FIRST TEST Flashcards

1
Q

Best Practice

A

based on best evidence. (from systematic research) Use of most recent, relevant and helpful interventions based on research in real life practice. Infuses nursing practice with research based knowledge

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2
Q

Evidence Based Practice

A

Conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients.

Uses systematic research -Key difference

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3
Q

PICO +T - assists in the formatting of clinical questions. Pertinent clinical questions, focus on asking the right questions, and choose relevant guidelines.

A

Patient, Population, or Problem

Intervention or topic of interest

Comparison

Outcome
+
Time

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4
Q

P in PICO

A

who is the group of patients similar to mine?

what group do I want information on?

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5
Q

I in PICO

A

What kind of intervention am I looking for?

What intervention do I want to study the effect of ?

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6
Q

C - Comparison in PICO

A

What is the main alternative to compare the intervention?

Compared to what?

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7
Q

O- outcome in PICO

A

What do I hope to accomplish, improve, measure.

What is the effect of the intervention?

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8
Q

T - Time in PICO

A

What is my timeframe?

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9
Q

How to find EBP electronically

A

CINAHL
ProQuest
MEDLINE
Pubmed

National library of Medicine
Cochrane Library
National Guideline Clearinghouse
Joanna Briggs Institute 
Agency for Healthcare Research and Quality
Center for Health Evidence
Registered Nurses Association of ontario
MCGill University Health Centre's Research and Clinical Resources for Evidence Based Nursing
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10
Q

Nursing Informatics

A

a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice.

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11
Q

Competencies for Novice RN’s

A

Compter literacy
Database
presentation software
research capabilities

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12
Q

Clinical Decision making tools

A

EMR

STANDARD OF CARE

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13
Q

Website Evaluation

A

ACCURACY / AUTHORITY OR SOURCE / OBJECTIVITY /CURRENCY OR TIMELINESS/ COVERAGE OR QUALITY/ INTENDED PURPOSE/ USABILITY

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14
Q

Confidentiality, Security and Privacy

A
HIPPA (Health insurance Portability and Accountability Act)
Encryption
Electron Health Records
Email 
Social media
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15
Q

Ethical Theories

A

Virtue Ethics : Benevolence, compassion, courage, justice, generosity, truthfulness

Natural law theory: Aquinian theory. Rightness of actions is self evident from laws of nature. morality is determined by law of reason.
Behavior contrary to views of nature is immoral.

De ontology: Actions that are duty based, not based on reward, happiness or consequences. Kantian theory where individual follow a universal framework of moral rules to guide the right actions. Individuals are required to act from duty regardless if they wish to do so.

UTILITARIANISM - promote the greatest good that is possible in a situation. John Stuart Mill stated that experiences have different qualities and are not equal amongst individuals.. What is best for the group not the individual. Commonsense ethical directives agreed upon by groups of people are usually applied.

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16
Q

Ethic of Care

A

feminist ethics where personal relationships and relationship responsibilities are emphasized. Critical thinking is used to inquire about relationships, circumstances and problem solving.

17
Q

Ethical Principlism

A

a prima facie model using four principles drawn from widely shared conception of morality:

  1. Autonomy
    2.Beneficence
    3.Nonmalefiecence
    4.
18
Q

Sources of law

A

Statutory Law
Administrative Law
Case Law

19
Q

Statutory Law

A

rules and regs created by US Congress, state legislators, local governments, and constitutional law.

20
Q

Admin Law

A

further regulations that develop the law and establish procedures for administering the law (Nurse practitioners formulary)

21
Q

Case Law

A

law established through court decisions and precedent

22
Q

Civil Law

A

Assault- threat to harm, Battery, False imprisonment, Defamation, Fraud, Invasion of privacy. Tort Law

23
Q

Criminal Law

A

Felonies - Drug charges, practicing w/o license / Misdemeanors - Theft, traffic violations

24
Q

Malpractice

A

failure of the professional to use such case as a reasonably prudent member of the profession would use under similar circumstances, which leads to harm.

25
Q

negligence

A

failure to act as a reasonably prudent person would have acted in a specific situation.

26
Q

Nursing Licensure

A

Advace directives, advocacy, client rights, collaboration with interdisciplinary team, confidentiality and informan etc etc

27
Q

Professional Accountability

A

informed consent - nurse plays advocacy role (Physician s responsible)
Privacy and confidentiality -oral written and electronic
Delegation- 5 rights of delegation, TASK, CIRCUMSTANCES (RESOURSES), RIGHT PERSON FOR THE TASK, DIRECTION OF COMMUNICATION, OUTCOME EXPECTATIONS.