Evidence-Based Practice and Quality of Care in Nursing, Exams of Nursing

Download Evidence-Based Practice and Quality of Care in Nursing and more Exams Nursing in PDF only on Docsity! Chapter 11: The Science of Nursing, EBP, & Research What is the Nursing process? - ANSWER>>(ADPIE) Assessment Diagnosis Planning Implementation Evaluation What do nurses do during the assessment stage? - Data gatheringANSWER>> What do nurses do during the diagnosis stage? - Identify actual or potential problems, can be ANSWER>> different than medical diagnosis What do nurses do during the planning stage? - Interventions, timeline, expected outcomesANSWER>> What do nurses do during the Implementation stage? - Communicate everything that will be done for ANSWER>> the patient What do nurses do during the evaluation stage? - Re-adjust their plan and determine how ANSWER>> successful they were What you What is objective data? Examples? - ANSWER>> can see and observe Ex: Vital signs, sweating, grimacing What the What is subjective data? Examples? - ANSWER>> patient tells you Ex: Headache, pain What are the three components of EBP? - ANSWER>>Research/ Evidence Patient values and preferences Practitioner experience What is the purpose of EBP? - ANSWER>>Effective decision making Control costs Improve quality Improve patient outcomes What does PICOT stand for? - ANSWER>>Population Intervention Comparison Outcome Timeframe What is the role of staff nurses in EBP? - ANSWER>>Questioning current practice Reviewing studies Consumer of systemic reviews Apply evidence to their practice Participates in quality improvement Suggests solutions to problem based on evidence What is research? - ANSWER>>Systemic investigation of a problem What is EBP? - ANSWER>>Systemic review and appraisal of evidence (existing evidence) What is Quality Improvement (QI)? - ANSWER>>Process to improve outcomes Chapter 12: Quality of Practice - ANSWER>> What is Triple Aim? - ANSWER>>-Made by IOM to apply quality improvement Improve the health of the population Enhance the patient experience of care Reduce or control the per capita cost of care Define Safety - ANSWER>>Freedom from accidental injury Ex: Falls, Wrong surgery What is Error? - ANSWER>>Errors of planning or execution Ex: Medication error (Wrong dose, wrong time, wrong med) What is an Adverse event? - ANSWER>>Unintended consequence Ex: Someone with a-fib given med to prevent blood clots (blood thinner)- patient develops stomach ulcer and bleeds out and dies- Right dosage and right timing was followed Define Misuse - ANSWER>>Patient has allergic reaction to medication that wasn't prescribed What are the National Patient Safety Goals? - ANSWER>>- Improve the accuracy of patient identification -Improve the effectiveness of communication around caregivers -Improve the safety of using medications -Improve the system of clinical alarm systems (alarm fatigue) -Reduce the risk of health care-associated infections -The hospital identifies safety risks inherent in its patient population What is the Joint Commission focused on? - ANSWER>>- Evaluate organizations and accredit them -Committed to CQI (Continued Quality Improvement) -Survey and visits -Standards (Environment of care and outcomes) What are National Database of Nursing Quality Indicators? - ANSWER>>Examine performance based on clearly defined criteria, report cards What does Benchmarking mean? - ANSWER>>Evaluating or checking something by comparison with another institution What are Standards of Care? - ANSWER>>Minimum requirements that must be met in a certain situation, apart of policy Ex: Patient comes in with MI Chapter 6: Law and Ethics - ANSWER>> What does the Nurse Practice Act do? - ANSWER>>-Defines practice professional nursing -Sets educational and other requirements for licensure -Determines legal titles -Provides for disciplinary action What is the MAIN goal of the Nurse Practice Act? - ANSWER>>Protect the public's health, safety, and welfare What is the primary purpose of the Ohio Board of Nursing? - ANSWER>>Actively safeguard the health of the public through the effective regulation of nursing care Who makes up the Ohio Board of Nursing? - ANSWER>>8 RNs: Advanced practice nurse Staff nurse Educator Dialysis expert 4 LPNs Who may call themselves nurses? - ANSWER>>RNs and LPNs only (with a current licensure) What is the NCLEX? - ANSWER>>National nursing examination to obtain licensure What is Licensure by Endorsement? - ANSWER>>RNs may practice in different states without repeating the licensing Patient privacy can be breached Public's trust in nurses can be compromised Individual nursing careers can be damaged What are the advantages to social networking for healthcare professionals? - ANSWER>>Networking Exchange knowledge Educating