-BC Objectives Differentiate between quality improvement, research and evidence based practice in nursing Discuss strategies to ensure nurses at all levels in all areas of practice understand and can describe the differences “A precursor to leading is understanding the distinct differences, yet overlapping associations between those 3 important activities.” (Newhouse, p.435) Quality Improvement “Systematic, data-guided activities designed to bring about immediate improvement in healthcare delivery in particular settings.” (Lynn, et al, 2007, p. 667*) *= From ANCC Magnet Application Manual, 2008 Examples of QI Nursing Sensitive indicators Performance Measures Compliance checks Example: Examination of use of intervention at unit/facility level to attempt to decrease patient falls Nursing Research “A systematic search for knowledge about issues of importance to the nursing profession.” (Polit and Hungler, 1995*) Example of Nursing Research Testing of an innovation that may impact nursing practice in general (i.e. including outside of the facility), such as to prevent falls or injury from falls or pressure ulcers QI or Research QI Rapid Cycle Process Plan Do Study Act Research Process Form hypothesis Study protocol/Data collection Analysis and interpretation of data Implementation into practice (Kring, p. 163) QI or Research? Differences Philosophical underpinning Purposes EBP value Generalizability Beneficiaries Risks and Burdens Sample Size Instruments Design and methods Implementation of findings Social acceptance (Kring, 2008) Evidence-Based Practice “Conscious use/integration of the best research evidence with clinical expertise and patient preferences in nursing practice (adapted from Sackett, et al, 2000*) EBP is a science-to-service model of engagement of critical thinking to apply research-based evidence (scientific