Learning for life: evidence-based practice

Life Long Learning and Continuing Professional Development (CPD) are the
processes by which professionals, such as nurses, develop and improve their
practice.

There are many ways to address CPD: formally, through attending courses,
study days and workshops; or informally, through private study and reflection.
Reading articles in professional journals is a good way of keeping up-to-date
with what is going on in the field of practice, but reflecting and identifying
what you have learnt is not always easy. These questions are designed to help
you identify what you have learnt from studying the article. They will also
help you to clarify what you can apply to practice, what you did not understand
and what you need to explore further.

1. Today’s nurses are expected to:

a) Carry out clinical procedures
b) Care for patients, develop research-based strategies and provide comfort
c) Undertake research-based counselling
d) Offer comfort based on research

2. Nursing has been derived from knowledge based on:

a) Training
b) Critical analysis
c) Instructions from doctors
d) Anecdote and tradition

3. Evidence-based healthcare is thought to have been around for

a) 5 years
b) 10 years
c) 20 years
d) 50 years

4. What word appears four times in the RCN definition of clinical
effectiveness?

a) Patient
b) Care
c) Research
d) Right

5. What factors indicate the need for evidence-based healthcare?

a) Ageing population, stress factors and expectation of high quality
services
b) Ageing population, new technologies and expectation of high quality services

c) Stress factors, new technologies and expectation of high quality services
d) Ageing population, new technologies and stress factors

6. Who says nurses are personally accountable for their practice?

a) ENB
b) RCN
c) UKCC
d) DOH

7. What type of research does the medical profession prefer?

a) Meta analysis
b) Grounded theory
c) Social research
d) Randomised control trials

8. What does one have to decide about relevant research?

a) Its quality and worth
b) If it is occupational health orientated
c) When it was published
d) Who is the target audience

9. Systematic reviews are known as the

a) Gatekeepers of nursing knowledge
b) Father of nursing knowledge
c) Founders of nursing knowledge
d) Keepers of nursing knowledge

10. Clinical guidelines should be based on research that is

a) Prepared by multidisciplinary panel, valid and relevant
b) Prepared by a multidisciplinary team of doctors, in date, valid and relevant

c) Prepared by a multidisciplinary panel, in date, valid and relevant
d) Prepared by a panel of doctors, in date, valid and relevant

Feedback

1.
b)
visit the website given in the reference (www.cebm.utoronto.ca) and read
their introduction to evidence-based nursing. 2. d), 3. b), 4. d) obtain
a copy of the RCN booklet on clinical effectiveness – see references. 5. b)
discuss with your colleagues what you feel are factors that indicate the need
for evidence-based nursing in occupational health practice. 6. c)
Refresh your memory on the UKCC Scope of professional practice. 7. d)
using a research text book ensure you are aware of what all these terms mean. 8.
a), 9. a)
visit the Cochran or Bandolier website and explore the systematic
reviews listed. 10. c) visit the RCN website and download a copy of
Driver’s clinical guidelines for vaccination, or obtain a hard copy. Consider
whether your vaccination procedures are up to date and in line with
‘evidence-based practice’.

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