Ethical and Legal standards and Documentation Flashcards
is all about using one’s expertise and knowledge to assist in gathering information related to professional practice. The data collected is a result of best current practices.
EBP evidence- based Pratice
1 Best evidence is from current research
2 Based on nurse’s clinical expertise
3 Should reflect client’s preferences values, needs, interests, and choices
Components for EBP Framework
Clinical decision making Advocacy Quality Improvement Accountability Professional Behaviors
Concepts Related to EBP
Collaboration with other team members Client-centered Guidance for clinical practice improved quality care Credibility Accountability Can confirm results or promote change Increased Knowledge
Benefits of EBP
Work demands/schedule Cleint conflicts with best practice Lack of access to technology Limited Knowledge/ skills Lack if experience or confidence Lack if agency support Lack of time or access to funding, location, etc. Attitudes of nurse(s) to be involved resistance to change
Barriers to EBP
Implementing the scientific process
All information gathered is objective and factual
The overall goal is to improve client care
Careful consideration of funding, participants, ethical/legal issues, and implications for practice
Clinical Research
Precision of measurement is used; statistical data collected
More specific
Quantitative Research
Focus is on the client’s perspective for a subjective view on a matter. client view what do they need
Qualitative research
A group of studies on a given topic are examined, and their results are combined and analyzed as if they were from one large study
Meta-analysis
A case study is specific to one individual, issue, or event.
Case-study
A longitudinal study follows two groups and measures the outcomes of an exposure group with those of a non-exposure group
Cohort Study
This study compares individuals with and without a specific condition to identify predictive variables
Case-Control Study
This is the strongest type of study. RCT are designed to illustrate a cause-and effect relationship by using a control group and an experimental group
Randomized Control trail (RCT)
1) Provide best evidence for EBP
2) Support nursing as a professional discipline.
3) Define current best practice standards of nursing care
Implications for Nursing Practice
4 Steps to Developing EBP
1) Develop a clinical question
2) Retrieve the evidence
3) Evaluate the evidence
4) Apply the evidence
PICOT Format
Population Issue (problem) Comparison (of methods used) Outcomes (desired effect) what are we looking for or fix Time frame
is a systematic and strict scientific process that tests hypotheses about health-related conditions and the processes of nursing care
Nursing research
Nursing clinical research
Seeks answers to questions that will ultimately improve client care.
research participants
are defined as volunteers for a specific study project that meet all the inclusion criteria, have been informed of all aspects of the study, and have signed informed consent.
includes the right to receive this information as well as the right of participants to withdraw from the study at any time. Participants must give informed consent, usually written, before the study begins
Informed consent
A set of professional principles and standards designed to help guide professional behavior and relationships through specif beliefs and values
Nursing Ethics
is defined as a system of moral principles or standards governing behaviors and relationships that is based on professional nursing beliefs and values
Ethics
Morality
refers to private, personal standards of what is right and wrong in conduct, character, and attitude.
one who expresses and defends the cause of another
Advocate
