NURS 302 Final Exam – Questions With Clear
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Terms in this set (227)
What is evidence-based practice The integration of best current evidence, clinical
(EBP)? expertise, and patient values and preferences. The
overall aim is to improve patient care and outcomes.
What is the first component of Best current evidence (external evidence): Data from
evidence-based practice (EBP) and an published research and clinical practice guidelines.
example?
Example: A systematic review supporting music
therapy to reduce pre-op anxiety.
What is the second component of Clinical expertise (internal evidence): Data from your
evidence-based practice (EBP) and an own clinical setting and the clinician's knowledge,
example? skills, and experience.
Example: Clinic data showing good outcomes for
patients receiving acupuncture for back pain.
What is the third component of Patient values and preferences: The individual needs,
evidence-based practice (EBP) and an values, and choices of the patient.
example?
Example: A patient preferring acupuncture for
chronic back pain.
What are the 5 A's of the EBP process? 1. Assess your patient.
2. Ask clinical questions.
3. Acquire the best evidence.
4. Appraise the evidence.
5. Apply evidence to patient care.
,Why is EBP important? It is essential for promoting quality care for patients
and contributes to achieving the quadruple aim.
What is the quadruple aim? 1. Better patient outcomes.
2. Reduced costs.
3. Better population health.
4. Provider satisfaction.
What is a foreground question and an Specific questions about clinical actions, such as
example? therapy, diagnosis, prognosis, or harm; often asked in
the PICOT format to search for evidence.
Example: In hospitalized adults (P), how does the use
of contact precautions (I), compared to standard
precautions (C), impact patient outcomes and quality
of care (O) during hospitalization (T)?
What is a background question and an Broad general knowledge questions about a disease,
example? condition, process, or concept. They typically ask
"What is X?" or "What causes Y?"
Example: What are the signs and symptoms of a
myocardial infarction?
How do you draft a PICOT question - Identify the Patient/Population (P) - Who is the
from a clinical vignette? patient or population?
- Identify the Intervention (I) - What intervention or
treatment are you considering.
- Identify the comparison (C) - What is the alternative
to compare with (if any)?
- Identify the Outcome (O) - What are you trying to
measure or improve?
- Identify the Time (T) - Over what period will the
outcomes be measured?
, How do you draft a PICOT question - P (Patient/Population): Post-operative patients after
from this vignette: "A student nurse minimally invasive procedures.
observes that all post-op patients are - I (Intervention): Early ambulation / reducing
kept on bedrest for 24 hours, even bedrest.
after minimally invasive procedures, - C (Comparison): Standard 24-hour bedrest.
and asks, 'Is this supported by - O (Outcome): Faster recovery, fewer complications.
evidence?'" - T (Time): First 24 hours post-op.
PICOT Question: In post-operative patients after
minimally invasive procedures (P), does early
ambulation (I) compared to standard 24-hour
bedrest (C) improve recovery and reduce
complications (O) within the first 24 hours (T)?
What are clinical practice guidelines Systematically developed statements to help
(CPGs)? clinicians and patients make care decisions, usually
based on systematic reviews.
What is the basis for clinical practice Recommendations are based on evidence from
guidelines (CPGs)? rigorous systematic reviews and synthesis of
published medical literature.
What is the purpose of clinical To define the role of specific diagnostic and
practice guidelines (CPGs)? treatment methods in patient care.
How do CPGs help guide nursing By providing evidence-based recommendations for
practice? patient care.
What is the primary focus of a PhD- Research-focused; to generate new knowledge and
prepared nurse? fill evidence gaps.
What is the primary focus of a DNP- Practice-focused; to apply research to improve
prepared nurse? clinical practice.
How do both PhD and DNP nurses Both advance evidence-based care.
contribute to healthcare?
Solutions
Save
Terms in this set (227)
What is evidence-based practice The integration of best current evidence, clinical
(EBP)? expertise, and patient values and preferences. The
overall aim is to improve patient care and outcomes.
What is the first component of Best current evidence (external evidence): Data from
evidence-based practice (EBP) and an published research and clinical practice guidelines.
example?
Example: A systematic review supporting music
therapy to reduce pre-op anxiety.
What is the second component of Clinical expertise (internal evidence): Data from your
evidence-based practice (EBP) and an own clinical setting and the clinician's knowledge,
example? skills, and experience.
Example: Clinic data showing good outcomes for
patients receiving acupuncture for back pain.
What is the third component of Patient values and preferences: The individual needs,
evidence-based practice (EBP) and an values, and choices of the patient.
example?
Example: A patient preferring acupuncture for
chronic back pain.
What are the 5 A's of the EBP process? 1. Assess your patient.
2. Ask clinical questions.
3. Acquire the best evidence.
4. Appraise the evidence.
5. Apply evidence to patient care.
,Why is EBP important? It is essential for promoting quality care for patients
and contributes to achieving the quadruple aim.
What is the quadruple aim? 1. Better patient outcomes.
2. Reduced costs.
3. Better population health.
4. Provider satisfaction.
What is a foreground question and an Specific questions about clinical actions, such as
example? therapy, diagnosis, prognosis, or harm; often asked in
the PICOT format to search for evidence.
Example: In hospitalized adults (P), how does the use
of contact precautions (I), compared to standard
precautions (C), impact patient outcomes and quality
of care (O) during hospitalization (T)?
What is a background question and an Broad general knowledge questions about a disease,
example? condition, process, or concept. They typically ask
"What is X?" or "What causes Y?"
Example: What are the signs and symptoms of a
myocardial infarction?
How do you draft a PICOT question - Identify the Patient/Population (P) - Who is the
from a clinical vignette? patient or population?
- Identify the Intervention (I) - What intervention or
treatment are you considering.
- Identify the comparison (C) - What is the alternative
to compare with (if any)?
- Identify the Outcome (O) - What are you trying to
measure or improve?
- Identify the Time (T) - Over what period will the
outcomes be measured?
, How do you draft a PICOT question - P (Patient/Population): Post-operative patients after
from this vignette: "A student nurse minimally invasive procedures.
observes that all post-op patients are - I (Intervention): Early ambulation / reducing
kept on bedrest for 24 hours, even bedrest.
after minimally invasive procedures, - C (Comparison): Standard 24-hour bedrest.
and asks, 'Is this supported by - O (Outcome): Faster recovery, fewer complications.
evidence?'" - T (Time): First 24 hours post-op.
PICOT Question: In post-operative patients after
minimally invasive procedures (P), does early
ambulation (I) compared to standard 24-hour
bedrest (C) improve recovery and reduce
complications (O) within the first 24 hours (T)?
What are clinical practice guidelines Systematically developed statements to help
(CPGs)? clinicians and patients make care decisions, usually
based on systematic reviews.
What is the basis for clinical practice Recommendations are based on evidence from
guidelines (CPGs)? rigorous systematic reviews and synthesis of
published medical literature.
What is the purpose of clinical To define the role of specific diagnostic and
practice guidelines (CPGs)? treatment methods in patient care.
How do CPGs help guide nursing By providing evidence-based recommendations for
practice? patient care.
What is the primary focus of a PhD- Research-focused; to generate new knowledge and
prepared nurse? fill evidence gaps.
What is the primary focus of a DNP- Practice-focused; to apply research to improve
prepared nurse? clinical practice.
How do both PhD and DNP nurses Both advance evidence-based care.
contribute to healthcare?
