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Research for Practice: - Coggle Diagram
Research for Practice:
NCAS Standards:
1) 1.1
- Accesses, analyses, and uses best available evidence, that includes research findings for safe quality practice
2) 2.4
- Provides support and directs people to resources to optimise health related decisions
3) 3.2
- Provides the information and education required to enhance people's control over health
4) 4.2
- Uses a range of assessment techniques to systematically collect relevant and accurate information and data to inform practice
5) 5.1
- Uses assessment data and best available evidence to develop a plan
6) 6.5
- Practice in accordance with relevant nursing and health guidelines, standards, regulations and legislation
Ethics:
1) Autonomy
- Determine one's own actions/ consent to treatment or participation
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6) Confidentiality
- maintain privileged information and the right to privacy
Confidentiality = privileged info. responsibility of others to respect person's privacy and not reveal info to others
- Privacy = participants have a right to choose what happens with their personal info and its protection
- Anonymity = not being known by name or other identifying info
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Finding best evidence:
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Study Designs:
Intervention
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III - 2 = Comparative study w concurrent controls (NR experimental trial, cohort study, case-control study, interrupted time series)
III - 3 = comparative study w concurrent controls ( historical control study, two+ single arm study, interrupted time serious w/o parallel control group)
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Diagnostic
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2 = study of test accuracy w independent, blinded comparison w valid reference standard among consecutive persons
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Screening intervention
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III - 2 = comparative study w concurrent controls (NRET, Cohort study, case-control study)
III - 3 = comparative study w/o concurrent controls (historical control, two + single arm study)
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Levels of evidence:
1) Systematic reviews of lvl 2 evidence, RCTs
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3) Non-RCT
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III - 2) Allocaion is not random, bias is higher
III - 3) treatment & control not randomly allocated, evaluation of outcomes not concurrent, bias
4) Treatment group only without a control, placebo, or alternative treatment group ( all recieve same treatment)
Heirarchy
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2) secondary studies - systematic reviews, level 1 evidence
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4) Expert opinion, narrative reviews, studies of single cases, personal experiences in practice
Bias:
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Systematic reviews:
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- reviewers' personal biases