Evidence Based Practice - SCI Nurse Conference-Berlin 2018 - Hollister Incorporated UK

Evidence Based
Practice

SCI Nurse Conference-Berlin 2018

Why Evidence Based Practice?
Warum evidenzbasierend Praxis?

               ■ Have you ever wondered about the way your team
                 (or yourself) educate a patient about intermittent
                 catheterization?

               ■ Could you do differently?
                  Könnten Sie es auch einmal anders versuchen?

               ■ Have you ever been asked by a patient if
                 there are any benefits to using a
                 hydrophilic catheter?

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EBP: Evidence Based Practice
    Evidenzbasierend Praxis

                                        ■ EBP is the integration of clinical
                                          expertise, patient values, and
                     Best                 the best research evidence into
                   Research               the decision making process for
                                          patient care. Clinical expertise
                   Evidence               refers to the clinician's
                                          cumulated experience,
                                          education and clinical skills.
                        EBP                Evidenzbasierend Praxis bringt
      Clinical                Patient      klinisches Fachwissen, Patientenwerte
     Expertise                Values       und besten Forschungsergebnisse in
                                           den Entscheidungsprozess der
                                           Patientenpflege ein. Klinisches
                                           Fachwissen bezieht sich auf die
                                           kumulierte klinische Erfahrung, Bildung
                                           und die klinische Erfahrung.

                                                                              3

EBP in clinical practice                  fEvidenzbasierend Praxis im Kliniksalltag

                 Die richtigen
     Ask the     Fragen stellen
      right
     Question

                                  Beste Evidenz
                Seek Best         anstreben
                Evidence

                                               Beurteilung
                            Assessment                                        Patient   Werte
                                                                              Values    des
                                                                                        Patienten

                                            Treatment
                                             Decision

                                              Entscheidun                    Clinical   Klinisches
                                              g der                         Expertise   Fachwiss
                                              Behandlung                                en 4

How to answer the question? Wie die Frage beantworten?

            Books Bücher          Experts Experten

            Practise Praxis       Journals
                                  Fachliteratur

            Protocols             Guidelines
            Protokolle            Richtlinien

                                                         5

Framing the Research via PICO
Eingrenzung der Recherche mit der PICO Methode

                                                 ■ Framework Rahmenwerk
                                                    ☐ Answer a clinical or
                                                      health care related
                                                      question
                    Evidence                          Beantworte eine klinsche oder
                     Based                            pflegerelevante Frage

                    Medicine
                                                    ☐ Can also be used to
                                                      develop literature
             Finding the Best
                                                      search strategies
             Clinical Literature                      Kann auch zur Erarbeitung
                                                      Literatursuchstrategien benutzt
                                                      werden
                                                                                  6

From problem to question                            Vom Problem zur Frage

        P                      I                     C                       O
Population           Intervention or        Comparison                Outcome
Population           Exposure               Vergleich                 Ergebniss
Patient Patient      Intervention oder
Problem Problem      Auufdeckung

Who are the          What do we do to What do we                      What happens?
patients? Wer sind   them? Was tun wir compare the                    Was wird passieren?
die Patienten?       mit Ihnen?        intervention with?
                                            Mit was vergleichen       What is the
Where are the        What are they          wir die Intervention?     outcome?
patients? Wo sind    exposed to?                                      Was is das Resultat?
die Patienten?       Welchem Sachverhalt
                     sind Sie ausgesetzt?
What is the
problem? Was ist
die Problematik?                                                                             7

How to reach a consensus to answer the
question? Wie kann man eine Konsenz erreichen, um die die Frage zu beantworten?

                                                                              8

Issue from practice: Problem von der Praxis

Individuals with Spinal Cord Injury (SCI) require
bladder management.
• Bladder management options include clean
  intermittent catheterization.
• Potential problems include infections and trauma

Question: Do hydrophilic catheters decrease risk
both infection and /or trauma?

                                                     9

Research question: Forschungsfrage

Is there data to support the benefit of hydrophilic
catheters to diminish infection and/or trauma in SCI
patient?

                                                   10

Applying PICO       PICO anwenden

       P                I             C                O
   SCI patient   Intermittent    Hydrophilic vs   Decrease
   requiring     Catheterization uncoated         infection
   bladder                       catheters        and/or urethral
   management                                     trauma

                                                                    11

Applying PICO to Research                       PICO anwenden für Recherche

        P                   I               C                   O
 SCI individuals     Intermittent      Hydrophilic vs    Hydrophilic
 requiring bladder   catheterization   uncoated          catheters
 management .                          catheters         potentially
                                                         decrease
                                                         incidence of
                                                         urethral
                                                         trauma and
                                                         risk of
                                                         infection

                                                                              12

Search Engine result

                       13

Search Engine result

                       14

Group Work
■ TABLE WORK 45 minutes
   ☐ Embrace the activity with gusto (oh yes!)
   ☐ Individually read the PICO tool
   ☐ Work as a group, assign a writer and speaker
   ☐ Use the chart to document your ideas and formulation of the
     question
■ Group report out (30 minutes)

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