Chapter 1 Flashcards

1
Q

isn’t just confined to
the ICU. It’s the holistic care an
interprofessional team gives tailored for
patients in varied settings.

A

Critical care nursing

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2
Q

The Interprofessional Team Members (10)

A

• Direct care provider nurses
• Clinical nurse specialists
• Adult and gerontology acute care nurse
practitioners
• Nurse managers and administrators
• Physician intensivists
• Specialty physicians
• Respiratory therapists
• Pharmacists, dieticians
• Therapists, social workers
• Ethicists, clergy

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3
Q

Core Principles of Critical Care Nursing (7)

A

• Manage Human Responses
• Skills & Abilities
• Patient & Family Advocacy
• Healthy Work Environment
• Financial Contribution & Stewardship
• Self-care & Coworker Care
• Safety and Quality

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4
Q

Objective of Core Principles of Critical Care Nursing

A

Restore, support, promote,
rehabilitate, or palliate patients,
ensuring physiological and
psychosocial stability across all age
groups.

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5
Q

Core Principles of Critical Care Nursing
- Tackle both
actual or potentially life-threatening
problems.

A

Manage Human Responses

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6
Q

Core Principles of Critical Care Nursing
- Synthesize and prioritize critical
information swiftly.

A

Skills & Abilities

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7
Q

Core Principles of Critical Care Nursing
- Implement evidence-based,
patient-centric decisions through
strong clinical judgment and inquiry.

A

Skills & Abilities

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8
Q

Core Principles of Critical Care Nursing
- Adapt and respond confidently to
swiftly changing patient scenarios.

A

Skills & Abilities

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9
Q

Core Principles of Critical Care Nursing
- Cater to the specific needs of
patients/families undergoing
unexpected illnesses/injuries.

A

Patient & Family Advocacy

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10
Q

Core Principles of Critical Care Nursing
- Uphold patients’/families’ choices in
quality-of-life and end-of life
decisions.

A

Patient & Family Advocacy

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11
Q

Core Principles of Critical Care Nursing
- Ensure a work atmosphere that’s
safe, respectful, healing, and
nurturing for nurses, peers,
patients, families, and the whole
team.

A

Healthy Work Environment

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12
Q

Core Principles of Critical Care Nursing
- Showcase nursing’s fiscal input
through proper resource use,
innovation, and efficiency, ensuring
top-notch safety and quality results.

A

Financial Contribution & Stewardship

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13
Q

Core Principles of Critical Care Nursing
- Emphasize nursing’s role in the
fiscal sustainability of facilities
through effective resource
management.

A

Financial Contribution & Stewardship

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14
Q

Core Principles of Critical Care Nursing
- Advocate for the mental and
physical well-being of oneself and
colleagues, fostering resilience.

A

Self-care & Coworker Care

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15
Q

Core Principles of Critical Care Nursing
- Prioritize the provision of safe,
compassionate, and high-quality
patient care.

A

Safety and Quality

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16
Q

Value of Certification in Critical Care Nursing (2)

A

• Value to the patient and family
• Value to employers and nurses

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17
Q

Value of Certification in Critical Care Nursing Purpose and Importance (5)

A

• Demonstrates a nurse’s knowledge
and commitment to patient safety.
▪ Reflects adherence to national
standards.
▪ Promotes ongoing excellence in
critical care nursing.
▪ Ensures nurses have current
knowledge vital for critical care
practice.
▪ Validates a nurse’s expertise to
patients, families, employers, and
the nurse themselves.

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18
Q

Value of Certification in Critical Care Nursing
- Validation of experience and
knowledge.

A

Value to the patient and family

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19
Q

Value of Certification in Critical Care Nursing
- Make decisions with greater
confidence.

A

Value to the patient and family

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20
Q

Value of Certification in Critical Care Nursing
- Demonstrates commitment to
continual learning.

A

Value to the patient and family

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21
Q

Value of Certification in Critical Care Nursing
- Knowledge and expertise to
promote optimal patient outcomes.

A

Value to employers and nurses

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22
Q

Value of Certification in Critical Care Nursing

• Commitment to quality
▪ Workplace empowerment

A

Value to employers and nurses

23
Q

Value of Certification in Critical Care Nursing
- Enhanced communication and
coordination of care

A

Value to employers and nurses

24
Q

Value of Certification in Critical Care Nursing
- Remain employed in an area where
they can apply the knowledge.

