Ch. 1 and Ch. 2 Medical-Surgical Nursing:
Making Connections to Practice/study guide
1.Academy of Medical-Surgical Nursing (AMSN): professional organization for med-surg RN;
mission is too "promote excellence in med-surg nursing"
2.Values of AMSN: -Engage in ongoing professional development
-Use EBP
-Speak w/a unified voice
-Serve as leaders on health-care teams
-Have the necessary resources to deliver excellent care
-Practice in a healthy work environment
3.Strategic Message of AMSN: -Improving patient care
-Developing personally and professionally
-Advocating for the specialty of med-surg nursing
-Connection w/other nurses who share their compassion and commitment
4.American Nurse Credentialing Center (ANCC): can certify nurses in med-surg
5.ANCC's Magnet Recognition Program: awarded to health-care facilities that demonstrate
excellence in the recruitment, recognition, and retention of nursing staff as well as excellence in
patient care and quality
6.Certified Medical-Surgical Registered Nurse (CMSRN): RN who is creden- tialed in med-
surg, entitled to the credential of Registered Nurse-Board Certified (RN-BC)
often in the role of care coordinator
Primary direct care provider in acute care setting- often the KEY to communication between various
HC members
****Higher patient acuity and increased complexity of pts care needs accompanied by shorter
lengths of stay in acute care place RN in vital role of ensuring the pts are prepared for transitions to
different levels of care. Facilitating the pts and family understanding of TX plan and discharge
teaching
7.Domains of Nursing Practice for Med-Surg Certification: 1. Helping role
2.Teaching-Coaching Function
3.Diagnostic and Patient Monitoring
4.Effective Management of Rapidly Changing Situations
5.Administering and Monitoring Therapeutic Interventions and Regimens
6.Monitoring and Ensuring the Quality of Health-Care Practices
7.Organizational and Work Role Competencies
1/
22
,8.Evidence-based nursing practice: problem-solving approach to health-care de- livery, nursing
care practices, and protocols--based upon the best evidence from research studies and the
expertise of clinicians
1.Develop the question
2.Search and collate the best evidence
3.Evaluate the quality of the evidence
4.Integrate evidence into practice
5.Evaluate outcomes of practice change
6.Disseminate the evidence
9.Evaluating Levels of Evidence: Lv 1 is the highest level of evidence
Lv 1 Evidence from systematic reviews of randomized controlled studies (RCT) Lv 2 Evidence
from at least 1 RCT
Lv 3 Evidence from quasi-experimental studies
Lv 4 Evidence from case-control and cohort studies
Lv 5 Evidence from systematic reviews of descriptive or qualitative studies Lv 6 Evidence
from a single descriptive or qualitative study
Lv 7 Evidence from expert individual authorities or comments
10.Cohort studies: Lv 4- use a group of people (cohort) who are initially free of disease and
are then followed over a period of time to examine whether the
development of new cases differs between those with and without exposure to some type of disease,
environmental hazard, etc
11.Case control study: Lv 4-includes two groups, those with a specific disorder and those
w/o---then compares the two groups
12.Quasi-Experimental Studies: Lv 3- use control and experimental groups but lacks the
random assignment of participants
13.Randomized Controlled Studies: Lv 1 and Lv 2 -Gold standard of research- include data
from selected studies that randomly assigned participants to control and and experimental groups
14.Systematic review: a type of literature review that uses systematic methods to collect
secondary data, critically appraise research studies, and synthesize findings qualitatively or
quantitatively They are designed to provide a complete, exhaustive
summary of current evidence relevant to a research question
15.Institute of Medicine (IOM): A nonprofit organization established in 1970 as a component of
the US National Academy of Sciences that works outside the frame- work of government to provide
evidence-based research and recommendations for public health and science policy.
