WEEK 9: THEORY GUIDED NURSING Flashcards
What is Evidence-Based Practice (EBP)?
The use of current best evidence to make decisions about patient care.
Who is considered the founder of the Evidence-Based Practice (EBP) movement?
Archie Cochrane.
What is the hierarchy of evidence in EBP?
Data from randomized clinical trials and systematic reviews is at the top.
What does Evidence-Based Nursing Practice (EBNP) emphasize?
The range of evidence, from detailed reviews to expert advice.
What are the key elements of EBP?
Problem-solving orientation, current evidence, and clinical decision-making.
What is Theory-Guided Evidence-Based Nursing Practice (TGEBNP)?
An approach combining nursing theories with evidence-based methods.
Why is nursing theory important in Interprofessional Practice (IPP)?
It ensures nursing’s unique perspective contributes to patient care and outcomes.
What is Interprofessional Practice (IPP)?
Collaborative practice involving teamwork, communication, and decision-making.
What is the role of unique nursing concepts in IPP?
They enhance collaboration while maintaining nursing’s distinct contributions.
What are key components of effective teamwork in TGIPP?
Collegial support, effective leadership, and shared decision-making.
What is cultural competence in nursing?
Awareness and application of cultural knowledge to address patient care disparities.
What are the critiques of cultural competency theories?
They often focus on individuals, overlook structural determinants, and risk stereotyping.
What is structural stigma?
A structural determinant of health (SDOH) affecting marginalized populations.
Give examples of structural interventions in healthcare.
Smoking bans and minimum wage increases.
What are challenges of implementing structural interventions?
Limited knowledge, training gaps, and interdisciplinary complexities.
What is the focus of anti-oppressive approaches in nursing?
Addressing structural, cultural, and personal levels of oppression in healthcare.
What is structural racism in nursing?
A systemic factor affecting healthcare equity and access.
What is postcolonial theory in nursing?
A framework examining power, politics, and the impact of colonial history on health.
What strategies help decolonize nursing practice?
Critical social justice actions and addressing structural SDOH.
What does McGibbon et al. emphasize about nursing colonization?
Recognizing white privilege and addressing intellectual and structural oppression.
What is structural oppression in healthcare?
The unequal distribution of resources and power impacting care.
How can nurses challenge discrimination and oppression?
By advocating for equitable policies and challenging personal biases.
Why is addressing cultural competence essential in nursing education?
To prepare nurses for diverse patient needs and reduce health disparities.
What are common barriers to IPP in nursing theory?
Misunderstanding of unique nursing language and concepts.
What is the impact of essentialist views in cultural competence?
It reduces culture to stereotypes, overlooking structural factors.
What is the Health Impact Pyramid?
A model describing levels of intervention, from individual behavior to policy changes.
What is Fundamental Cause Theory?
A framework linking social factors like income to health disparities.
Why is teamwork essential in TGEBNP?
To support healthcare system transformations through collaboration.
What is the ultimate goal of IPP in nursing?
To ensure person-centered care through collective expertise.
What are implications of structural theories in nursing research?
Driving evidence-based policies and addressing systemic health inequities.
What are the key differences between EBNP and TGEBNP?
EBNP focuses on best evidence for decision-making, while TGEBNP integrates theoretical nursing knowledge with evidence for holistic care.
What are the challenges to adopting nursing theories in practice?
Resistance to unique nursing language, perceived barriers in interdisciplinary settings, and lack of understanding of nursing’s unique contributions.
What is the significance of person-centered care in IPP?
It emphasizes tailoring care to individual needs, integrating perspectives from all healthcare disciplines.
Why should nurses move beyond justifying theoretical approaches?
To embrace and demonstrate their value in improving patient care and outcomes.
What role does communication play in effective IPP?
It facilitates collaboration, ensures clarity in care plans, and fosters mutual respect among team members.
What is the stereotyping “trap” in cultural competence?
Oversimplifying culture to racial or ethnic identity, which can harm patient care.
Why are cultural competence interventions criticized?
Limited evidence shows they effectively address health disparities, and they often ignore structural determinants.
What is the role of structural frameworks in nursing education?
To provide a foundation for addressing systemic health inequities through informed interventions.
What are examples of structural stigma as a determinant of health?
Policies or practices that marginalize certain populations, such as discriminatory housing or employment laws.
How does anti-oppression in nursing address care priorities?
By challenging personal prejudices, structural inequities, and cultural norms that devalue individuals.
What is the purpose of decolonizing nursing education?
To address historical colonization’s impact on the profession and promote diverse, equitable knowledge systems.
How can nurses integrate structural theories into daily practice?
By identifying and addressing systemic barriers to care, such as access to resources and institutional policies.
What is the impact of white privilege in nursing?
It perpetuates inequities in education, practice, and healthcare delivery systems.
Why is postcolonial theory relevant to nursing?
It critiques historical and ongoing power dynamics that shape healthcare inequities.
What is a critical approach to structural SDOH in nursing practice?
Sustained advocacy for policy changes that address systemic inequities, such as poverty and racism.
What is the connection between theory-guided practice and advocacy?
Nursing theories provide a framework for understanding and addressing patient needs within systemic contexts.
What are the key attributes of TGIPP?
Effective teamwork, respect for unique contributions, and integration of theoretical nursing perspectives.
Why is examining power dynamics important in nursing?
It helps address how systemic inequities influence patient care and professional practice.
