Evidence-Based Practice Chapter 1
Today's Topics: Announcements: Homework:
• Evidence-Based Study
Assessments
• Collecting Data
• Nursing Process
• Priority Problems and
Collaborative Problems
Lecture Topic: Evidence-Based Assessments
• Subjective data - everything patient reports; pain is always subjective
• Objective data - everything that is observable
○ Inspecting
○ Percussing
○ Palpating
○ Auscultating
○ Subjective and Objective data collectively form database
▪ Purpose of assessment is to make judgement and diagnosis
• Diagnostic reasoning - analyzing health and making conclusions
○ Cues - information; sign or symptom, data
○ Hypothesis - explanation for cue
○ Collecting Data
○ Evaluating
▪ cluster assessment data
▪ validate data for accuracy
• Nursing Process
○ Assessment - collect data, evidence-based assessment
○ Diagnosis - clinical findings, clusters and interpretation, validation
○ Outcome Identification - identify, timeline
○ Planning - priorities, timelines, interventions
○ Implementation - provide interventions, coordinate care
○ Evaluation - outcomes, revise diagnosis, outcome and plan
• Priority Problems and Collaborative Problems
○ Priority Problems
▪ First-Level - emergent, life threatening, and immediate (breathing,
airway)
▪ Second-Level - next in urgency, prompt interventions (mental status,
acute pain, urinary elimination, abnormal labs, risks to safety/
infections)
▪ Third-Level - important to patient's health, long-term interventions,
response to treatment may take more time
○ Collaborative Problems - approach to treatment involves multiple
disciplines
, • Evidence-Based Practice - emphasizes best evidence as well as patient's preferences
and values
○ Evidence from research and evidence theories
○ Physical examination and assessment
○ Clinical expertise
○ Patient preference and values
• Four Types of Data Collecting
○ Complete - health history and full physical exam
○ Focused on Problem-Centered - short-term problem, collect mini database
for targeted
○ Follow-Up - status of problem is evaluated and updated
○ Emergency - urgent, rapid collection of crucial information; requires fast
diagnosis.
Summary
To Know:
• Types of Data: subjective and objective
• Diagnostic Reasoning - cues, hypothesis, data collection, evaluating
• Nursing Process - assessment, diagnosis, outcome, planning, implementation,
evaluation
• Priority and Collaborative Problems - level one, two, three, collaborative
• Evidence - Based Practice; evidence, physical exam, expertise, patient values
• Data Collecting - complete, focused, follow-up, emergency
Cultural Competence Chapter 2
Today's Topics: Announcements: Homework:
• Health and Illness Beliefs Homework
• Demographic Profile
• Cultural Competence
Lecture Topic: Cultural Competency
• Demographic Profile of US
○ More than one-third are non-Hispanic Whites
○ Hispanics are the largest and fastest growing group
○ Blacks are second largest population
○ Asians, American Indians, Alaska Natives, Native Hawaiians, etc. one-third
• Cultural Competence
○ ○
○ ○
○
○
• Culture
○
○
Today's Topics: Announcements: Homework:
• Evidence-Based Study
Assessments
• Collecting Data
• Nursing Process
• Priority Problems and
Collaborative Problems
Lecture Topic: Evidence-Based Assessments
• Subjective data - everything patient reports; pain is always subjective
• Objective data - everything that is observable
○ Inspecting
○ Percussing
○ Palpating
○ Auscultating
○ Subjective and Objective data collectively form database
▪ Purpose of assessment is to make judgement and diagnosis
• Diagnostic reasoning - analyzing health and making conclusions
○ Cues - information; sign or symptom, data
○ Hypothesis - explanation for cue
○ Collecting Data
○ Evaluating
▪ cluster assessment data
▪ validate data for accuracy
• Nursing Process
○ Assessment - collect data, evidence-based assessment
○ Diagnosis - clinical findings, clusters and interpretation, validation
○ Outcome Identification - identify, timeline
○ Planning - priorities, timelines, interventions
○ Implementation - provide interventions, coordinate care
○ Evaluation - outcomes, revise diagnosis, outcome and plan
• Priority Problems and Collaborative Problems
○ Priority Problems
▪ First-Level - emergent, life threatening, and immediate (breathing,
airway)
▪ Second-Level - next in urgency, prompt interventions (mental status,
acute pain, urinary elimination, abnormal labs, risks to safety/
infections)
▪ Third-Level - important to patient's health, long-term interventions,
response to treatment may take more time
○ Collaborative Problems - approach to treatment involves multiple
disciplines
, • Evidence-Based Practice - emphasizes best evidence as well as patient's preferences
and values
○ Evidence from research and evidence theories
○ Physical examination and assessment
○ Clinical expertise
○ Patient preference and values
• Four Types of Data Collecting
○ Complete - health history and full physical exam
○ Focused on Problem-Centered - short-term problem, collect mini database
for targeted
○ Follow-Up - status of problem is evaluated and updated
○ Emergency - urgent, rapid collection of crucial information; requires fast
diagnosis.
Summary
To Know:
• Types of Data: subjective and objective
• Diagnostic Reasoning - cues, hypothesis, data collection, evaluating
• Nursing Process - assessment, diagnosis, outcome, planning, implementation,
evaluation
• Priority and Collaborative Problems - level one, two, three, collaborative
• Evidence - Based Practice; evidence, physical exam, expertise, patient values
• Data Collecting - complete, focused, follow-up, emergency
Cultural Competence Chapter 2
Today's Topics: Announcements: Homework:
• Health and Illness Beliefs Homework
• Demographic Profile
• Cultural Competence
Lecture Topic: Cultural Competency
• Demographic Profile of US
○ More than one-third are non-Hispanic Whites
○ Hispanics are the largest and fastest growing group
○ Blacks are second largest population
○ Asians, American Indians, Alaska Natives, Native Hawaiians, etc. one-third
• Cultural Competence
○ ○
○ ○
○
○
• Culture
○
○
