BOOK
Evidence-Based Practice for Nursing and Healthcare Quality Improvement - E-Book
Geri LoBiondo-Wood | Judith Haber | Marita G. Titler
(2018)
Additional Information
Book Details
Abstract
Equip yourself to expertly conduct evidence-based practice (EBP) or quality improvement (QI)projects. Written by renowned EBP and QI experts LoBiondo-Wood, Haber, & Titler, Evidence-Based Practice for Nursing and Healthcare Quality Improvement provides a straightforward yet comprehensive guide to planning, implementation, and evaluation of EBP and QI projects to improve quality of care and health outcomes. This brand-new, full-color, richly illustrated textbook begins with foundational content and then works through the processes of developing and exploring clinical questions, implementing results, and disseminating information. The book’s content and approach have been developed specifically with the adult learner in mind, with multiple full-text appendix articles referenced throughout as examples, along with unique pedagogical aids including EBP Tips and EBP Key points to ground concepts in a "real-life" context.
- NEW! Written by renowned EBP experts LoBiondo-Wood, Haber, & Titler to provide a straightforward yet comprehensive guide to planning and conducting EBP and QI projects.
- NEW! A straightforward, practical approach begins with foundational content and then works through the processes of developing and exploring clinical questions, implementing results, and disseminating information.
- NEW! Developed specifically with the adult learner in mind, with multiple full-text appendix articles referenced throughout as examples, along with unique pedagogical aids including EBP Tips and EBP Key Points to ground concepts in a "real-life" context.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| CONTENTS | ES1 | ||
| EVIDENCE-BASED PRACTICE for NURSING and HEALTHCARE QUALITY IMPROVEMENT | i | ||
| EVIDENCE-BASED PRACTICE for NURSING and HEALTHCARE QUALITY IMPROVEMENT | iii | ||
| Copyright | iv | ||
| ABOUT THE AUTHORS | v | ||
| CONTRIBUTORS | viii | ||
| REVIEWERS | x | ||
| TO THE FACULTY | xi | ||
| TO THE STUDENT | xiv | ||
| ACKNOWLEDGMENTS | xv | ||
| CONTENTS | xvi | ||
| I - Introduction | 1 | ||
| 1 - Overview of Evidence-Based Practice | 1 | ||
| HISTORICAL OVERVIEW | 2 | ||
| DEFINITION OF TERMS | 3 | ||
| THE NATIONAL AGENDA FOR EVIDENCE-BASED PRACTICE | 7 | ||
| STEPS OF EVIDENCE-BASED PRACTICE | 11 | ||
| THE EVIDENCE-BASED PRACTICE TEAM | 11 | ||
| ENGAGING CONSUMERS IN EVIDENCE-BASED PRACTICE | 11 | ||
| CALL TO ACTION | 11 | ||
| SYNTHESIS | 16 | ||
| REFERENCES | 17 | ||
| 2 - Models and Evidence | 20 | ||
| COMPARING RESEARCH, EVIDENCE-BASED PRACTICE, AND QUALITY IMPROVEMENT | 20 | ||
| Models of Evidence-Based Practice | 21 | ||
| THE IOWA MODEL OF EVIDENCE-BASED PRACTICE | 21 | ||
| Selection of a Topic | 21 | ||
| Forming a Team | 23 | ||
| Evidence Retrieval | 23 | ||
| Grading the Evidence | 25 | ||
| Critical Appraisal and Synthesis of Evidence | 26 | ||
| Proposing Evidence-Based Practice Recommendations | 27 | ||
| Development of the Evidence-Based Practice | 28 | ||
| Implementation and Dissemination of the Practice Change | 28 | ||
| Evaluation of the Practice Change | 29 | ||
| SYNTHESIS | 29 | ||
| KEY POINTS | 29 | ||
| REFERENCES | 30 | ||
