S3 M6 EBP Flashcards

(41 cards)

1
Q

Traditional knowledge

A

Generation to generation

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2
Q

Authoritative knowledge

A

based on PERCEIVED expertise

comes from an expert

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3
Q

Scientific knowledge

A

scientific method

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4
Q

Science =

A

knowledge

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5
Q

Philosophy

A

Wisdom
Fundamentals
Process used to construct life

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6
Q

Process

A

framework and theory

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7
Q

Historical influences of nursing

A

Florence nightingale

Societal changes

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8
Q

Societal influences of nursing

A

Nursing school

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9
Q

Theory

A

Group of concepts that can be tested, changed

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10
Q

Concept

A

Abstract impression

A conceptual framework of modeling

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11
Q

Deductive reasoning

A

General ideas to specific actions

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12
Q

Inductive reasoning

A

Specific actions to general ideas

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13
Q

General systems theory

A

Break thing into part to see how they work

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14
Q

Adaptation theory

A

adjustment of living matter to other living things

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15
Q

Developmental theory

A

Orderly and predictable growth and development

From conception to death

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16
Q

Nursing theory benefits

A

Common goal of nurses
Better care
Rational for actions
Questioning assumptions

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17
Q

Goal of theoretical framework

A

Individualized care to meet PT needs
Promotion of health
Treatment of illness

18
Q

Goal of research

A

Develop explanations

Find solutions

19
Q

What is studied in the nursing research

A

Education
Policy
Ethics
Nursing history

20
Q

Research leads to greater

A

Autonomy and strength

EBP

21
Q

EBP

A

Best current evidence + clinical expertise + pt/fam preferences and values

22
Q

EBP improves

A

client care
nursing credibility
accountability

23
Q

Resources for EBP

A

Institute for healthcare improvement IHI
Non-profits
Developed guides/Bundles

24
Q

Available bundles

A

Pressure ulcer

Central line associated blood stream infections CLABSI

Catheter acquired urinary tract infection CAUTI

Ventilator-associated pneumonia

25
Pressure ulcers
Severity worse than appearance | Staged by depth and tissue destruction
26
Ulcers impede Result in
Recovery Infections
27
Pressure ulcer prevention
Conduct assessment on admission reassess risk daily reassess skin daily manage moisture optimize nutrition/hydration minimize pressure
28
CLABSI Central line-associated bloodstream infections Prevention
Hand hygiene Barrier precaution Chlorhexidine antisepsis Avoid femoral vein
29
If central line is deemed unnecessary remove _ evaluate necessity _
immediately daily
30
CAUTI Catheter acquired UTI Prevention
Aseptic technique Secure cath Inspect urine Maintain closed system
31
Perineal care of a cath should be done with... how often _
Soap and water daily
32
CAUTI management
Early treatment Check vitals Antibiotics Increase fluids
33
Labs to check for CAUTI
WBCs | Blood culture
34
VAP Ventilator associated pneumonia Prevention
Elevate head of bed Interruption of sedatives Daily assessment for extubation readiness Oral chlorhexidine care
35
With VAP patients do profilaxis for
PUD peptic ulcer diseases | DVT deep vein thrombosis
36
3 bases of ebp
patient values clinical expertise best researched evidence
37
to save expenses you should use proper
packages as opposed to charging for individual procedures
38
Measure patient care
Joint commission | Patient feedback
39
Bundles
stop to follow with certain procedures | helps keep people on same page
40
PICOT
``` Patient population problem Intervention Comparison - variable/control Outcome Time ``` will be on test
41
Why do we do evidence based practice
Doing what is right | Moving in the right direction