evidence based care critical thinking in nursing Flashcards
evidence based practice
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
foundation of evidence based practice
research evidence, clinical expertise, patient/ family values
rationale for using EBP
yields better patient outcomes,
steps in implementing EBP
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
conducting EBP research PICO
P: patient, population, problem of interest/ I: intervention of interest/ C: comparison of interest/ O: outcome of interest
example of PICO: Do rocking chairs promote peristalsis and prevent paralytic ileus postoperatively
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
QSEN
quality and safety education for nurses
6 areas of competency, QSEN
patient centered care, teamwork & collaboration, EBP, quality improvement, safety, informatics
critical thinking in nursing
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
critical reasoning
ways of thinking about patient issues
critical judgement
conclusions, decisions, or opinion
critical thinking
includes both reasoning and judgment, helps choose solutions or identify options for patient care situations
critical thinking begins by asking what three questions
what do I really know? how do I know it? what options are available to me?
nursing process: assessment…. critical thinking?
observe, collect, differentiate data, organize, validate, interpret
nursing process: nursing diagnosis… critical thinking?
cluster, identify, recognize actual or potential problems, avoid making judgements