N110 Quiz #2 Flashcards
What is Evidence-Informed Decision Making?
Requires nurses to continually use a process involving the explicit, conscientious, judicious consideration of the best available evidence to provide care.
What are the 3 steps for evidence-informed practice? Briefly describe them
- Research: ask the clinical question. Collect the best evidence. Critique the evidence.
- Integrate: Integrate what you have learned into practice.
- Evaluate the practice design or change.
How does Keeping Up-to-Date apply in nursing?
Nursing has an ethical responsibility to continue developing and using the disciplines evolving theoretical knowledge. Provides the foundation for improving the quality of nursing care and patient outcomes.
What is the Professional Standard 2: Knowledge Based Practice?
Consistently applying knowledge, skills and judgement in nursing practice.
How does knowledge-based practice apply in clinical practice? 3 points.
- bases practice on current evidence from nursing science and other sciences and humanities.
- knows how and where to access information to support the provision of safe, competent and ethical client care.
- uses critical thinking when collecting and interpreting data, planning, implementing, and evaluating nursing care.
What are two important points about ADPIE- the nursing process.
ADPIE provides a decision-making framework for evidence-informed nursing practice.
It fosters critical thinking to meet client health outcomes.
Briefly explain each step in the nursing process (ADPIE):
A- collect, organize, validate, document data
D- analyze data and identify health problems to diagnose
P- prioritize problems, formulate goals, select nursing interventions
I- reassess client, implement interventions, supervise, document.
E- collect data about outcomes and draw conclusions/ evaluate.
What are the four types of nursing diagnoses?
- actual diagnoses
- at-risk diagnoses
- wellness diagnoses
- health promotion
What is Maslow’s Hierarchy of needs and what is the order from top to bottom?
Self-actualization- recognition of ones potential
Self-esteem- sense of self-worth
Love and belonging- affection, intimacy
Safety and security- safety from threat and danger
Physiologic needs- oxygen, food etc.
Who sets the professional standards for nursing practice in BC?
BCCNP under the Health Professions Act
What are 3 important elements of professional standards?
- Reflect the values of the nursing profession
- Clarify what is expected of nurses
- Represents the criteria in which nurses practice in BC
What are the 4 standards?
1: Professional responsibility and accountability
2: Knowledge based practice
3: Client focused provision of service
4: Ethical practice
What are some of the factors influencing nursing in history?
Urbanization, wars/conflict, industrialization, women’s movement, economic depression and opportunity, technological advancements
Explain some of the historical evolution of nursing in Canada?
- first nation women cared for communities and settlers
- lay women provided care in their communities as midwives
- religious orders arrived with a mission to provide care for settlers and native inhabitants
Who is Florence Nightingale?
- founder of modern nursing
- cared for soldiers during crimean war
- reduced mortality and morbidity rates with simple nursing care
- elevated status of nursing
- first nurse statistician
Explain some of the evolution of nursing education?
- late 1800’s formalization of nursing training, growing immigration, urbanization, new knowledge on transmission of disease
- apprenticeship model with nurses formally “trained” in hospitals
When was the first nursing school established?
1860 by florence
When and where was the first Canadian nursing school?
1874 in St. Catherines Ontario
What were hospital schools like?
Students provided majority of care in hospitals
Financial benefit to hospital
Poor living conditions for students
Questionable education quality
When was nursing registration established?
between 1910 and 1922 for graduates of hospital-based programs
- resulted in a standardized educational curricula.
- only those who completed the program could use title “registered nurse”
When was the first university program established at UBC?
1919, initially provided non-integrated degree programs
What is the Weir Report (1932)?
Survey of nursing education in canada
-insufficient classroom instruction and lack of variety in clinical experience
What was the significance of the 1965 Royal Commission on Health Services?
-instrumental in transition away from hospital training schools
Significance in 1960’s and 1970’s for baccalaureate as entry to practice?
1960’s- switched to 2-year diploma
1975: Alberta Task Force on Nursing Education recommendation that all new graduates be prepared at the baccalaureate level
