Nursing Processes, NCPs & EBVM

Question 1

What is holistic patient care?

Answer 1

• Treating the whole animal rather than just the symptoms of the disease/condition

Question 2

What are the 5 patient needs?

Answer 2

• Social
• Economic
• Physical
• Emotional
• Spiritual

Question 3

What is the veterinary nursing process?

Answer 3

A cyclic process that encourages a structured systemic approach to nursing care

Question 4

What is care planning?

Answer 4

Thinking and planning of nursing care

Question 5

What is a care plan?

Answer 5

A written result of the care planning

Question 6

What are some care planning benefits?

Answer 6

• Comprehensive preparation
• Recognising patient’s actual and potential problems
• Selecting interventions to assist in these problems
• Indivisualised, measurable treatment goals can be set
• Can facilitate the care of the patient

Question 7

What are benefits of using nursing care plans?

Answer 7

• Facilitation of holistic patient care
• Improved continuity of patient care
• Improved multidisciplinary team-working
• Stimulus for research and care measurement
• Thorough documentation of patient care to support professional accountability
• Increases professional satisfaction
• Improves public perception of VNs

Question 8

What are the 3 parts of the Orpet and Jeffery Ability Model?

Answer 8

• Patient assessment form
• Assessment of abilities
• Care plan ~(short and long term goals, nursing interventions and evaluation)

Question 9

What is evidence based veterinary medicine?

Answer 9

• Evidence-based decisions that combine clinical expertise and scientific evidence whilst taking into account each patient and owners individual circumstances, which can improve patient care

Question 10

What is the importance of EBVM? (Flowchart)

Answer 10

1= Confident in nursing abilities
2= Helps to nurse patient autonomously
3= Vet nursing lacking evidence getting better
4= Can develop human research
5= Supports clinical judgement for owners and peers
6= Profession accountability

Question 11

What are the benefits of EBVM?

Answer 11

• Improves patient care
• Decision making for VNs
• Quality assurance for the practice
• Evidence for clinical decisions

Question 12

What are the barrier of EBVM?

Answer 12

• Access to research
• Time
• Lack of skills in interpreting results and stats
• Lack of support

Question 13

What are nursing care bundles?

Answer 13

• Strategies to improve care outcomes by implementing best practice protocols, which prevent common complications associated diagnoses

Question 14

How to write a care bundle?

Answer 14

• Identify a care theme
• Identify a cluster of intervention/practices within a theme
• Undertake literature searches for each intervention
• Exact research literature
• Categories the evidence found according to its quality
• Delete any intervention that do not have high quality evidence to refer to
• Develop evidence-based nursing practice

Question 15

What are the benefits of nursing care bundles?

Answer 15

• Improves patient outcomes
• Closes the gap between theory and practice
• Promotes teamwork and increases job satisfaction
• Provides a measurable record of care given

Question 16

What are the barriers of nursing care bundles?

Answer 16

• Availability of research is limited
• Costs
• Client choice
• Practice reluctant to change

Question 17

Summarise nursing care plans

Answer 17

• Assesses the whole patient
• Individualised care
• Not always evidence-based
• Freehand descriptive record of care allowing for subjective observations
• Not always useful for clinical audit

Question 18

Summarise nursing care bundles

Answer 18

• Used for specific patient groups, disease or set of symptoms
• Standardised care for a patient group
• Always evidence based
• Checklist style record of care
• Usually useful for clinical audit