| II - Processes of Developing EBP and Questions inVarious Clinical Settings | 31 | ||
| 3 - Developing Compelling Clinical Questions | 31 | ||
| INTRODUCTION | 31 | ||
| WHAT IS A CLINICAL QUESTION? | 32 | ||
| WHY ARE CLINICAL QUESTIONS IMPORTANT? | 34 | ||
| SOURCES OF CLINICAL QUESTIONS | 34 | ||
| TYPES OF CLINICAL/PICO QUESTIONS | 35 | ||
| CLINICAL QUESTIONS DIFFER FROM RESEARCH QUESTIONS AND HYPOTHESES | 38 | ||
| SYNTHESIS | 39 | ||
| REFERENCES | 39 | ||
| 4 - Search and Critical Appraisal of the Literature | 40 | ||
| EVIDENCE IS HIERARCHICAL | 41 | ||
| METALITERACY | 41 | ||
| WHERE TO START | 41 | ||
| BEYOND THE PUBLISHED EVIDENCE | 44 | ||
| ASK a Background Question | 44 | ||
| ASK A “PICO” QUESTION | 49 | ||
| A Simple Search, Translating a PICO Question | 50 | ||
| An Advanced Search: Expanding the Quest for Evidence | 51 | ||
| Narrowing Search Results: Filtering | 52 | ||
| Organizing, Evaluating, and Sharing the Evidence | 53 | ||
| ASSESS/APPRAISE/SYNTHESIZE | 53 | ||
| SYNTHESIS | 56 | ||
| REFERENCES | 57 | ||
| 5 - Principles of Assessing Research Quality | 59 | ||
| ISSUES RELATING TO MAXIMIZING APPLICABILITY OF FINDINGS TO PRACTICE | 59 | ||
| AN OBJECTIVELY CONCEPTUALIZED RESEARCH QUESTION | 60 | ||
| HOMOGENOUS SAMPLE | 61 | ||
| DATA COLLECTION CONSTANCY | 61 | ||
| INTERVENTION FIDELITY | 61 | ||
| INTERNAL VALIDITY | 63 | ||
| EXTERNAL VALIDITY | 63 | ||
| Selection Effects | 63 | ||
| Reactive Effects | 65 | ||
| Measurement Effects | 65 | ||
| SYNTHESIS | 66 | ||
| Quantitative Research | 66 | ||
| REFERENCES | 66 | ||
| 6 - Intervention Studies | 68 | ||
| INTRODUCTION | 68 | ||
| PURPOSE OF INTERVENTION STUDIES | 69 | ||
| TYPES OF INTERVENTION STUDIES | 70 | ||
| TYPES OF DATA IN INTERVENTION STUDIES | 76 | ||
| CRITICALLY APPRAISING INTERVENTION RESEARCH | 77 | ||
| SYNTHESIS | 81 | ||
| KEY POINTS | 81 | ||
| REFERENCES | 81 | ||
| 7 - Observational Studies | 83 | ||
| INTRODUCTION | 83 | ||
| III - Implementation | 156 | ||
| 11 - Evidence-Based Approaches for Improving Healthcare Quality | 156 | ||
| THE CLINICAL LEADER’S ROLE IN HEALTH CARE QUALITY IMPROVEMENT | 157 | ||
| NATIONAL GOALS AND STRATEGIES FOR HEALTH CARE QUALITY IMPROVEMENT | 158 | ||
| QUALITY STRATEGY LEVERS | 158 | ||
| Measuring Health Care Quality | 161 | ||
| Benchmarking | 162 | ||
| COMMON QUALITY IMPROVEMENT PERSPECTIVES AND MODELS | 164 | ||
| QUALITY IMPROVEMENT STEPS AND TOOLS | 164 | ||
| Leading a Quality Improvement Team | 168 | ||
| Improvement Process Step 1: Assessment | 170 | ||
| Improvement Process Step 2: Analysis | 171 | ||
| Trending Variation in System Performance with Run and Control Charts | 171 | ||
| Graphs | 172 | ||
| Cause and Effect Diagrams | 173 | ||
| Flowcharting | 174 | ||
| Improvement Process Step 3: Develop a Plan for Improvement | 174 | ||
| Improvement Process Step 4: Test and Implement the Improvement Plan | 175 | ||
| TAKING ON THE QUALITY IMPROVEMENT CHALLENGE AND LEADING THE WAY | 180 | ||
| SYNTHESIS | 180 | ||
| KEY POINTS | 181 | ||
| REFERENCES | 181 | ||
| 12 - Planning for Success | 183 | ||
| INTRODUCTION | 183 | ||
| OVERVIEW OF AN IMPLEMENTATION MODEL | 184 | ||
| THE EVIDENCE-BASED PRACTICE TOPIC | 184 | ||
| The Team | 185 | ||
| QUALITY IMPROVEMENT AS A FOUNDATION FOR IMPLEMENTATION | 186 | ||
| PRINCIPLES OF IMPLEMENTATION | 186 | ||
| ACTION PLANS | 191 | ||