To ERR is Human- Report
-between 44000-98000 deaths occurred in the US due to preventable medical errors
-40000 incidences per day in US resulted in pt harm
2/
22
, --**-- ineffective communication among interprofessional health care team identified in a root cause
analysis
16.Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS):
provides a standardized approach to collect data from pts about their experiences in hospitals
-Communication w/ providers
-communication w/ nurses
-responsiveness of hospital staff
-pain management
-communication about medications
-discharge information
-cleanliness of the hospital environment
-quietness of the hospital environment
-transition of care
17.Beryl Institute: organization that fosters pt centered care through the "pt experi- ence" that is
influenced by all the interactions and experiences encountered, based upon the organizations's
culture and practices
18.Medical-Surgical Nursing Certification Board (MSNCB): Organization which certifies eligible
med-surg RN who meet specific requirements
19.National Patient Safety Goals: Published by TJC annually-aimed at improving pt safety
through goals that focus on potential problems in the HC setting
Identify patients correctly Improve staff
communication Use medicines safely
Use alarms safely Prevent
infection
Identify patient safety risks Prevent
mistakes in surgery
20.Nursing Executive Center of the Advisory Board: -serves as nursing ad- ministrators
through data collection around best practices, strategic initiatives, and operational issues
-**- reported that recent nursing school graduates have demonstrated an academ- ic-practice gap
21.Nursing Process: Assessment
Diagnosis
Planning Implementation
3/
22
Making Connections to Practice/study guide
1.Academy of Medical-Surgical Nursing (AMSN): professional organization for med-surg RN;
mission is too "promote excellence in med-surg nursing"
2.Values of AMSN: -Engage in ongoing professional development
-Use EBP
-Speak w/a unified voice
-Serve as leaders on health-care teams
-Have the necessary resources to deliver excellent care
-Practice in a healthy work environment
3.Strategic Message of AMSN: -Improving patient care
-Developing personally and professionally
-Advocating for the specialty of med-surg nursing
-Connection w/other nurses who share their compassion and commitment
4.American Nurse Credentialing Center (ANCC): can certify nurses in med-surg
5.ANCC's Magnet Recognition Program: awarded to health-care facilities that demonstrate
excellence in the recruitment, recognition, and retention of nursing staff as well as excellence in
patient care and quality
6.Certified Medical-Surgical Registered Nurse (CMSRN): RN who is creden- tialed in med-
surg, entitled to the credential of Registered Nurse-Board Certified (RN-BC)
often in the role of care coordinator
Primary direct care provider in acute care setting- often the KEY to communication between various
HC members
****Higher patient acuity and increased complexity of pts care needs accompanied by shorter
lengths of stay in acute care place RN in vital role of ensuring the pts are prepared for transitions to
different levels of care. Facilitating the pts and family understanding of TX plan and discharge
teaching
7.Domains of Nursing Practice for Med-Surg Certification: 1. Helping role
2.Teaching-Coaching Function
3.Diagnostic and Patient Monitoring
4.Effective Management of Rapidly Changing Situations
5.Administering and Monitoring Therapeutic Interventions and Regimens
6.Monitoring and Ensuring the Quality of Health-Care Practices
7.Organizational and Work Role Competencies
1/
22
,8.Evidence-based nursing practice: problem-solving approach to health-care de- livery, nursing
care practices, and protocols--based upon the best evidence from research studies and the
expertise of clinicians
1.Develop the question
2.Search and collate the best evidence
3.Evaluate the quality of the evidence
4.Integrate evidence into practice
5.Evaluate outcomes of practice change
6.Disseminate the evidence
9.Evaluating Levels of Evidence: Lv 1 is the highest level of evidence
Lv 1 Evidence from systematic reviews of randomized controlled studies (RCT) Lv 2 Evidence
from at least 1 RCT
Lv 3 Evidence from quasi-experimental studies
Lv 4 Evidence from case-control and cohort studies
Lv 5 Evidence from systematic reviews of descriptive or qualitative studies Lv 6 Evidence
from a single descriptive or qualitative study
Lv 7 Evidence from expert individual authorities or comments
10.Cohort studies: Lv 4- use a group of people (cohort) who are initially free of disease and
are then followed over a period of time to examine whether the
development of new cases differs between those with and without exposure to some type of disease,
environmental hazard, etc
11.Case control study: Lv 4-includes two groups, those with a specific disorder and those
w/o---then compares the two groups
12.Quasi-Experimental Studies: Lv 3- use control and experimental groups but lacks the
random assignment of participants
13.Randomized Controlled Studies: Lv 1 and Lv 2 -Gold standard of research- include data
from selected studies that randomly assigned participants to control and and experimental groups
14.Systematic review: a type of literature review that uses systematic methods to collect
secondary data, critically appraise research studies, and synthesize findings qualitatively or
quantitatively They are designed to provide a complete, exhaustive
summary of current evidence relevant to a research question
15.Institute of Medicine (IOM): A nonprofit organization established in 1970 as a component of
the US National Academy of Sciences that works outside the frame- work of government to provide
evidence-based research and recommendations for public health and science policy.
To ERR is Human- Report
-between 44000-98000 deaths occurred in the US due to preventable medical errors
-40000 incidences per day in US resulted in pt harm
2/
22
, --**-- ineffective communication among interprofessional health care team identified in a root cause
analysis
16.Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS):
provides a standardized approach to collect data from pts about their experiences in hospitals
-Communication w/ providers
-communication w/ nurses
-responsiveness of hospital staff
-pain management
-communication about medications
-discharge information
-cleanliness of the hospital environment
-quietness of the hospital environment
-transition of care
17.Beryl Institute: organization that fosters pt centered care through the "pt experi- ence" that is
influenced by all the interactions and experiences encountered, based upon the organizations's
culture and practices
18.Medical-Surgical Nursing Certification Board (MSNCB): Organization which certifies eligible
med-surg RN who meet specific requirements
19.National Patient Safety Goals: Published by TJC annually-aimed at improving pt safety
through goals that focus on potential problems in the HC setting
Identify patients correctly Improve staff
communication Use medicines safely
Use alarms safely Prevent
infection
Identify patient safety risks Prevent
mistakes in surgery
20.Nursing Executive Center of the Advisory Board: -serves as nursing ad- ministrators
through data collection around best practices, strategic initiatives, and operational issues
-**- reported that recent nursing school graduates have demonstrated an academ- ic-practice gap
21.Nursing Process: Assessment
Diagnosis
Planning Implementation
3/
22
