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N111 > Quiz #2: Knowledge Transition - Scholarship of integration (Evidence informed care/decision making > Flashcards

Quiz #2: Knowledge Transition - Scholarship of integration (Evidence informed care/decision making Flashcards

1
Q

Why do we need evidence informed care?

A
  • Optimize pt, community, populations, outcomes
  • improve clinical practice
  • achieve coast effective
  • accountability
  • transparency
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2
Q

What are the types of evidence

A
  • Quantitative
  • qualitative
  • mega-analysis
  • consensus doc.
  • commission report
  • regulation
  • experiential info
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3
Q

What is the role of the nurse in research?

A
  • Needs basic competencies
  • read & critique evidence informed literature
  • make research Q’s
  • participate in or conduct research
  • evaluate & promote evidence informed practice
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4
Q

What is the role of the professional/ specialty organization in research?

A
  • Use of evidence to create standards/guidelines
  • lobby gov’t for money
  • healthy policies and regulations
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5
Q

What is the role of the regulatory authority in research?

A
  • Use evidence to create standards & guidelines

- Suppose nurses

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6
Q

What is the role of the researchers in research?

A
  • Identify knowledge gap
  • deliver high quality research
  • teach new researchers
  • achieve effective knowledge transfer
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7
Q

What is the role of the educators in research?

A
  • Support
  • Evidence informed curricula
  • promote inquiry
  • promote critical thinking
  • openness to change
  • life-long learners
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8
Q

What is the role of health service organizations in research?

A
  • reduce barriers
  • evaluate outcome
  • support
  • provide continuing education
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9
Q

What is the role of the government in research?

A
  • Support systems
  • institutions
  • funding
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10
Q

What is the role of health info institutions in research?

A
  • Collect
  • Store
  • Maintain data
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11
Q

What is decision making influenced by?

A
  • Evidence
  • theory
  • values
  • judgement
  • client choice
  • ethics
  • regulation
  • legislation
  • resources
  • environment
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12
Q

What is a guideline

A

Systematically developed statements to assist a practitioner in decision making about appropriate care for certain circumstances

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13
Q

What is a guideline based on?

A

Research, opinions, consensus

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14
Q

What is evidence informed decision making?

A

Continuous interactive process involving explicit, conscientious and judicious of best evidence

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15
Q

What are quality improvement studies?

A

Nurse or student investigates outcomes of pt’s in a specific settings

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16
Q

Why is quality improvement not research?

A

Only applies to one facility

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17
Q

What are best practice guidelines?

A
  • Formalized collection of documents
  • Enables organizations & health systems to focus on pt. care & clinical excellence, using the latest research to inform practices
  • Helps to advance gov’t priorities & outcomes
  • most appropriate course of action based on research and evidence from practice
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18
Q

What is the way to remember how to form a good research Q?

A

PICOT

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19
Q

What does the P stand for in PICOT

A

population of interest

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20
Q

What does the I stand for in PICOT

A

intervention of interest

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21
Q

what does the C stand for in PICOT

A

comparison of interest

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22
Q

what does the O stand for in PICOT

A

outcome

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23
Q

What does the T stand for in PICOT

A

time

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24
Q

What are the 5 steps fo successful evidence informed practice?

A

1) Ask Q that clearly presents problem
2) Identify & gather most relevant and best practice
3) appraise evidence
4) integrate w/ expertise, preference and pt. values
5) evaluate outcome of practice decision

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25
Q

What is research literacy

A

being able to locate, understand & evaluate literature

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26
Q

What is research capability

A

being able to do research

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27
Q

what are the three things you critique for?

A

1) Value
2) Feasibility
4) Unity

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28
Q

What are the 2 aspects of feasibility

A

1) Scientific merti & clinical applicability

2) determine if they give strong enough basis

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29
Q

What do theories and research do for nursing…?

A

Improve the practice & overall profession

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30
Q

The best research designs use…

A

both qualitative & quantitative

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31
Q

what are some examples of quantitative

A

Pain severity, rate of wound heal, body temp

*These test theories and use stats to eliminate bias

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32
Q

What are some examples of qualitative

A

anything that cannot be quantified (emotion)

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33
Q

What is validity

A

did they measure what they tried to measure

34
Q

what is reliability

A

can it be replicated

35
Q

List the hierarchy of evidence

A

1) systematic review/ mega-analysis
2) 1-2 well designed, randomized control trials
3) 1+ well designed control trial
4) 1+ well designed case control/ cohort study
5) Systematic review of qualitative
6) single qualitative
7) Opinions of experts

36
Q

What are the critical thinking dispositions?

A
  • Truth seeking
  • Open minded
  • Analyticity
  • systematicity
  • self confidence
  • inquistiveness
  • maturity
37
Q

What is overall research utilization?