| ETHICAL CONSIDERATIONS FOR EVIDENCE-BASED PRACTICE | 191 | ||
| SYNTHESIS | 196 | ||
| KEY POINTS | 196 | ||
| REFERENCES | 196 | ||
| 13 - Launching Implementation | 197 | ||
| INTRODUCTION | 197 | ||
| IMPLEMENTATION STRATEGIES THAT ADDRESS CHARACTERISTICS OF THE CLINICAL TOPIC | 198 | ||
| IMPLEMENTATION STRATEGIES THAT ADDRESS COMMUNICATION | 200 | ||
| SUSTAINABILITY | 203 | ||
| SYNTHESIS | 203 | ||
| KEY POINTS | 203 | ||
| 14 - Implementation Strategies for Stakeholders | 206 | ||
| USERS OF EVIDENCE-BASED PRACTICE | 206 | ||
| Performance Gap Assessment | 207 | ||
| Audit and Feedback | 208 | ||
| Piloting the Change | 208 | ||
| Meetings | 209 | ||
| SOCIAL SYSTEM (CONTEXT) | 209 | ||
| Overview | 209 | ||
| Organizational Capacity | 210 | ||
| Leadership | 210 | ||
| Implementation Strategies to Address the Social System/Practice Context | 210 | ||
| Environmental Scan | 211 | ||
| Meetings with Key Leadership Stakeholders | 214 | ||
| Standards of Practice and Documentation Systems | 215 | ||
| Recognition and Rewards | 215 | ||
| SYNTHESIS | 216 | ||
| KEY POINTS | 216 | ||
| REFERENCES | 216 | ||
| 15 - Patient-Centered Evidence-Based Practices | 219 | ||
| INTRODUCTION | 219 | ||
| CLINICAL SCENARIO | 220 | ||
| PATIENT EMPOWERMENT THROUGH SHARED DECISION MAKING | 220 | ||
| EVIDENCE TO SUPPORT SHARED DECISION MAKING | 221 | ||
| SHARED DECISION-MAKING AIDS | 221 | ||
| EVIDENCE-BASED METHODS TO DEVELOP PATIENT ENGAGEMENT TOOLS | 222 | ||
| PATIENT ACTIVATION | 223 | ||
| HEALTH LITERACY AND NUMERACY | 224 | ||
| STRATEGIES TO IMPROVE HEALTH LITERACY AND NUMERACY | 225 | ||
| PATIENT ENGAGEMENT STRATEGIES FOR CLINICAL PRACTICE | 227 | ||
| INDIVIDUAL BARRIERS AGAINST PATIENT ENGAGEMENT | 227 | ||
| CONTEXTUAL BARRIERS AGAINST PATIENT ENGAGEMENT | 229 | ||
| SYNTHESIS | 229 | ||
| KEY POINTS | 229 | ||
| REFERENCES | 230 | ||
| IV - Evaluation and Dissemination | 231 | ||
| 16 - Evaluation of Evidence-Based Practice | 231 | ||
| INTRODUCTION | 231 | ||
| METHODS FOR EVALUATION | 232 | ||
| WHAT TO MEASURE | 232 | ||
| FISCAL OUTCOMES | 233 | ||
| DATA SOURCES | 235 | ||
| ANALYSIS AND DISPLAY OF DATA | 236 | ||
| EVALUATION SUMMARY FOR KEY STAKEHOLDERS | 236 | ||
| SYNTHESIS | 240 | ||
| KEY POINTS | 240 | ||
| REFERENCES | 240 | ||
| 17 - Dissemination | 242 | ||
| INTRODUCTION | 242 | ||
| PRINCIPLES OF DISSEMINATION | 243 | ||
| INTENDED AUDIENCE | 243 | ||
| PRIMARY OBJECTIVE(S) OF DISSEMINATION | 243 | ||
| TYPES OF DISSEMINATION | 243 | ||
| DISSEMINATION VENUES | 244 | ||
| TRADITIONAL METHODS | 244 | ||
| SOCIAL MEDIA | 245 | ||
| ESSENTIAL ELEMENTS IN DISSEMINATION OF EVIDENCE-BASED PRACTICE PROJECTS | 246 | ||
| SYNTHESIS | 249 | ||
| KEY POINTS | 249 | ||
| REFERENCES | 249 | ||
| Appendix A | 251 | ||
| B APPENDIX | 354 | ||
| APPENDIX C | 361 | ||
| Appendix D | 369 | ||
| E Appendix | 374 | ||
| F Appendix | 378 | ||
| Appendix G | 393 | ||
| Appendix H | 415 | ||
| GLOSSARY | 477 | ||
| INDEX | 483 | ||
| A | 483 | ||
| B | 483 | ||
| C | 483 | ||
| D | 484 | ||
| E | 485 | ||
| F | 486 | ||
| G | 486 | ||
| H | 486 | ||
| I | 487 | ||
| J | 487 | ||
| K | 487 | ||
| L | 487 | ||
| M | 487 | ||
| N | 488 | ||
| O | 488 | ||
| P | 488 | ||
| Q | 489 | ||
| R | 490 | ||
| S | 490 | ||
| T | 491 | ||
| U | 491 | ||
| V | 491 | ||
| W | 491 | ||
| Y | 491 | ||
| SPECIAL FEATURES | ES2 |