Evidence-Based Practice & Nursing Theory (WK11) Flashcards

1
Q

How are nursing theories useful?

A
  • provides nurses w/ a perspective from which to view client situations, a way to organize data, and a method of analyzing and interpreting info
  • guides knowledge development and directs education, research and practice
  • distinguishes nursing from other disciplines
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2
Q

What are the components of nursing theories?

A

PHENOMENON

  • idea or response about an event
  • can be temporary or permanent
  • nursing theories focus on the phenomena of nursing

CONCEPTS

  • used to help or label a phenomenon
  • abstract concepts are mentally constructed independent of a time or place
  • concrete concepts - as directly experienced and related to time or place

DEFINITIONS

  • used to convey the general meaning of the concepts of the theory
  • theoretical defn. - defines a particular concept based on the theory
  • operational defn. - how concepts are measured

RELATIONAL STATEMENTS

  • relationship btwn 2 or more concepts
  • chains that link concepts together

ASSUMPTIONS

  • accepted as truths and are based on values and beliefs
  • statements that explain the nature of concepts, defn. purpose, relationships, and structure of a theory
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3
Q

Grand nursing theories

A
  • abstract
  • broad in scope
  • complex
  • NOT used to guide specific nursing interventions
  • used to provide a general framework and nursing ideas
  • addresses the nursing meta-paradigm
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4
Q

Middle Range Nursing theories

A
  • more limited in scope
  • present concepts and propositions at a lower level of abstraction
  • used to address specific phenomenas in nursing
  • based on grand theorist’s works, but can be used in nursing practice
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5
Q

Descriptive theories

A
  • first level of theory development
  • describe the phenomena and identifies its properties and components
  • designed to help explain client assessments and guide future nursing research
  • not action oriented
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6
Q

Prescriptive theory

A
  • addresses nursing interventions and helps predict the consequences of a specific intervention
  • action oriented
    tests the validity and predictability of a nursing intervention
  • guides nursing research to develop and test specific nursing interventions
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7
Q

Florence Nightingale

A
  • founder of modern nursing

- environmental theory: healthy environment fundamental for healing

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8
Q

Hildegard Peplau

A
  • theory of interpersonal relations

- emphasizes the nurse-client relationship

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9
Q

Virginia Henderson

A
  • conceptualized the nurse’s role as assisting sick or healthy individuals gain independence in meeting 14 fundamental needs
  • nursing need theory
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10
Q

Faye Abdellah

A
  • shifted the focus on nursing from disease centered to patient centered
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11
Q

Ida Jean Orlando

A
  • emphasized the reciprocal client relationship
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12
Q

Dorothy Johnson

A

behavioural system model

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13
Q

Martha Rogers

A
  • viewed nursing as a science and an art

- nursing provides a way to view the unitary human being who is integral w/ the universe

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14
Q

Dorothea Orem

A
  • nursing care is required if the client is unable to fulfill biological, psychological, developmental, or social needs
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15
Q

Imogene King

A
  • theory of goal attainment
  • nurse is considered part of the pts environment
  • nurse-pt relationship is for meeting goals towards good health
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16
Q

Betty Neuman

A
  • stress reduction os the goal of system model of nursing practice
17
Q

Callista Roy

A
  • viewed the individual as a set of interrelated system
18
Q

Jean Watson

A
  • philosophy of caring

- humanistic aspects of nursing

19
Q

Metaparadigms for nursing

A

Person
Environment
Health
nursing

20
Q

The nursing process

A

A stepped approach to assess and care for pts

21
Q

Evidence-informed decision making

A

scientific evidence is integrated into the decision making of every nurse

22
Q

What kind of research is used in evidence based practice?

A
  • RCT
  • evidence gathered from cohort, case-control analysis, observational studies
  • opinions from experts
  • personal experience
23
Q

What is EBP?

A

paradigm and life long problem-solving approach to clinical decision making

  • involves the use of the best available evidence
  • BPG - summarizes the best available research and provide evidence-based recommendations for nurses
24
Q

Advantages of incorporating evidence in nursing practice

A
  • improves knowledge
  • facilitates patient-centred care
  • enhances patient outcomes
  • reduces the occurrence of adverse events and costs
  • increases patient satisfaction
25
Q

Barriers to the acceptance, adoption, and implementation of EBP

A
  • not having enough authority to change pt care procedures
  • lack of time on the job to implement new ideas
  • lack of time to search for and understand new research
  • inadequate access to IT, limited IT skills