Evidenced Informed Practice Flashcards

1
Q

Evidence informed practice steps: what is the first step

A

Asking the clinical question

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2
Q

Evidence informed practice steps: after you asking a clinical question what should you be doing

A

Searching for the most relevant and best evidence that applies to the question

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3
Q

Evidence informed practice steps: after searching for evidence what should you do?

A

Critically appraise the evidence you father

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4
Q

Evidence informed practice steps: once you’ve appraised the evidence then..

A

Apply or integrate evidence along with clinical expertise, patient preferences and values in making a practice decision or change

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5
Q

Evidence informed practice steps: after application…

A

Evaluate!

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6
Q

Evidence informed practice steps: once you’ve evaluated

A

Communicate your results

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7
Q

Evidence is

A

All the available body of facts or info indicating wether a belief or proposition is true or valid

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8
Q

Scientific evidence consists of

A

Observations and experimental results that serve to support a scientific hypothesis or theory

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9
Q

Why is evidence important and valuable?

A

-response to societal forces
-problem solving approach
-safety net to make accurate decisions
-improves care

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10
Q

What is practice evidence informed care?

A

Being aware of policies, procedures and clinical guidelines used in the agency

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11
Q

What are examples of sources of evidence

A

-scientific evidence in jouranals
-non research evidence
-individual patient data
-nursing judgement

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12
Q

Strategy for searching for the best evidence

A

Hierarchy for rating scientific evidence
-top being the strongest
-bottom being the weakest

I to VIII

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13
Q

On the hierarchy for best evidence, what is the top (I)

A

Systematic reviews and metanalyses of RCTs

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14
Q

On the hierarchy of rating scientific evidence what is the bottom (VIII)

A

Opinion of expert clinicians

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15
Q

How is RCA (rapid critical appraisal) helpful?

A

Helps to critique the evidence
-many questions about the information given

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16
Q

When might clinical questions be triggered

A

-during care for a patient
-notice a trend on your nursing unit
-need new information on a topic

17
Q

The type of question you ask, depends on:

A

What type of information you need
-background or foreground

18
Q

Foreground questions

A

Questions that get into the specific details
-following the starting questions

19
Q

Background question

A

Information you need to get started

20
Q

What defines goals of care?

A

Quality of life

21
Q

What does identifiying individual factors impacting quality of life focus on?

A

Focuses interventions on the person

22
Q

How can you create a better quality of life

A

Knowledge of how symptoms affect a persons health and function

23
Q

Care planning helps to identify what two nursing diagnosis?

A

Priority and culprit nursing diagnosis

24
Q

What diagnosis has greatest impact on a persons quality of life

A

Culprit

25
Q

Care planning for quality of life

A

Way to demonstrate critical thinking
-mind mapping/data clustering
-active document
-patient is always at center
-relational links

26
Q

Example of priority diagnosis

A

Risk of falls

27
Q

What is a Culprit diagnosis

A

What is affecting everything else
-if we fix one problem, it’ll fix everything around it

28
Q

What were some of the diagnosis from the case study

A

-complicated grief
-risk for fall, and skin integrity
-MS
-urinary inconvenience