A

use of any findings, any way

38
Q

what is instrumental research utilization

A

use for pt. care

39
Q

what is conceptual research utilization

A

used to change thinking or opinion

40
Q

what is symbolic research utilization

A

used to persuade others

41
Q

What is historical trauma

A

experienced over many years

42
Q

what is cultural genocide

A

destruction of practices

43
Q

what is structural racism

A

legitamized/normalized spectrum of attributes, practices, polices that consistently result in substandard outcome for indigenous

44
Q

Some characteristics of an indigenous world view

A
  • Strong land connection
  • old knowledge of land & use
  • Focused on the good of ppl
  • seasons/elastic sense of time
  • diversity, matriarchal
  • circular view
  • interconnectedness, balance, harmony
45
Q

What are indigenous values?

A
  • Kindness
  • sharing
  • non-competition
  • non-interferance
  • responsibility
46
Q

What are the 7 grandfathers?

A 
Wisdom
Love 
respect
bravery
honesty
humility
truth 
*Must develop trust first
47
Q

What is a proximal determinant

A

on an individual level

48
Q

what is an intermediate determinant

A

infrastructure, resources, system

49
Q

what is a distal determinant

A

historical, social, economic

50
Q

What is a proportional approach

A

more invasive = more care should be taken to review

51
Q

what are the 3 value systems for a nurse

A

1) Society
2) Nursing
3) science

52
Q

What does the society value system mean

A

human rights

53
Q

what does the nursing value system mean

A

ethics of caring

54
Q

what does the science nursing value mean

A

research & inquiry

55
Q

What are the 4 major ethical issues in research

A

1) Informed consent
2) beneficence
3) respect for autonomy/confidentiality
4) respect for privacy

56
Q

What are ethics

A

System of principles which can critically change previous considerations about choices or actions

57
Q

what is the nuremberg code

A

forbidded non-therapeutic research

58
Q

what is the helsinki code

A
  • reminded the public of the need for non-therapeutic research
  • BUT subject well being i more important the scientific or social interest
59
Q

What is informed consent

A

knowingly, voluntarily, intelligently and in a clear way, gives consent

60
Q

what is right to autonomy

A

self determination in action, according to a personal plan

61
Q

Informed consent seeks too…

A

1) Rights of autonomous individuals
2) self-determination
3) prevent assaults on integrity of pt.
4) protect liberty & veracity

62
Q

Informed consent needs to incorporate…

A

1) intro & purpose of study
2) why the subject was selected
3) the procedure
4) any harm or discomfort
5) invasion of privacy or threat to dignity
6) compensation
7) disclosure of alternative
8) noncoersive disclaimer
9) no withdraws penalty, freedom

63
Q

What are the 4 ESSENTIAL PARTS of consent

A

1) disclosure
2) comprehension
3) competency
4) volunaryness

64
Q

what are the nursing conflicts to do with informed consent

A
  • nurses may have to witnesses
  • if the nurse tries to give consent, the pt. may feel obliged
  • if they have to withhold info
  • advocate for pt. but don’t prevent research
65
Q

What is beneficence

A

the benefits of the research

66
Q

What is non-maleficence

A

the potential risks

***** Higher level of sensitivity to harm

67
Q

What is the whole beneficence of research?

A

Do effective & significant research to better serve & promote welfare

68
Q

What are the nursing conflicts about beneficience

A
  • vulnerable people
  • prohibition of advocacy
  • don’t prevent nursing knowledge
  • best care practices don’t align with non-therapeutic studies
  • patients who find out their best interests weren’t fulfilled may lose their faith in the HC system
69
Q

What is anonymity

A

protected the subjects identify cannot be linked to a response

70
Q

what is confidentiality

A

management of private info by the researcher

***SOMETIMES broken to protect the moral good of society

71
Q

what is utilitarianism

A

good for all (eg. confidentiality: U’d tell)

72
Q

What is deontology

A

moral duty to pt (eg. during confidentiality: U’d not tell)

73
Q

What are the nursing conflicts of anonymity and confidentiality

A
  • reporting in court
  • interest of society
  • always practice privacy to form trust
74
Q

What is privacy

A

freedom to decide when private information will be shared

75
Q

what is a privacy breech

A
  • beliefs, attitude, opinion & record shared w/o knowledge or consent
  • *some ppl have different def of privacy
    • respectful refusal
  • *don’t study pt. without permission
76
Q

If you don’t respect privacy it may cause loss of..

A
  • dignity
  • friendship
  • employment
77
Q

if you don’t respect privacy it may cause feelings of..

A

anxiety, guilt, embarrassment, shame

78
Q

Who are the vulnerable groups

A
  • Unable to protect own rights & welfare
  • captive (prison, school)
  • mentally ill
  • old
  • children
  • dying
  • poor
  • learning disabilites
  • sedated
  • unconsious
79
Q

What are researcher skills

A
  • inexperienced work under qualified researchers
  • lack of knowledge stated
  • ensure validity and reliability
  • ethics
    1) Competency
    2) Careful design
    3) worthwhile outcomes
80
Q

What are nursing conflicts about vulnerable groups

A
  • not responsible fro pt. care
  • only intervene in harmful situations
  • exclude a subject if you end up caring for them

N111 (4 decks)

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