the public Fostering professional connections Promoting timely communication with patients and familf Chapter 7: Health Promotion, Disease, Prevention, & Illness (Community Perspective) - ANSWER>> What is a Community? - ANSWER>>People and the relationships that emerge among them as they develop. Use in common, agencies and institutions, and sharing a physical environment What is a Healthy Community? - ANSWER>>A community that embraces the belief that health is more than merely an absence of disease; a healthy community includes those elements that enable people to maintain a high quality of life and productivity What is an Acute Illness? - ANSWER>>Sudden onset, self limited -Follows the curative model -Ex: Pneumonia What is a Chronic Illness? - ANSWER>>Disease processes that are not going away -Goals: Improve self-care capacity, manage disease, prevent complications, improve quality of life -Ex: AIDS, Cancer, Diabetes What is a Vulnerable Population? - ANSWER>>A group of people at risk for health problems -Ex: Children, elderly, immigrants, homeless, mentally ill How can we involve patients as a member of the healthcare team? - ANSWER>>Involving patients in assessment, planning, and decision-making What are the consequences of barriers to access of care? - ANSWER>>-Patient may not receive preventive care -Neglect routine care -Do not follow up with necessary care -Patient's may use the "safety net" (ER, free clinic) **Results in poor outcomes What is Access to care? - ANSWER>>Someone's ability to obtain health care What are the Barriers that prevent access to care? - ANSWER>>Finances, location, etc. What is a Health Disparity? - ANSWER>>An inequality or gap that exists between two or more groups How does Public Health achieve these goals? - ANSWER>>Assessment Policy development Assurance What is the goal of Continuum of Care? - ANSWER>>To decrease fragmented care and costs What is Continuity of Care? - ANSWER>>Focuses on care over time, on individual patients -Provides share information -Patients have a relationships with a PCP What is Health People 2020? - ANSWER>>A national prevention initiative, focusing on improving the health of Americans, provides a comprehensive set of disease prevention and health promotion goals What is Rehabilitation? - ANSWER>>Tertiary care, retain best level of functioning What is Extended Care or Long-term Care? - ANSWER>>Aging population needs care What is Hospice Care? - ANSWER>>Supporting life as long as possible -Patient and family actively participate in decisions What is Palliative Care? - ANSWER>>Alleviating symptoms, meeting needs of patient and family What is Resilience? - ANSWER>>Someone's ability to bounce back and move on in life after a stressful situation Chapter 14: The Future of Nursing - ANSWER>> What is Transformational Leadership? - ANSWER>>Emphasizes a positive work environment, rewarding staff, recognition of importance of change What characteristics do Transformational Leaders have? - ANSWER>>Create vision and mission statements Are honest, energetic, loyal, confident, self-directed, flexible, and committed What is Autocratic? - ANSWER>>Leader makes all decisions, makes schedule, strict rules, only one in charge What is Bureaucratic? - ANSWER>>Follows all rules and policies and implements them Distinguish between leadership and management - ANSWER>>Leadership- Have a vision on where the organization should be, people want to follow them, demonstrate behaviors Management- Responsible for day-to-day operations, tell behaviors What is Reward Power? - ANSWER>>Ability to reward others What is Persuasive Power? - ANSWER>>Use persuasion to influence others Define Empowerment - ANSWER>>Enable to act Decision-making ability, independence/autonomy, control over the image of nursing Define Assertiveness - ANSWER>>Self-advocacy, "I" statements, avoid being defensive, stay calm, accept and acknowledge mistakes, listen to others Define Advocacy - ANSWER>>Speaking on behalf of something or someone else What are Nursing Specialities? - ANSWER>>Specialties developed to meet the need for for used experience Explain the Professional Practice Model - ANSWER>>Differentiated Practice- BSN paid more than LPN, different NCLEX for NP, etc. What is Primary Nursing? - ANSWER>>RN is responsible for creating and communicating plan of care of the patient What is Team Nursing? - ANSWER>>RN is the lead of the team with LPN and PCA assigned to them RN delegates tasks to LPN and PCA What is Functioning Nursing? - ANSWER>>RN medication care RN treatment care PCA hygienic care -Bad model because the individuals don't communicate about the patient What is HCAHPS? - ANSWER>>A survey sent to patients after they go home from the hospital -Mostly nursing influenced questions