Diagnostic thinking Cultivated thinking RELATED THINKING SKILLS Deductive

Diagnostic thinking Cultivated thinking RELATED THINKING SKILLS Deductive reasoning Inductive reasoning 1

Curiosity Reflection Diligent pursuit of evidence and information Rational thought Creativity Intuitive thought ATTRIBUTES OF THE CRITICAL THINKER 2

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TANNER'S CLINICAL JUDGMENT MODEL Different types of knowledge Length of nursing experience, values, morals Intuition, knowing the client Culture of work environment 4

QSEN Quality and Safety are Core Nursing Values 5

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EVIDENCE-BASED PRACTICE Nursing clinical research - Seeks answers to improve client care 7

WHAT IS EVIDENCE-BASED PRACTICE? Reflects clinical expertise that is integrated with the best scientific evidence, patient values and preferences, and clinical circumstances 8

ATTRIBUTES OF EVIDENCE-BASED PRACTICE (EBP) Three unique key features problem-solving evidence and theory integration patient values 9

Step 1: Construct a relevant, answerable question from an identified clinical concern. Step 2: Search the literature for the best external evidence. Step 3: Critically appraise the evidence. Step 4: Apply the evidence. Step 5: Evaluate outcomes. EBP

EXAMPLE: In children with acute otitis media, should watchful waiting be considered instead of treatment with antibiotics?

A nurse is using the PICO criteria to write a A NURSE IS USING THE PICO CRITERIA TO research question. In the research question WRITE A RESEARCH QUESTION. IN THE “In patients with congestive heart failure, will RESEARCH QUESTION “IN PATIENTS WITH ACE inhibitors HEART compared with beta blockers CONGESTIVE FAILURE, WILL ACE improve ejection fraction? ”WITH which. BETA section is the INHIBITORS COMPARED comparison? BLOCKERS IMPROVE EJECTION FRACTION? ” WHICH SECTION IS THE COMPARISON? 12

ELEMENTS OF RESEARCH LANGUAGE YOU NEED TO KNOW Population structure and size Validity Reliability Variables Types of studies Qualitative Quantitative Pilot

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RESEARCH PARTICIPANTS Research participants Volunteers for specific study project Meet all inclusion criteria Have been informed of all aspects of study Have signed informed consent Legal and ethical issues: INFORMED CONSENT 15

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