S3 M6 EBP Flashcards

1
Q

Traditional knowledge

A

Generation to generation

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2
Q

Authoritative knowledge

A

based on PERCEIVED expertise

comes from an expert

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3
Q

Scientific knowledge

A

scientific method

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4
Q

Science =

A

knowledge

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5
Q

Philosophy

A

Wisdom
Fundamentals
Process used to construct life

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6
Q

Process

A

framework and theory

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7
Q

Historical influences of nursing

A

Florence nightingale

Societal changes

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8
Q

Societal influences of nursing

A

Nursing school

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9
Q

Theory

A

Group of concepts that can be tested, changed

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10
Q

Concept

A

Abstract impression

A conceptual framework of modeling

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11
Q

Deductive reasoning

A

General ideas to specific actions

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12
Q

Inductive reasoning

A

Specific actions to general ideas

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13
Q

General systems theory

A

Break thing into part to see how they work

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14
Q

Adaptation theory

A

adjustment of living matter to other living things

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15
Q

Developmental theory

A

Orderly and predictable growth and development

From conception to death

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16
Q

Nursing theory benefits

A

Common goal of nurses
Better care
Rational for actions
Questioning assumptions

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17
Q

Goal of theoretical framework

A

Individualized care to meet PT needs
Promotion of health
Treatment of illness

18
Q

Goal of research

A

Develop explanations

Find solutions

19
Q

What is studied in the nursing research

A

Education
Policy
Ethics
Nursing history

20
Q

Research leads to greater

A

Autonomy and strength

EBP

21
Q

EBP

A

Best current evidence + clinical expertise + pt/fam preferences and values

22
Q

EBP improves

A

client care
nursing credibility
accountability

23
Q

Resources for EBP

A

Institute for healthcare improvement IHI
Non-profits
Developed guides/Bundles

24
Q

Available bundles

A

Pressure ulcer

Central line associated blood stream infections CLABSI

Catheter acquired urinary tract infection CAUTI

Ventilator-associated pneumonia

25
Q

Pressure ulcers

A

Severity worse than appearance

Staged by depth and tissue destruction

26
Q

Ulcers impede

Result in

A

Recovery

Infections

27
Q

Pressure ulcer prevention

A

Conduct assessment on admission

reassess risk daily

reassess skin daily

manage moisture

optimize nutrition/hydration

minimize pressure

28
Q

CLABSI
Central line-associated bloodstream infections
Prevention

A

Hand hygiene
Barrier precaution
Chlorhexidine antisepsis

Avoid femoral vein

29
Q

If central line is deemed unnecessary remove _

evaluate necessity _

A

immediately

daily

30
Q

CAUTI
Catheter acquired UTI
Prevention

A

Aseptic technique
Secure cath
Inspect urine
Maintain closed system

31
Q

Perineal care of a cath should be done with…

how often _

A

Soap and water

daily

32
Q

CAUTI management

A

Early treatment
Check vitals
Antibiotics
Increase fluids

33
Q

Labs to check for CAUTI

A

WBCs

Blood culture

34
Q

VAP
Ventilator associated pneumonia
Prevention

A

Elevate head of bed
Interruption of sedatives
Daily assessment for extubation readiness
Oral chlorhexidine care

35
Q

With VAP patients do profilaxis for

A

PUD peptic ulcer diseases

DVT deep vein thrombosis

36
Q

3 bases of ebp

A

patient values
clinical expertise
best researched evidence

37
Q

to save expenses you should use proper

A

packages as opposed to charging for individual procedures

38
Q

Measure patient care

A

Joint commission

Patient feedback

39
Q

Bundles

A

stop to follow with certain procedures

helps keep people on same page

40
Q

PICOT

A
Patient population problem
Intervention
Comparison - variable/control
Outcome
Time 

will be on test

41
Q

Why do we do evidence based practice

A

Doing what is right

Moving in the right direction