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the process of synthesizing, disseminating, and using research-generated knowledge to make an impact on or change in the existing practices in society |
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the conscientious integration of best research evidence with clinical expertise and patient values and needs in the delivery of quality, cost-effective health care |
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produced by the conduct and synthesis of numerous, high-quality studies in a specific health area focuses on health promotion, illness prevention; and the assessment, diagnosis, and management of acute and chronic illness |
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includes a practitioner's knowledge, skills, and past experience in accurately assessing, diagnosing, and managing an individual patient's health needs |
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idea, practice, or object that is developed through research |
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____ is conducted to synthesize qualitative research and involves the critical analysis for primary qualitative studies and synthesis of findings into a new theory or framework for the topic of interest. |
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Rogers' Theory of Diffusion of Innovations |
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include 5-stage process: (1) knowledge (2) persuasion (3) decision (4) implementation (5) confirmation |
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the first awaremess of the existence of an innovation or a new idea for use in practice |
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people who read research and want to make changes in practice based on empirical evidence |
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an individual person or agency develps either a favorable or unfavorable attitude toward the change or innovation |
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_____ statistically pools the results from previous studies into a single quantitative analysis that provides the highest level of evidence for an intervention's efficacy. |
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the extent to which the innovation is perceived to be better than current perceived to be better than current practice |
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the degree to which the innovation is perceived to be consistent with current values, past experience, and priority of needs |
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A synthesis of multiple primary qualitative studies to produce a narrative about a selected phenomenon. |
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Systematic review of research |
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___ ___ _ ___ is a narrowly focused synthesis of the findings from quantitative studies focused on a particular practice intervention or problem. |
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the degree to which the innovation is perceived to be difficult to understand or use. |
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the extent to which an individual person or agency can try out the idea on a limited basis, with the option of returning to previous practices |
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the extent to which the results of an innovation are visible to others |
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the innovation is either dropped or rejected |
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Knowledge generated from the synthesis of research findings from several quality studies. |
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involves full acceptance and the implementation of the innovation or intervention in practice; can be continued indefinately or can be discontinued based on evaluation of the intervention's effectiveness for patients and the health care agency |
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The integreation of findings from scientifically sound research to determine what is currently known or not |
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decision not to use an innovation; can be active or passive |
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indicates that the intervention was examined and a decision was made not to adopt it |
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indicateds that the intervention was never seriously considered |
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the intervention is put to use by an individual, a clinic, a hospital unit, many units in a hospital, or a group of hospitals |
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occurs when an intervention is used exactly as it was developed |
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provides detailed guidelines that are documented with research sources for implementing an intervention in practice |
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occurs when adopters modify the intervention to meet their own needs |
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use of research findings by citing them in clinical papers and textbooks and incorporating them to strengthen arguments; research knowledge is incorporated into people's thinking and combined with their experience, education, and current values |
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nurses evaluate the effectiveness of the change in practice and decide to either continue or discontiue it |
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decision to continue using an innovation and include the protocol in the procedures manual |
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2 types: replacement and disenchantment decision to stop or discontinue an innovation |
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replacement discontinuance |
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the intervention is rejected to adopt a better idea |
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Disenchantment discontinuance |
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____ ____ occurs when an idea is rejected because the user is dissatisfied with its outcome. |
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