Session 10 + 11 Flashcards
What is evidenced based practice?
Use evidence in practice. Research focus. Doesn’t take into account the clients perspectives and values.
What is evidence informed decision making?
Incorporate evidence from research, clinical expertise, info on client preferences and values, and evidence from assessment of patients history.
What is research?
Process: question, literature, conceptual framework, research design, setting/sample, data collection, analyze data, communicate study implications. Can ve qualitative or quantitive.
What is research actual definition?
New knowledge discovered and brought into practice. Questions asked and answered.
What are nursing theories?
Provide RN with perspective to view client situations, way to organize data and analyze and interpret info. View for explains, predicting, and prescribing.
What is praxis?
Use something you learned in practical way. Theory informs practice and vice versa. 2 way process between patient and nurse. Integrates the art and science of nursing.
What are Carpers way of knowing?
- Empirics- science, develop research and theories, evidence and factual based.
- Aesthetics- art of nursing. Caring aspect and use empathy/compassion. Connection with patient and read emotional cues to establish relationships.
- Ethics- right and wrong, morality, values and belief.
- Personal knowledge- result of experience and values. It’s subjective and it involves interpersonal relationships. Understand the meaning of health and persons wellbeing.
- Socio-political knowing by White- takes into account social context. Nurses reasons to social class, culture, and power differences.
What is evidence informed practice?
Enables RN to make accurate, timely, and appropriate decisions. Important for quality of care in nursing practice. Improves health care and indentifies knowledge gaps. Focuses on patient safety.
Steps for evidence informed nursing practice?
- Ask clinical question (PICO, patient, intervention, comparison, outcome)
- Identify and gather relevant evidence (research literacy, levels of research: top- systemic reviews, bottom- opinion of authorities?report of committee)
- Critique evidence- is article reliable/have evidence, consider credentials, quality/quantity/consistency
4 and 5. integrate and evaluate evidence- incorporate evidence in practice, evaluate effects
What are quality practice environments?
Support delivery of safe/compassionate/competent care. Communication and collaboration between RN and other people involved in patients care. have responsibility and accountability. Advocacy and leadership.
What is lateral violence?
Workplace bullying. Threatens delivery of care and causes stress. Can be creating conflict, insults, physical, gossiping, ignoring.
Tips to confront abuse?
Immediacy in private area, speak confidential, say how it made you feel (use I statements), don’t hold grudge.
What is whistle blowing?
Report unethical and unsafe practice of nursing colleague and health care professionals. Negligence, patient abuse, etc.
How is mentorship good in nursing?
Helps with extension and reduces turnover rates. Helps transition for new RN. Can be formal or informal. Mentors are current on standards, provide advice, kind, and advocates. Protégée are opens to feedback, seek to improve, and consider different POV.
