Module 4 Flashcards
Define Evidence based practice
- using most informative research information, from below, to provide best possible care for patients
- expert clinical practice
- client preferences
- professional clinical judgement
List 4 nursing “Ways of Knowing”
1-empirics
2-esthetics
3-personal knowledge
4-ethics
How does nursing knowledge develop from empirics
empirics - research & objective facts
How does nursing knowledge develop from esthetics?
-Esthetics - personality & approach to creating relationships
How does nursing knowledge develop from Personal Knowledge
Personal Knowledge - experience, values & Personal views
How does nursing knowledge develop from ethics
Ethics - own values, societal values & professional values (code of conduct)
Discuss 3 ways that research findings apply to nursing practice
1-guides best practice. Scientific evidence should be integrated into decision making
2-Quality improvement. critically examine practice and evaluate different interventions and outcomes.
3-Answer clinical questions. allows nurse to understand why something is done and best way to do it
list 4 common nursing research databases
1-Cumulative Index to nursing and allied health literature (CINAHL)
2 - Health Source Nursing (HSN)
2-Medline
3-Cochrane review
List 5 sources and methods of data that the nurse uses to gather complete assessment information
1-research Journals, scientific journals
2-Standards of practice
3-“Big” data from quality improvement & infection control
4-Clinical professional experience
5-Individual Patient & their own experiences
list the 5 phases of nursing process
1-nursing assessment 2-nursing diagnosis 4-planning nursing care 4-implement nursing care 5-evaluation nursing care Note steps are not linear, move back and forth between steps in practice
From the 5 phases of the nursing process - what happens during the nursing assessment
nursing assessment - collect subjective and objective based information about client. . Variety of possible methods ( interview, exam) and sources (client, family, medical records, ) also cultural considerations.
From the 5 phases of the nursing process - what is a nursing diagnosis
Nursing diagnosis - clinical judgement about client in response to an actual or potential health problem
From the 5 phases of the nursing process - what happens during the planning nursing care stage
planning nursing care - establish priorities, including goals of care (SMART goals) and expected outcomes