Ch. 6: Planning Interventions (nurse centered)-MJ Flashcards
Evidence based practice is an approach that uses firm ____ rather than anecdote, tradition, intuition, or folklore in making decisions about medical and nursing practice.
Scientific data
T/F: You feel more confident about an intervention if several studies have supported it.
True
What are 6 key steps to the EBP Process?
- Questioning the way things are done
- Reviewing published evidence
- Evaluating and grading the quality of evidence obtained
- Compile and analyze data
- Translating the evidence into guideline
- Integrating the guidelines and evidence
Is this strong or weak evidence for making an intervention based on EBP: expert opinion
Weakest evidence
Is this strong or weak evidence for making an intervention based on EBP: meta-analysis of randomized clinical trials
Strongest evidence
What is the purpose of nursing interventions?
To achieve client outcomes
Nursing interventions are based on ____ and ____.
Clinical judgement and nursing knowledge
What do nursing interventions reflect?
Direct and indirect care
Direct or indirect care interventions: Preformed through interaction with the client
Direct care intervention
Direct or indirect care interventions: Preformed away from the client but on behalf of a client or group of client
Indirect care intervention
Direct or indirect care interventions: Physical care, emotional support, patient teaching
Direct care intervention
Direct or indirect care interventions: Advocacy, managing the environment, consulting with other members of a health care team, making referrals
Indirect care intervention
T/F: Nursing interventions may be independent, dependent, or collaborative.
True
What intervention is this: one that a RN is licensed to prescribe, perform, or delegate based on their knowledge and skills
Independent
Does an independent intervention require a providers order?
No
Independent interventions: Knowing how, when, and why to perform an activity makes the action ______. As a rule, nurses prescribe and perform independent interventions in response to a nursing diagnosis. Understand you are _____ for your decisions and actions with regard to nursing diagnoses and indented interventions.
Autonomous; accountable
What intervention is this: One that is prescribe by a physician or advanced practice nurse but carried out by the bedside nurse.
Dependent
What are examples of dependent interventions?
Orders for diagnostic tests, meds, treatments, IV therapy, diet, and activity
What intervention is this: One that is carried out in collaboration with other healthcare team members (PT, dietitians, physicians)
Interdependent (collaborative) intervention
For planning interventions, what phrase is used: “the nurse will….” or “the patient will…..”
“The nurse will”
Focus on the action verb and times & limits b/c the action verb tells the nurse what action to take and states when and how often each activity is to be done
What are nursing orders?
Instructions that describe how and when nursing interventions are to be implemented
What does a nursing order contain?
Date: date order was written
Subject: Nursing orders are instructions to nurses; you don’t have to write “the nurse will….”. It is understood already that this is the order for the nurse and is not necessary to write out those words (“the nurse will”)
Action verb: examples=ausculate, bathe, demonstrate, explain, give, teach, turn
Times and limits: state when, how often, and how long the activity is to be done
Signature: Signing means you accept legal and ethical accountability for your order and allows others to contact you if they have questions or comments about the order
When we outline rationale for intervention we use _____ format.
APA
