FIRST TEST Flashcards
Best Practice
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
Evidence Based Practice
Conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients.
Uses systematic research -Key difference
PICO +T - assists in the formatting of clinical questions. Pertinent clinical questions, focus on asking the right questions, and choose relevant guidelines.
Patient, Population, or Problem
Intervention or topic of interest
Comparison
Outcome
+
Time
P in PICO
who is the group of patients similar to mine?
what group do I want information on?
I in PICO
What kind of intervention am I looking for?
What intervention do I want to study the effect of ?
C - Comparison in PICO
What is the main alternative to compare the intervention?
Compared to what?
O- outcome in PICO
What do I hope to accomplish, improve, measure.
What is the effect of the intervention?
T - Time in PICO
What is my timeframe?
How to find EBP electronically
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
Nursing Informatics
a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice.
Competencies for Novice RN’s
Compter literacy
Database
presentation software
research capabilities
Clinical Decision making tools
EMR
STANDARD OF CARE
Website Evaluation
ACCURACY / AUTHORITY OR SOURCE / OBJECTIVITY /CURRENCY OR TIMELINESS/ COVERAGE OR QUALITY/ INTENDED PURPOSE/ USABILITY
Confidentiality, Security and Privacy
HIPPA (Health insurance Portability and Accountability Act) Encryption Electron Health Records Email Social media
Ethical Theories
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.