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KTI FINAL > WEEK 9: THEORY GUIDED NURSING > Flashcards

WEEK 9: THEORY GUIDED NURSING Flashcards

1
Q

What is Evidence-Based Practice (EBP)?

A

The use of current best evidence to make decisions about patient care.

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2
Q

Who is considered the founder of the Evidence-Based Practice (EBP) movement?

A

Archie Cochrane.

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3
Q

What is the hierarchy of evidence in EBP?

A

Data from randomized clinical trials and systematic reviews is at the top.

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4
Q

What does Evidence-Based Nursing Practice (EBNP) emphasize?

A

The range of evidence, from detailed reviews to expert advice.

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5
Q

What are the key elements of EBP?

A

Problem-solving orientation, current evidence, and clinical decision-making.

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6
Q

What is Theory-Guided Evidence-Based Nursing Practice (TGEBNP)?

A

An approach combining nursing theories with evidence-based methods.

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7
Q

Why is nursing theory important in Interprofessional Practice (IPP)?

A

It ensures nursing’s unique perspective contributes to patient care and outcomes.

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8
Q

What is Interprofessional Practice (IPP)?

A

Collaborative practice involving teamwork, communication, and decision-making.

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9
Q

What is the role of unique nursing concepts in IPP?

A

They enhance collaboration while maintaining nursing’s distinct contributions.

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10
Q

What are key components of effective teamwork in TGIPP?

A

Collegial support, effective leadership, and shared decision-making.

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11
Q

What is cultural competence in nursing?

A

Awareness and application of cultural knowledge to address patient care disparities.

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12
Q

What are the critiques of cultural competency theories?

A

They often focus on individuals, overlook structural determinants, and risk stereotyping.

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13
Q

What is structural stigma?

A

A structural determinant of health (SDOH) affecting marginalized populations.

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14
Q

Give examples of structural interventions in healthcare.

A

Smoking bans and minimum wage increases.

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15
Q

What are challenges of implementing structural interventions?

A

Limited knowledge, training gaps, and interdisciplinary complexities.

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16
Q

What is the focus of anti-oppressive approaches in nursing?

A

Addressing structural, cultural, and personal levels of oppression in healthcare.

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17
Q

What is structural racism in nursing?

A

A systemic factor affecting healthcare equity and access.

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18
Q

What is postcolonial theory in nursing?

A

A framework examining power, politics, and the impact of colonial history on health.

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19
Q

What strategies help decolonize nursing practice?

A

Critical social justice actions and addressing structural SDOH.

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20
Q

What does McGibbon et al. emphasize about nursing colonization?

A

Recognizing white privilege and addressing intellectual and structural oppression.

21
Q

What is structural oppression in healthcare?

A

The unequal distribution of resources and power impacting care.

22
Q

How can nurses challenge discrimination and oppression?

A

By advocating for equitable policies and challenging personal biases.

23
Q

Why is addressing cultural competence essential in nursing education?

A

To prepare nurses for diverse patient needs and reduce health disparities.

24
Q

What are common barriers to IPP in nursing theory?

A

Misunderstanding of unique nursing language and concepts.

25
Q

What is the impact of essentialist views in cultural competence?

A

It reduces culture to stereotypes, overlooking structural factors.

26
Q

What is the Health Impact Pyramid?

A

A model describing levels of intervention, from individual behavior to policy changes.

27
Q

What is Fundamental Cause Theory?

A

A framework linking social factors like income to health disparities.

28
Q

Why is teamwork essential in TGEBNP?

A

To support healthcare system transformations through collaboration.

29
Q

What is the ultimate goal of IPP in nursing?

A

To ensure person-centered care through collective expertise.

30
Q

What are implications of structural theories in nursing research?

A

Driving evidence-based policies and addressing systemic health inequities.

31
Q

What are the key differences between EBNP and TGEBNP?

A

EBNP focuses on best evidence for decision-making, while TGEBNP integrates theoretical nursing knowledge with evidence for holistic care.

32
Q

What are the challenges to adopting nursing theories in practice?

A

Resistance to unique nursing language, perceived barriers in interdisciplinary settings, and lack of understanding of nursing’s unique contributions.

33
Q

What is the significance of person-centered care in IPP?

A

It emphasizes tailoring care to individual needs, integrating perspectives from all healthcare disciplines.

34
Q

Why should nurses move beyond justifying theoretical approaches?

A

To embrace and demonstrate their value in improving patient care and outcomes.

35
Q

What role does communication play in effective IPP?

A

It facilitates collaboration, ensures clarity in care plans, and fosters mutual respect among team members.

36
Q

What is the stereotyping “trap” in cultural competence?

A

Oversimplifying culture to racial or ethnic identity, which can harm patient care.

37
Q

Why are cultural competence interventions criticized?

A

Limited evidence shows they effectively address health disparities, and they often ignore structural determinants.

38
Q

What is the role of structural frameworks in nursing education?

A

To provide a foundation for addressing systemic health inequities through informed interventions.

39
Q

What are examples of structural stigma as a determinant of health?

A

Policies or practices that marginalize certain populations, such as discriminatory housing or employment laws.

40
Q

How does anti-oppression in nursing address care priorities?

A

By challenging personal prejudices, structural inequities, and cultural norms that devalue individuals.

41
Q

What is the purpose of decolonizing nursing education?

A

To address historical colonization’s impact on the profession and promote diverse, equitable knowledge systems.

42
Q

How can nurses integrate structural theories into daily practice?

A

By identifying and addressing systemic barriers to care, such as access to resources and institutional policies.

43
Q

What is the impact of white privilege in nursing?

A

It perpetuates inequities in education, practice, and healthcare delivery systems.

44
Q

Why is postcolonial theory relevant to nursing?

A

It critiques historical and ongoing power dynamics that shape healthcare inequities.

45
Q

What is a critical approach to structural SDOH in nursing practice?

A

Sustained advocacy for policy changes that address systemic inequities, such as poverty and racism.

46
Q

What is the connection between theory-guided practice and advocacy?

A

Nursing theories provide a framework for understanding and addressing patient needs within systemic contexts.

47
Q

What are the key attributes of TGIPP?

A

Effective teamwork, respect for unique contributions, and integration of theoretical nursing perspectives.

48
Q

Why is examining power dynamics important in nursing?

A

It helps address how systemic inequities influence patient care and professional practice.

KTI FINAL (10 decks)

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