S3 M6 EBP Flashcards
Traditional knowledge
Generation to generation
Authoritative knowledge
based on PERCEIVED expertise
comes from an expert
Scientific knowledge
scientific method
Science =
knowledge
Philosophy
Wisdom
Fundamentals
Process used to construct life
Process
framework and theory
Historical influences of nursing
Florence nightingale
Societal changes
Societal influences of nursing
Nursing school
Theory
Group of concepts that can be tested, changed
Concept
Abstract impression
A conceptual framework of modeling
Deductive reasoning
General ideas to specific actions
Inductive reasoning
Specific actions to general ideas
General systems theory
Break thing into part to see how they work
Adaptation theory
adjustment of living matter to other living things
Developmental theory
Orderly and predictable growth and development
From conception to death
Nursing theory benefits
Common goal of nurses
Better care
Rational for actions
Questioning assumptions
Goal of theoretical framework
Individualized care to meet PT needs
Promotion of health
Treatment of illness
Goal of research
Develop explanations
Find solutions
What is studied in the nursing research
Education
Policy
Ethics
Nursing history
Research leads to greater
Autonomy and strength
EBP
EBP
Best current evidence + clinical expertise + pt/fam preferences and values
EBP improves
client care
nursing credibility
accountability
Resources for EBP
Institute for healthcare improvement IHI
Non-profits
Developed guides/Bundles
Available bundles
Pressure ulcer
Central line associated blood stream infections CLABSI
Catheter acquired urinary tract infection CAUTI
Ventilator-associated pneumonia
Pressure ulcers
Severity worse than appearance
Staged by depth and tissue destruction
Ulcers impede
Result in
Recovery
Infections
Pressure ulcer prevention
Conduct assessment on admission
reassess risk daily
reassess skin daily
manage moisture
optimize nutrition/hydration
minimize pressure
CLABSI
Central line-associated bloodstream infections
Prevention
Hand hygiene
Barrier precaution
Chlorhexidine antisepsis
Avoid femoral vein
If central line is deemed unnecessary remove _
evaluate necessity _
immediately
daily
CAUTI
Catheter acquired UTI
Prevention
Aseptic technique
Secure cath
Inspect urine
Maintain closed system
Perineal care of a cath should be done with…
how often _
Soap and water
daily
CAUTI management
Early treatment
Check vitals
Antibiotics
Increase fluids
Labs to check for CAUTI
WBCs
Blood culture
VAP
Ventilator associated pneumonia
Prevention
Elevate head of bed
Interruption of sedatives
Daily assessment for extubation readiness
Oral chlorhexidine care
With VAP patients do profilaxis for
PUD peptic ulcer diseases
DVT deep vein thrombosis
3 bases of ebp
patient values
clinical expertise
best researched evidence
to save expenses you should use proper
packages as opposed to charging for individual procedures
Measure patient care
Joint commission
Patient feedback
Bundles
stop to follow with certain procedures
helps keep people on same page
PICOT
Patient population problem Intervention Comparison - variable/control Outcome Time
will be on test
Why do we do evidence based practice
Doing what is right
Moving in the right direction
