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NUR2868 Exam 2 study Guide
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NUR2868 Exam 2 study Guide
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Role & Scope Exam 2 Study Guide (NUR 2868)EVIDENCE BASED PRACTICE:
What is it?
EBP: the integration of individual clinical expertise, built from practice, with the best available clinical
evidence from systematic research applied to practice
How does research improve practice guidelines?
Research: A systematic investigation to determine the truth or falsity of a hypothesis, or to validate and
refine existing knowledge and generate new knowledge
What sources can help nurses use EBP?
Agency for Healthcare Research and Quality (AHRQ) evidence-based practice: www.ahrq.gov/
Centre for Evidence-Based Medicine (CEBM): www.cebm.net
The Cochrane Collaboration: www.cochrane.org
Cochrane Database of Systematic Reviews (CDSR):
www.cochrane.org/cochrane-reviews/cochrane-database-systematic-reviews-numbers
Centre for Evidence-Based Medicine Toronto: www.cebm.utoronto.ca
Centre for Reviews and Dissemination (CRD): www.york.ac.uk/inst/crd
Database of Abstracts of Reviews of Effects (DARE)
Health Technology Assessment (HTA) Database
NHS Economic Evaluation Database (EED)
Guidelines International Network: www.g-i-n.net/
International Council of Nurses: Closing the gap: From evidence to action:
www.icn.ch/images/stories/documents/publications/ind/indkit2012.pdf
National Guideline Clearinghouse: www.guideline.gov
National Institute for Health and Clinical Excellence: www.nice.org.uk
National Institute of Clinical Studies: www.nhmrc.gov.au/nics/
Primary Care Practice-Based Research Networks: pbrn.ahrq.gov
Scottish Intercollegiate Guidelines Network (SIGN): www.sign.ac.uk/
Domain Intended use
.com Mainly for commercial entities, but unrestricted
.org Originally for organizations not clearly falling
within the other gTLDs, now unrestricted
.net Originally for network infrastructures, now
unrestricted
.edu Educational use, but now primarily for US third
level colleges and universities
.gov Governmental use, but now primarily for US
governmental entities and agencies
.mil Military use, but now primarily for US military only
What role does technology play in promoting EBP?
Who should use EBP? How can nurses get others involved in using it?
, What is the function of the ANA? How can nurses utilize its web and literature contents?
Concerned with the quality of nursing practice in the daily health-care setting. Develops standards for
the profession.
The major purposes for the existence of the ANA, as stated in its bylaws, include improving the standards
of health and access to health-care services for everyone; improving and maintaining high standards for
nursing practice; and promoting the professional growth and development of all nurses, including
economic issues, working conditions, and independence of practice.
Why do some nurses resist using research or EBP?
Late Majority: skeptics who do not adopt something unless there is pressure. Feel safe when there is
limited uncertainty.
Laggards: most secure in holding on to the past. Most comfortable when an idea cannot fail.
How does the aging of the American population impact health care delivery?
PATIENT CENTERED CARE:
What is the significance of the report Crossing the Quality Chasm?
Identified 6 major aims in providing healthcare:
Safe
Effective
Paitent-centered
Timely
Efficient
Equitable
Moved care from discipline-centric foci to patient-centered foci
Reinforced the disparities that occur within health care, which, in turn, led to a focus on best practices
(and reinforced the need to be patient centered)
Addressed issues such as healing environments, evidence-based care and transparency, which led to a
more holistic environment that was built on evidence and that was transparent
What is patient centered care? How can nurses be sure patients’ needs are met?
How can the nurse assure that multidisciplinary needs are met for the patient?
Understand the effects of culture and language on the provision of patient centered care.
ADVOCACY:
Understand the premises of Patient Centered Care and the RN’s role in providing it.
How do nurses advocate for their patients?
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