EBP (10) + Communication and Collaboration (12) Flashcards

1
Q

phases of therapeutic relationship

A

1) orientation phase
2) working phase
3) termination phase

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2
Q

what is expected in the orientation phase?

A

the patient learns the nurse’s name, credentials and extent of responsibility

this is when they build trust, see each other as people, identify the patient’s view of their problems, and establish a “contract” that patient and nurse will work together

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3
Q

what is it called when actions and words align?

(this is an important component of building trust)

A

congruence

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4
Q

what is expected of the patient during the working phase?

A

nurses can expect to see their patient have motivation and resistance to change regarding their condition–this is the patient’s response to stress

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5
Q

when patients make little progress because they resist more than they actively try to change

A

regression

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6
Q

what is the termination phase?

A

the patient and the nurse are beginning to end the relationship in a therapeutic manner

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7
Q

this type of communication is the most obvious and consists of all speech

A

verbal communication

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8
Q

this type of communication consists of actions, tone, and body language

people are less able to exercise conscious control over what they communicate

A

nonverbal communication

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9
Q

what are the criteria for successful communication?

A

1) feedback
2) appropriateness
3) efficiency
4) flexibility

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10
Q

relaying a message back to the sender

nurses operate under the notion that they do not know everything until confirmed

A

feedback

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11
Q

the reply “fits” with a question

the nurse can use the patient’s reply to evaluate the presence of a problem

A

appropriateness

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12
Q

use of simple and clear words–no use of medical jargon

use words that are appropriate to the patient’s level of literacy

A

efficiency

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13
Q

allowing for deviations from a plan of communicating with the patient

A

flexibility

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14
Q

effective communication tools

A

1) active listening
2) empathy
3) open-ended questions
4) sharing knowledge and information
5) reflection
6) silence

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15
Q

what are the characteristics of research (new science)?

A

it can be replicated across different settings

the means to resolve, clarify, or inform regarding phenomena related to improving patient care

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16
Q

what are the characteristics of EBP?

A

it is the use of research to guide clinical judgment of nurses and deliver quality health care with integration of clinician expertise and patient preferences

17
Q

what are the 3 types of research?

A

1) quantitative
2) qualitative
3) mixed

18
Q

characteristics of quantitative research

A

measurable variables

minimize subjectivity and bias

it can be conducted through study groups and determined through interventions–applicable to different settings

(pain levels, LOS, lab values)

19
Q

define bias

A

the systematic distortion of a finding of data–results from problems with participants

(testing the effectivity of an intervention but using young patients only instead of diversifying to the older population)

20
Q

characteristics of qualitative research (naturalistic inquiry)

A

explores human responses to health and illness

data collection involves narrative interviews and participant observation

21
Q

characteristics of mixed research

A

combines both types, meaning there will be a variety of data collection techniques and analyses

22
Q

define research question

A

a question posed from an identified research problem

(“what are the characteristics of mothers who have difficulty initiating breastfeeding?”)

23
Q

what is the PICOT framework?

A

it is what nurses use in direct patient care roles to focus their search for evidence in regards to what is considered best practice or learn a better way to improve outcomes

guides EBP

24
Q

PICOT

A

Population
Intervention
Comparison
Outcome
Time

25
Q

reliability of data collection

A

consistently accurate (yields the same values each time the instrument is used)

26
Q

validity of data tool

A

must measure what it’s supposed to measure

27
Q

how is research used in practice and education?

A

it can be used to support and improve practice

28
Q

what is the Common Fund?

A

launched by NIH to fund research programs that make biomedical research responsive to needs of society