October 6, 2016 DR - RS/NSG forum/workshop/RGUHS/18.1.08 1

October 6, 2016
Dr.Rs/nsg forum/workshop/RGUHS/18.1.08
October 6, 2016
Introduction
Definitions of terms
Quality management
Historical development
Evidence based practice
Conclusion
October 6, 2016
There is no quality with out
an evidence ;
Quality and evidence go
hand in hand.
4
October 6, 2016
A thing / Things
helpful informing a
conclusion or judgment
Something that
furnishes proof.
October 6, 2016
Nursing is a nurturative , generative, and
protective profession.
Preventive care is a part of nursing
practice of every nurse.
Nurses value independence and self
respect.
They are guided by ethical and
humanitarian philosophy in which ;
EVERY human being deserve respect
regardless of racial ,social, cultural, sexual,
economic, and religious or other factors.
October 6, 2016
It is degree of excellence.
It is subjective way of expression

according to each ones perception
and it is fundamentally relational.
( Websters dictionary )
Quality is a measure determining
what the best is shall be the
key to competitiveness.
October 6, 2016
It is also a methodology and a
way of promoting peoples active

participation
based
on
the
involvement and responsibility of

each individual working towards
common vision.
October 6, 2016
In quality management ,
Quality control is a prime element of
the management of nursing service.
It is a system for evaluation of the
total effort, which include the
evaluation of management process and
the practice of nursing.
Quality Assurance and quality
improvement are essential elements .
October 6, 2016
Is the process by which Nurses make clinical

decisions using ;
The best available research evidence

Their clinical expertise,
and
Patient preferences
in the context of available resources .

( DiCensoA, Cullum N,Ciliska D.)
October 6, 2016
10
Is the integration of
best research
evidence with
clinical expertise
and patient values.
( Sackett D 2000)
October 6, 2016
11
Involves the use of best
evidence to justify particular

teaching or curricular
interventions considering the
needs of individual learners ,
the professional judgment of
nurse educators ,
and the resource costs of
the interventions.
October 6, 2016
12
Is a process of finding
, appraising , and
applying scientific
evidence to the
treatment and
management of health
care .
October 6, 2016
13
In order to make a start in
the quest for evidence based

practice nurse managers ,
educationalists ,researchers
and clinical practitioners
must all play an active part.
Simple strategies can help to
prepare nurses such as role
modeling and reflection on
action.(Walsh & Ham, 1997).
October 6, 2016
14
Evidence based practice movement
was founded by Dr. Archie

Cochrane, a British epidemiologist .
In 1972 , Cochrane published a
land mark book that criticized the

medical profession for not
providing rigorous reviews of
evidence.
Died in 1988.
October 6, 2016
15
Cochrane Collaboration
was launched in England in

1992.
1993 Cochrane
collaboration was founded.

October 6, 2016
16
The term Evidence Based
Medicine ( EBM) describes a

clinical learning strategy that
was developed by faculty at
McMaster medical school in
the 1980s
Evidence Based Medicine
disseminated to the medical

community in the early 1990s
October 6, 2016
17
Applies methods derived
from clinical epidemiology to

clinical decision making .
Over the last decade, other
medical professions adopted

an evidence based approach.
October 6, 2016
18
Nursing research began to focus
on clinical issues in the mid 80s.
The national institute for
nursing research was formed in

1986.
Many new journals emphasize
nursing research
October 6, 2016
19
In recent years , the
international society for

nursing research ,has
greatly increased its
capacity to support and
disseminate nursing
scholarships.
October 6, 2016
20
McMaster University in Ontario,
Canada has developed extensive

resources in teaching and
implementing evidence based in
nursing and other disciplines.
In the past few years a number of
countries including UK, Canada , New

zealand Australia and others , have
created centers for evidence based
nursing.
October 6, 2016
21
Bridge the gap between knowledge
and practice
Provide a sound method for making
clinical decisions
To make education less vulnerable to
political ideology ,conventional wisdom

, folk lore , and wishful thinking
October 6, 2016
22
Evidence Based practice is
not new, It is what we have

been doing for years
Evidence Based nursing
lead to cook book nursing

and a disregard for
individualized patient care.
October 6, 2016
23
There is an over emphasis on
Randomized Control
Trials( RCT) and systematic
reviews in Evidence Based
health care.
Requires too much time to be
routinely employed in real life

practice setting.
October 6, 2016
24
Evidence Based practice is the
mindless application of population

studies to the treatment of the
individual.
It takes the results of studies of
large groups of people and tries to
apply them to individual.
There is often great difficulty in
getting access to the evidence and

in conducting effective searches to
identify the best evidence.
October 6, 2016
25
The conduct and utilization of
research in nursing (CURN)

