unit 3 test Flashcards

(41 cards)

1
Q

what are the 3 main reasons of why evidence based practice is needed

A

improves quality, safety, and patient outcomes
increases nurse satisfaction
reduces costs

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2
Q

well designed systemically conducted studies is best when looking at

A

evidence

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3
Q

what are the step of evidence based practice (0-6)

A
  1. cultivate a spirit of inquiry
  2. ask a clinical question in PICOT format
  3. search for the most relevant evidence
  4. critically appraise the evidence you gather
  5. integrate all evidence with your clinical expertise and patient preferences and values
  6. evaluate the outcomes of practice decisions or changes using evidence
  7. share the outcomes with others
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4
Q

what are sources of evidence

A

clinician experience, textbooks, standards of care, infection control data, chart reviews, quality improvement- risk management data

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5
Q

specific problem occurring in the unit

A

problem focused trigger

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6
Q

what is the pneumonic used when asking a clinical question

A
PICOT
Population/disease
Intervention/variable of interest
Comparison
Outcome
Time
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7
Q

what is not always apart of a PICOT

A

time

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8
Q

what is considered the gold standard

A

systematic reviews and metaanalysis of RTCs

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9
Q

of the pyramid, what is considered the last resort to use

A

opinion of authorities or expert committees

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10
Q

after critiquing all articles for a PICOT question what do you do next

A

synthesize or combine the findings

consider the evidence and whether it has application

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11
Q

what are the 4 elements of an article

A

abstract
introduction
lit review or background
manuscript

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12
Q

abstract

A

summary

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13
Q

introduction

A

goes into more detail of what the paper is going to be about

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14
Q

lit review/ background

A

what other researchers have studied on the topic you are about to work on

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15
Q

what are the 4 subsections that a research article contains in its manuscript narrative

A

purpose statement- body of text
methodology- what are you using to do research
results
clinical implications

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16
Q

after implementing an EBP change who should you share the outcomes with

A

clinical staff on unit, nursing practice council or the research council, clinicians, professional conferences and meetings

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17
Q

nursing research is a way to…

A

identify new knowledge, improve professional education and practice, and use resources effectively

18
Q

what is the first step of the research process

A

identify the problem

19
Q

precise and chosen to make sure you will eliminate any type of bias because its all about the numbers

20
Q

interviewing and getting your perspective and more personal - not as grounded or elite as the quantitative

21
Q

what are examples of quantitative

A

experimental research
non experimental research
sureys
evaluation research

22
Q

what are examples of qualitative

A

ethnography
thenomenology
grounded theory

23
Q

what is the pneumonic for research process

24
Q

identify area of interest or clinical problem

25
develop research question/ hypotheses
diagnosis
26
determine how study will be conducted
planning
27
conduct the study
implementation
28
analyze results of the study- use of the findings
evaluation
29
what does informed consent mean
participants receive full and complete info, they can understand the info, they have free choice to participate, they understand how their confidentiality will be kept
30
use of information from research and other sources to determine safe and effective nursing care with the goal of improving patient care and outcomes
evidence based practice
31
systematic inquiry answers questions, solves problems,, and contributes to the generalizable knowledge base of nursing; may or may not improve patient care
research
32
improves local work processes to improve patient outcomes and health system efficiency; results usually not generalizable
Quality improvement
33
what is an example of a key quality of care or performance indicators
infection rates
34
research question needs to be...
focused and specific
35
what is the formulating clinical question process
1. analyze the question components using the PICOT framework 2. identify the type/domain of the question 3. rephrase you questions using the concepts from PICOT analysis
36
domain can branch out into 4 what are they
``` treatment prevention etiology diagnosis prognosis ```
37
how effective a treatment option would be
treatment
38
what is going to prevent mortality or morbidity rate
prevention
39
are more physician oriented
diagnosis
40
probable cause of a pt disease
prognosis
41
questions about a harmful effect or exposure of a patient
etiology