EBP 循证医学PPT.pptVIP

EVIDENCE-BASED PRACTICE: WHAT’S IN IT FOR YOU? SO MANY QUESTIONS . . . Evidence-Based Practice (EBP): What is the best approach for managing neuropathic pain in the terminally ill patient? What research has been done that could provide clinical practice guidelines? Quality Improvement (QI): Are we doing the right things to appropriately manage patients’ neuropathic pain? How do we know? How are we measuring patient outcomes? Research (R): What is it like to live with neuropathic pain?Does drug “A” work better than drug “B?” What’s been studied? Where are the gaps? COMMONALITIES – PROVIDE STRUCTURE! Evidence-based practice (EBP) – utilizes the best clinical evidence in making patient care decisions typically from research. EBP translates knowledge into practice Quality improvement (QI) - utilizes a system to monitor and evaluate the quality and appropriateness of care (outcomes) based on EBP and research Research (R) - applies a methodology whether quantitative or qualitative to develop, uncover, create, find, add new nursing knowledge COMMONALITIES – IMPROVE CARE DELIVERY! Involve teamwork – not done in isolation Call for critical thinking and creativity Commitment to improve care One informs the other Nurses base their practice on emerging evidence from research (EBP) Research starts in practice and ends in practice Quality improvement evaluates and monitors care, and identifies opportunities to improve care as the processes and outcomes of care are measured, continuously evaluated and improved WHAT IS EVIDENCE-BASED PRACTICE? Conscientious use of current best evidence to make decisions about patient care A problem-solving approach to clinical practice Based on: 1. systematic search for and appraisal of most relevant evidence to answer questions 2. one’s clinical experience and expertise 3. patient preference and values EVIDENCE-BASED PRACTICE The process of doing the “right thing” Standards