evidence based care critical thinking in nursing Flashcards

1
Q

evidence based practice

A

problem solving approach to making clinical decisions using the best evidence available/ blends both science and the art of nursing so that the best patient outcomes are achieved/ mandates the analysis and systemic review of research findings

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2
Q

foundation of evidence based practice

A

research evidence, clinical expertise, patient/ family values

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3
Q

rationale for using EBP

A

yields better patient outcomes,

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4
Q

steps in implementing EBP

A

ask the question, collect best evidence, critically appraise the evidence, integrate the evidence with clinical expertise, patient preferences and values, elevate the practice decision or change

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5
Q

conducting EBP research PICO

A

P: patient, population, problem of interest/ I: intervention of interest/ C: comparison of interest/ O: outcome of interest

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6
Q

example of PICO: Do rocking chairs promote peristalsis and prevent paralytic ileus postoperatively

A

P: patient who had abdominal surgery/ I: who rock in rocking chairs postoperatively/ C: when compared with patients who receive standard nursing care following surgery (sitting in chair with no rocking)/ O: reduced incidents of postoperative ileus

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7
Q

QSEN

A

quality and safety education for nurses

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8
Q

6 areas of competency, QSEN

A

patient centered care, teamwork & collaboration, EBP, quality improvement, safety, informatics

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9
Q

critical thinking in nursing

A

purposeful outcome directed, essential to safe competent skillful nursing practice, based on principles of nursing process and the scientific method, requires specific knowledge skills and experience

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10
Q

critical reasoning

A

ways of thinking about patient issues

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11
Q

critical judgement

A

conclusions, decisions, or opinion

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12
Q

critical thinking

A

includes both reasoning and judgment, helps choose solutions or identify options for patient care situations

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13
Q

critical thinking begins by asking what three questions

A

what do I really know? how do I know it? what options are available to me?

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14
Q

nursing process: assessment…. critical thinking?

A

observe, collect, differentiate data, organize, validate, interpret

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15
Q

nursing process: nursing diagnosis… critical thinking?

A

cluster, identify, recognize actual or potential problems, avoid making judgements

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16
Q

nursing process: planning… critical thinking

A

identify goals and outcomes, determine appropriate strategies, set priorities, the knowledge and apply

17
Q

nursing diagnosis: implementation… critical thinking?

A

use knowledge, use appropriate skill test theories, delegate, supervise, communicate

18
Q

nursing diagnosis: evaluation… critical thinking?

A

determine accuracy, elevate outcome, based on scientific criteria