Nursing Consolidation Flashcards
1
Q
Clinical guidelines
A
- user-friendly statements, developed with intent of providing framework for making decisions about health care in specific situations
- based on best available evidence
- framework for guideline development
- valid & reproducible - outcome focused, based on best available evidence, describe strength of link between recommendation & outcome, evidence should be combined using strongest method available to determine effect on outcomes
- representative - development teams should be multidisciplinary & contain consumer representatives
- flexible & adaptable - to local conditions
- cost effective - with thought to resource limits
- reliable & applicable - developed with thought to target audience, evaluated for effort, value, validity & usage, reviewed & modified regularly to incorporate new evidence
2
Q
Criticisms of evidence based clinical guidelines
A
- stifle individual clinical judgement
- inhibit capacity to engage in critical thinking
- compromise quality of care by restricting treatment options
- promote illusion that for every situation there are clear instructional directions
- development and implementation is resource intensive & time consuming
- requires clinicians to engage in clinical activities that they do not have the requisite knowledge or skills
3
Q
Benefits of evidence based clinical guidelines
A
- facilitate safe practice
- increase consistency across different clinical settings
- increase potential for delivery of correct client care
- utilize expert opinion in everyday practice
- accommodate individual client care variation
- synthesize knowledge into manageable framework for clinical use
- allow room for development of local protocols
4
Q
Culture of an organisation
A
- established system of beliefs, values, attitudes
- form the basis of the organisations purpose or mission
- informal structures and processes, combination of values & beliefs of actual staff members
- can be seen as the way things are done, can impact on interactions, be seen as something that needs to be taught to new members as the correct way to perceive, think and feel in relation to problems within the workplace
5
Q
Asking clinical questions
A
- PICO
- P - population (patient / client group & health care problem, issue or concern)
- I - intervention (treatment or exposure)
- C - comparison intervention (alternative intervention if applicable)
- O - outcome (or desired outcome)
6
Q
Translating evidence to practice
A
- evidence gathered & research results need to stand up to examination
- needs to be put into a form that can be understood by clinicans, and promotes the information so it can be put into practice
7
Q
Issues in clinical environment (from tute book)
A
- clinical issues
- addressed with educators / NUM
- ensure involvement, enthusiasm, and ask to be redirected to a different preceptor if issues don’t resolve
- ward issues
- reminding client stay is temporary, ward is set up to promote safety and recovery
- acknowledge feelings are real, don’t be dismissive
8
Q
Debriefing
A
- a clinical process, in place for nurses / individuals who experience a traumatic event to discuss reactions / feelings in a group or individual setting
- exists to assist recovery, from normal reactions to abnormal event
- 24-48 hours post event
- is compulsory, individuals need to be aware of signs of stress & maintain personal health & psychological health, cannot be forced but policy may require attendance
- anyone involved should be debriefed, staff, patients & visitors, but each group needs to be debriefed separately as have different needs / education level
- differing views / memories of a situation do occur as everyone sees / processes and recalls different aspects
- needs to be done by someone neutral to the situation, trained in debriefing
- debriefing is a normal procedure, doesn’t imply disability, weakness or unsuitability for employment, can learn & grow from debriefing
- if debriefing isn’t sufficient, employee assistance programs with sessions with psychologists, and for visitors, supports from the hospital service
9
Q
Consolidating skills
A
- continue reading
- clinical supervision
- allows for addressing questions / problems, examining self in clinical interactions
- person able to reflect back on issues that are presented
- practice development
- person centredness - status given to others in the context of their relationship & social being - knowing yourself & own beliefs, being authentic
- facilitation - technique where one person makes things easier for others - doing for others, enabling others, being authoritative, facilitating interventions
- authentic engagement & learning
- facilitation, critical companionship
- experienced facilitator accompanies another on a learning journey
- to enable practice that is person centred and evidence based
- looking at own attitudes towards conditions & if they need moderation, being aware of own reactions & ability to care for certain clients
- being aware of ward policies
- external reading
- be solution focused
- reflection - reflection in action, reflection on action, reflection for action
10
Q
Specialty areas
A
- eating disorders
- children & adolescents
- grief
- community
- mother & baby
- psychogeriatriac
- forensic
- personality disorders
- drug & alcohol
- psych triage
- GP clinics
- nurse practitioners
11
Q
Difference between nurse / nurse practitioner
A
- allowed to function autonomously & collaboratively in advanced role
- assessment & management
- referrals
- prescribing
- ordering diagnostic tests
- advanced knowledge & skills
12
Q
Differences between medical & psych nursing
A
- general - more medical based
- mental health - autonomous in range of skills / practice, can climb ladder quickly, need wide knowledge base
13
Q
Consolidating skills - practical & theoretical
A
- both types of learning are important
- theoretical base allows for better understanding of practical skills
- know why & how skills are performed
- important to implement theory in practice
- be able to unpack, provide rationale for actions
