Unit VII

Question 1

➢ It provides direction on the type of nursing care the individual/family/community
may need.
➢ Its main focus is to facilitate standardized, evidence-based and holistic care.

Answer 1

Nursing Care Plan

Question 2

➢ A digital way of writing the care plan, compared to handwritten.

Answer 2

Computerized Nursing Care Plan

Question 3

Components of a Care Plan:

Answer 3

Assessment
Diagnosis
Planning
Implementation
Evaluation

Question 4

a clinical management tool that helps medical care
providers coordinate the delivery of patient care for a particular case type or
condition.

Answer 4

Clinical Pathway

Question 5

Critical Pathways is also known as

Answer 5

clinical pathway
multi disciplinary pathways
collaborative paths
care maps

Question 6

Components of clinical pathways:

Answer 6

protocols
algorithm
clinical practice guidelines

Question 7

systematically developed statements to assist
practitioner and patient decisions about appropriate health care for specific clinical
circumstances

Answer 7

Clinical Practice Guidelines

Question 8

What do you call locally developed CPG?

Answer 8

internal guidelines

Question 9

What do you call regionally or nationally developed CPG?

Answer 9

external guidelines

Question 10

What are the stages of guideline development?

Answer 10

Detailed Literature Search
Guideline Construction
Guideline Testing
Guideline Review

Question 11

Stages of Guideline Development:
It is essential that guidelines are based on the best available research evidence-done to identify evidence from research studies about the appropriateness and effectiveness of different clinical strategies.

Answer 11

Detailed Literature Search

Question 12

Stages of Guideline Development:

takes place, usually through some form of small group work, with representation from as many interested parties as possible.

Answer 12

Guideline construction

Question 13

Stages of Guideline Development:

Done by asking professionals not involved in the guideline development to review it for clarity, internal consistency, and acceptability.

Answer 13

Guideline Testing

Question 14

What are the characteristics of clinical practice guidelines?

Answer 14

Validity
Reproducibility
Clarity
Cost effectiveness
Clinical Applicability
Clinical Flexibility
Reliability
Representative Development
Meticulous Documentation
Scheduled review
Unscheduled review

Question 15

Characteristics of Guidelines:

o Means that if a guideline is followed it should lead to the health gains and costs predicted.
o This requires that the guideline be rigorously developed and consistent with available scientific evidence.

Answer 15

Validity

Question 16

Characteristics of Guidelines:

Means that the improvements in health care should have acceptable costs.

Answer 16

Cost effectiveness

Question 17

Characteristics of Guidelines:

Means that given the same evidence, another guideline
development group would produce similar recommendations.

Answer 17

Reproducibility

Question 18

Characteristics of Guidelines:

Means that given the same clinical circumstances, another health professional would apply the recommendations in a similar fashion; both are more likely to occur if the guideline is developed in a systematic and rigorous manner.

Answer 18

Reliability

Question 19

Characteristics of Guidelines:

Guideline development should be undertaken by a group with representation from all key disciplines and interests, including patients.

Answer 19

Representative Development

Question 20

Characteristics of Guideline:

the target population
should be defined in line with scientific evidence.

Answer 20

Clinical Applicability

Question 21

Characteristics of Guidelines:

identifying exceptions and how patient preferences are to be taken into account in the decision-making process.

Answer 21

Clinical Flexibility

Question 22

Characteristics of Guidelines:

Guidelines should be clear, using precise definitions and user- friendly formats.

Answer 22

Clarity

Question 23

Characteristics of Guidelines:

Guideline development process should include details of who took art, methods used, and assumptions made, and should link recommendations to the available evidence, which should be graded according to its method

Answer 23

Meticulous Documentation

Question 24

Characteristics of Guidelines:
Guidelines should also be reviewed periodically and modified to incorporate new knowledge.

Answer 24

Scheduled Review
Unscheduled Review

Question 25

Refers to the method by which guidelines are made available to potential users.

Answer 25

Dissemination

Question 26

Means ensuring that users subsequently act upon the
recommendations.

Answer 26

Implementation

Question 27

periodicals that are made available as individual tittles via electronic medium, typically the World Wide Web (www).

Answer 27

E-Journals

Question 28

What are the two formats a journal article can be downloaded into?

Answer 28

PDF
HTML format

Question 29

Originally, they were distributed via email but now are available on the web and only alerts of new issues
are distributed by email. Access to this category of e-journals is free of cost.

Answer 29

Classic electronic journals

Question 30

These are journals that are available both in print and electronically. Sometimes the electronic version may
differ from the print journal e.g., article may appear electronically before they are printed or the electronic version may have supplementary material on it.

Answer 30

Parallel electronic journals
or
Electronic version of print

Question 31

articles reside in a centralized database maintained by the publisher and subscribers are given permission to access the database to locate and download articles.

Answer 31

Database model
or
software model

Question 32

The full text of journals has been made available on CD-ROMs.

Answer 32

CD-ROM journals

Question 33

These are e-journals where complete articles are available rather than just summaries or abstracts. Usually the whole of the journals is available
online.

Answer 33

Full-text

Question 34

These are journals that are only available electronically, no counterpart likes print or CD-ROM is available of these types of journals.

Answer 34

Electronic only journals