A

Value to employers and nurses

25
Q

Value of Certification in Critical Care Nursing
- Sense of professional pride and
achievement

A

Value to employers and nurses

26
Q

Integrating the best scientific
knowledge with clinical expertise for
optimal care.

A

EBP

27
Q

Central for enhancing patient outcomes in
dynamic health environments.

A

EBP

28
Q

EBP was Recognized by the _, the _, and _ as vital for healthcare quality
improvement.

A

• National Academy of
Medicine
• American Nurses
Credentialing Center
• The Joint
Commission

29
Q

aims to generate new
knowledge.

A

Research

30
Q

utilizes existing knowledge to
guide patient care for the best
outcomes

A

EBP

31
Q

Levels of Evidence (5)

A

• Experimental studies
• Quasi-experimental studies
• Nonexperimental studies
• Clinical practice guidelines
• Literature reviews

32
Q

Levels of Evidence
- randomized controlled
trials, systematic reviews of randomized controlled
trials (with or without meta-analysis)

A

Experimental studies

33
Q

Levels of Evidence
- systematic
reviews of randomized controlled trials and quasiexperimental studies

A

Quasi-experimental studies

34
Q

Levels of Evidence
- systematic
reviews, quasi-experimental and nonexperimental
studies, nonexperimental studies with or without
meta-analysis

A

Nonexperimental studies

35
Q

Levels of Evidence
- consensus panel
reports

A

Clinical practice guidelines

36
Q

Levels of Evidence
- quality improvement
studies, program and financial evaluations, case
reports, opinions of experts based on experiential
evidence

A

Literature reviews

37
Q

Barriers to EBP Implementation (2)

A

• Average 17-year gap between research
findings and clinical practice integration
• Organizational culture affects nurse
autonomy and adaptability.

38
Q

Barriers to EBP Implementation
- Hurdles (4)

A

• Knowledge gap of the research
process.
▪ Attitude towards EBP.
▪ Limited resources, training,
motivation, and staffing.
▪ Time mismanagement, costs, lack
of teamwork, and organizational
support.

39
Q

Facilitators for EBP Implementation (4)

A

• Leadership and champions.
• Efficient strategies, protocols, and
resources.
• Services, resources, and time allocation.
• Need for nurses to locate, evaluate, and
translate evidence into practice.

40
Q

Strategies to Promote Implementation of EBP (8)

A

• Protocols
• Clinical pathways
• Algorithms
• Educational interventions
• Increasing awareness of available
resources
• Education and mentoring
• Databases
• Professional nursing organization’s
research-based practice recommendations

41
Q

Demand for more nurses necessitates
workplace changes.

A

Healthy Work Environments (HWE)

42
Q

Healthy Work Environments (HWE)
- HWEs lead to _ patient outcomes.

A

positive

43
Q

Nurses are attracted to facilities with
optimal work conditions.

A

Healthy Work Environments (HWE)

44
Q

Healthy Work Environments (HWE)
- Unhealthy environments cause _ (5)

A

healthcare
errors, ineffective care, wasted resources,
increased costs, and moral distress.

45
Q

Healthy Work Environments (HWE)
-AACN sees HWEs as the solution to the
nursing _

A

shortage

46
Q

Healthy Work Environments (HWE)
- Harmful healthcare environments exist
nationwide, leading to _ (3)

A

errors, poor care,
and provider dissatisfaction.

47
Q

Healthy Work Environments (HWE)
- HWE initiative focuses on employee and
patient safety and lists _

A

six essential
standards.

48
Q

Six Standards of Healthy Work Environments

A

• Skilled communication
• True collaboration
• Effective decision-making
• Appropriate staffing
• Meaningful recognition
• Authentic leadership

49
Q

Future Challenges in Critical Care Nursing
- Deliver evidence-based care that is
culturally _ and _.

A

congruent
relevant

50
Q

Future Challenges in Critical Care Nursing
- _ and _ diverse professionals.

A

Recruit
retain

51
Q

Future Challenges in Critical Care Nursing
- Expand the _ of experienced critical
care nurses.

A

skill set

52
Q

Future Challenges in Critical Care Nursing
- Identify, manage, and treat _ (3)

A

unknown
threats, natural disasters, and manmade
crises

53
Q

Future Challenges in Critical Care Nursing
- Address _ (4) needs of patients and
families.

A

psychosocial, spiritual, ethical,
and advocacy

54
Q

Future Challenges in Critical Care Nursing
- Foster _, navigate _ and _ and
facilitate patient and family learning.

A

collaboration
complex
delivery
reimbursement systems