NUR 116 Lect. - Week 2 - EBP, Teamwork

Question 1

What are the steps of EBP (Evidence Based Practice)?

Answer 1

1. Identify a problem: ask a question
2. Search credible sources of evidence: look for factual information
3. Evaluate the findings: review the information
4. Implement recommendation: change interventions
5. Review their effectiveness: “do the new interventions improve results?”
6. Disseminating the result: share the findings with others

Question 2

Define the following:
Quantitative research
Qualitative Research
Mixed methods research
Translational research

Answer 2

Quantitative Research: Uses numerical data to evaluate outcomes

Qualitative Research: Seeks to increase understanding and describe value-laden issues (issues influenced by personal opinions) in health care
ex: Clinical tools within a health care org that help nurses manage client care for specific circumstance, category, or disorder

Mixed Methods Research: Combines qualitative studies, which explore experiences and quantitative designs, which quantifies findings

Translational Resrach: Determines best way to implement EBP across diverse settings and client demographics

Question 3

What is the Theory-Practice Gap?

Answer 3

The gap between the obtainment of theoretical knowledge from research into its practical application in nursing

Question 4

What are Clinical Practice Guidelines?

Answer 4

Formal evidence-based recommendations as guidelines in the medical management of disease processes and in the area of preventative care
(Think: Evidence-based recommendations for medical managing of disease and in preventative care)

Question 5

What are Critical Pathways?

Answer 5

a guide used to standardize a client’s medication, exams, procedures, and rehabilitation during acute care through discharge home; (think pathways = client flowchart)

ex: hip replacement clients expected to stay the hospital for 3 days and use X amount of supplies and services

((Clinical tools within a health care org that help nurses manage client care for specific circumstance, category, or disorder))

Question 6

What are Standards of Care?

Answer 6

Evidence-Based interventions usually implemented when caring for client with specific disorder

Question 7

What are some barriers to communication in healthcare?

Answer 7

-Incivility
-Bullying (Repeated incivility)
-Lateral Violence (incivility between peers)
-Vertical Violence (incivility Between superiors)

Question 8

Define I-SBAR-R

Answer 8

I:Introduction - Give name and client care role, ask receiver for their name and care role
S:Situation - Describe what’s happening to the client that needs to be addressed
B:Background - Provide pertinent clinical background (think: ABC-MPP; allergies,background,condition,medication, potential needs)
A:Assessment - Give a brief evaluation of the situation
R:Recommendation - Give suggestion(s) for care
R:Read back/Repeat - Summarize, allow time for questions and repeat

Question 9

What should be covered in handoff report and where should it occur?

Answer 9

• Allergies, background, condition, medication, potential needs, plan of care (ABC-MPP)
• Handoff report should occur at respective patient’s bedside

Question 10

Protocol for the receiver of a verbal prescription?

Answer 10

The receiver must read back the order as WRITTEN down

Question 11

Describe medication reconcilliation

Answer 11

When: a client is being admitted, discharged or transferred to/from a unit/facility/home,

What: nurse must gather complete list of medications, reconcile them, verify the accuracy and document all medication the client needs

Question 12

What is a consultation?

Answer 12

When one provider formally requests another provider’s input about how to treat a condition

• “Your doctor needs to hand your care over to someone else.”

Question 13

Define an interprofessional team

Answer 13

Two or more professionals working together

Question 14

Define the functions (what do they do?) of the following members of the interprofessional team:
OT
PT
Speech Therapist
AP
LPN

Answer 14

OT: Helps patient recover daily living and working skills (fine motor skills)

PT: Rehab of physical function, mobility and movement (gross motor skills)

Speech Therapist: Diagnoses, treats communication and swallowing disorders. Often works with stroke victims, children with developmental delays, or people with Parkinson’s

AP (Advanced Practitioner): diagnose, treat and manage patient’s medical condition’s–can prescribe meds.
Healthcare providers with advanced training and education (ex: NPs or PAs).

LPN: Provides basic nursing care under supervision of RN’s or physicians.
They can: monitor patients, administer meds, assist with personal hygiene and support with daily living activities.