Introduction to EBN

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Introduction to EBN by Mind Map: Introduction to EBN

1. Types of Evidence Used in EBP

1.1. Internal evidence

1.1.1. • Practice initiatives

1.1.2. Patient assessment and evaluation

1.1.3. f available resources within your organization

1.2. External evidence

1.2.1. Systematic reviews

1.2.2. • Evidence-based theories

1.2.3. Evidence generated through rigorous research

1.2.4. National benchmarks

1.2.5. Opinion leaders and expert panels

2. Research

2.1. Research Utilization

2.1.1. is use of results from a single study to inform practice decisions.

2.2. Translational Research

2.2.1. studies how evidence-based interventions are translated into real-world settings.

2.3. Tests an hypothesis

2.4. Generates new knowledge to fill a knowledge gap

2.4.1. Results are generalizable نتائج قابلة على التعميم

2.5. Requires review by an Institutional Review Board (IRB)

3. Quality Improvement

3.1. Typically does not require review by an Institutional Review Board (IRB)

3.2. Results are not generalizable نتائج غير قابلة على التعميم

3.3. Uses internal evidence to identify and track trends

3.4. Typically does not require review by an Institutional Review Board (IRB)

4. levels of evidence

4.1. A ranking of evidence by the type of design or research methodology that would answer the question with the least number of error and provide the most reliable findings. Leveling of evidence, also called hierarchies, vary by type of question asked.

4.2. Evidence Types Definitions

4.2.1. 1) Evidence summaries Short summary of available evidence that generally provides recommendations for practice and research Types of Evidence Summaries Systematic review: Meta-analysis:

4.2.2. 2) Experimental or RCT Study Designs true experiment, or Randomize control trail (RCT), is the strongest and best design for testing cause-and-effect relationships (gold standard) and provides strong evidence on which to change and improve clinical practice Quasi-experimental research: type of quantitative research study design that lacks one of the components (randomization, control group, manipulation of one or more variables) of an experimental design.

4.2.3. 3 ) Nonexperimental Study Designs study design in which data are collected but whose purpose is not to test the effects of an intervention or treatment on selected outcomes used to describe, explain, or predict a phenomenon. used when it is undesirable or unethical to manipulate the independent variable or to impose a treatment Types Descriptive Studies Case-Control Studies: Cohort Studies: Quantitative Designs Research Non-experimental Experimental (Randomize control trail “RCT”) Quasi-experimental Systemic review Meta-analysis To appraising the above quantitative research, we test the followings: Reliability Validity: التعميم Generalizability:

4.2.4. 4 )Qualitative Studiesا الاقوى Research that involves the collection of data in non-numeric form, such as personal interviews, usually with the intention of describing a phenomenon or experience seeking an in-depth understanding within a natural setting. البحث الذي يتضمن جمع البيانات في شكل غير رقمي ، مثل المقابلات الشخصية ، عادة بقصد وصف ظاهرة أو تجربة البحث عن فهم متعمق ضمن بيئة طبيعية. Qualitative studies promote better understanding of what health and illness situations are like for people, how they manage, what they wish for and expect, and how they are affected by what goes on around them. These valuable insights must influence how clinicians practice. تعزز الدراسات النوعية فهمًا أفضل لماهية الصحة والمرض المواقف مثل الناس ، كيف يديرون ، ما يرغبون فيه و تتوقع ، وكيف يتأثرون بما يدور حولهم. هؤلاء يجب أن تؤثر الأفكار القيمة على كيفية ممارسة الأطباء. Types of qualitative designs Ethnography Grounded theory: Phenomenology: Hermeneutics

5. EBP

5.1. A decision-making process

5.2. Not generalizable, but rather transferrable

5.3. Based on a body of evidence that has been identified, critically appraised and synthesized

5.4. Generating new knowledge about practice through implementation of evidence-based recommendations

5.5. Sometimes requiring submission to Institutional Review Board (IRB)