project.
The CURN project was designed
to develop and test a model for

using Research based knowledge
in clinical practice settings.
October 6, 2016
26
The stetler model of

research utilization
applies research
findings at the
individual practitioner
level.
October 6, 2016
27
The Lowa model of research

in practice infuses
research into practice to
improve the quality of care
,and is an out growth of
Quality Assurance Model
Using Research(QAMUR)
October 6, 2016
28
Ask the burning
clinical question
Collect the most
relevant and best

evidence
October 6, 2016
29
Integrate all evidence with
ones clinical expertise

,patient preferences, and
values in making a practice
decisions or change .
Evaluate the practice
decision or change.
October 6, 2016
30
Clinical question should be asked in PICO
format
P Population
I - Intervention/s
C- Comparison
O Out come/s
Example:
In teenagers (p), how effective Depo Provera
( Intervention) versus oral contraceptives
( Comparison) in the prevention of pregnancy
( Out come)
October 6, 2016
31
Begin with systematic reviews or
meta analyses
Evidence based clinical guide lines

Eg: Dove soap, Washing powders,
Face creams,
Medications etc which means
everything needs proof
October 6, 2016
32
October 6, 2016
33
October 6, 2016
34
Are nursing educators are walking the
walk in terms of Evidence Based

practice?
Are nursing education strategies and
curricula based on the best evidence?

Does nursing education have a specific
body of knowledge that is used as

Evidence Based practice?
October 6, 2016
35
Do nurse educators use clinical judgment in
adopting recommended practices to their

particular situations , curriculum or students?
In which way are student values considered
in the development of curricula and teaching

strategies?
What are the implications of implementing
evidence based practice in nursing

education?
October 6, 2016
36
Increased interest in Evidence
Based nursing practice and

participating in the generation of
research.
Enhanced critical thinking skills
through the development of

knowledge , experience , and
competencies.
October 6, 2016
37
Increased motivation to continue
professional growth and

development by participating in
life long learning.
The desire to become better
consumers of research findings.

Increased desire to pursue
graduate studies in nursing.
October 6, 2016
38
October 6, 2016
39
Fostering communication skills
specific to nursing research.

Creating mentored
opportunities to practice
research process.
Promoting enduring pattern of
research use.
October 6, 2016
40
Accessibility of research findings.

Anticipated outcomes of using
research .
Organizational support to use
research.
Support from others to use
research.
October 6, 2016
41
According to Capez and Morehouse

(2004)
Total Quality Management refers to

A management process and set of
disciplines that are coordinated to
ensure that the organization
consistently meets and exceeds
customers requirements .
October 6, 2016
42
TQM engages all divisions ,
departments ,
And levels of the organizations.

Top management organizes all of
its strategy and operations around

customer needs and;
Develops a culture with high
employee participation.
October 6, 2016
43
To assure high quality nursing care,

or education ;
Information about structure ,
Nursing process,
And patient/Student out comes
Must be continuously fed back to
the Nurses /Teachers at all levels
of organizational hierarchy.
October 6, 2016
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October 6, 2016
45
October 6, 2016
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October 6, 2016 DR - RS/NSG forum/workshop/RGUHS/18.1.08 1

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October 6, 2016

There is no quality with out

Nursing is a nurturative , generative, and

It is subjective way of expression

It is also a methodology and a

way of promoting peoples active

involvement and responsibility of

Is the process by which Nurses make clinical

The best available research evidence

in the context of available resources .

Involves the use of best

evidence to justify particular

In order to make a start in

the quest for evidence based

Evidence based practice movement

was founded by Dr. Archie

land mark book that criticized the

was launched in England in

collaboration was founded.

The term Evidence Based

Medicine ( EBM) describes a

Evidence Based Medicine

disseminated to the medical

Applies methods derived

from clinical epidemiology to

medical professions adopted

Nursing research began to focus

on clinical issues in the mid 80s.

The national institute for

nursing research was formed in

Many new journals emphasize

In recent years , the

international society for

McMaster University in Ontario,

Canada has developed extensive

countries including UK, Canada , New

Bridge the gap between knowledge

political ideology ,conventional wisdom

Evidence Based practice is

not new, It is what we have

lead to cook book nursing

There is an over emphasis on

Requires too much time to be

routinely employed in real life

Evidence Based practice is the

mindless application of population

getting access to the evidence and

The conduct and utilization of

research in nursing (CURN)

to develop and test a model for

The stetler model of

The Lowa model of research

Ask the burning

relevant and best

Integrate all evidence with

ones clinical expertise

Clinical question should be asked in PICO

Begin with systematic reviews or

Evidence based clinical guide lines

Medications etc which means

everything needs proof

Are nursing educators are walking the

walk in terms of Evidence Based