Lecture 13 - More *@^%+! Theory stuff

Question 1

Praxis

Answer 1

Integrates theory and practice

Art and Science of nursing

Question 2

Evidence-Based Practice

Answer 2

Use of best available evidence to provide care.

Question 3

Evidence-Informed Practice

Answer 3

Incorporates evidence from research, clinical expertise, client preferences + other resources to make nursing decisions about client

Question 4

Generating Evidence-Informed Practice

Answer 4

1) Ask Q that presents clinical problem
2) Identify + gather most relevant and best evidence
3) Critically appraise evidence
4) Integrate evidence with clinical expertise, clients’ preferences, and clients’ values to make decision or change
5) Evaluate outcome for pt

Question 5

Problem-focused trigger

Answer 5

Best dressing to use for wound?

Question 6

Problem-focused trend

Answer 6

What can we do to reduce the number of ulcers developed on our unit?

Question 7

Knowledge- focused trigger

Answer 7

What is the current evidence to improve overall healing for diabetic ulcers?

Question 8

Clinical Question (PICO)

Answer 8

P - Pt population of interest
I - Intervention of interest
C - Comparison of interest
O - Outcome

Question 9

Carper’s Ways of Knowing

Every Energetic Elephant Plays

Answer 9

Ethics - moral component
Esthetics - art of nursing
Empirics - science
Personal Knowledge - therapeutic use of self

Question 10

Best Practice Guidelines

Answer 10

• most appropriate courses of action in certain practice situations
• Registered Nurses Association of Ontario (RNAO)

Question 11

Integrating BPG’s in practice

Answer 11

Step 1: Identify problem, review + select knowledge
Step 2a: Adapt knowledge to local context
Step 2b: Stakeholder analysis
Step 2c: Resource assessment
Step 3: Assess facilitators + barriers to knowledge use
Step 4: Select, tailor + implement intervention +
implementation strategies
Step 5: Monitor knowledge use + evaluating outcomes
Step 6: Sustain knowledge use