Role and scope exam 2 study guide Questions and Answers 2023

Role and scope exam 2 study guide Questions and Answers 2023What is Evidence based practice (EBP)? Is the integration of the best research evidence with clinical expertise and the patient's unique values and circumstances in making decisions about the care of individual patients Goal of EBP is to identify the most effective and cost efficient treatments for a particular disease, condition, or problem How can hospitals help nurses use EBP? Research reported in the literature is a primary source of high-quality information. Other sources include expert opinion, collaborative consensus, published standards, historical data, local quality assurance studies, and institutional reports including cost effectiveness and client and family preferences and input. What role does technology play in promoting EBP? it makes the location of and the dissemination of the research possible and necessary When assessing evidence reports, nurses should ask themselves 3 questions. 1. is this the best available evidence? Best sources include peer reviewed journals and reports no more than 3 to 5 years old. 2. will the recommendations work for my practice given the client population and problems? 3. Do the recommendations fit well with the preferences and values of the clients I commonly work with? Who's should use EBP? All healthcare professional to be educated in EBP. A minimal requirement for all nurses is the ability to develop and use basic research skills. - know where and how to find the best possible sources of evidence. - formulate clear clinical questions. - search for relevant answers to those questions from the best possible sources. - determine when and how to integrate those findings into practice. Steps of EBP - cultivate a spirit of inquiry. - ask the burning clinical question in PICOT (patient, intervention, comparison, outcome, and time frame) format. - search for an collect the most relevant best evidence. - critically appraise the evidence. - integrate the best evidence with one's clinical expertise and patient preferences and values in making a practice decision or change. -evaluate outcomes of the practice design or change based on evidence. - disseminate the outcomes of the EBP decision or change. Stetler's Model Phase1: Preparation Phase2: Validation Phase 3:Comparative evaluation and decision making. Phase 4: Translation and application Phase 5:Evaluation The American Nurse is a book title about nursing politics Know Level of intelligence for UAP, ADN-RN, BSN-RN, ARNP What is the significance of Crossing the Quality Chasm? to improve the systems within which health care was delivered; has emphasized what the literature refers to as disparities and has led to thoughtful consideration of what best practices area and how they can be provided. the Aims of Providing Health care Safe effective patient centered timely efficient equitable Safe avoiding injuries to patients from the care that is intended to help them effective providing services based on scientific knowledge to all who could benefit, and refraining from providing services to those not likely to benefit patient centered providing care that is respectful of an responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions timely reducing waits and sometimes harmful delays for both those who receive and those who give care efficient avoiding waste, including waste of equipment, supplies, ideas, and energy equitable providing care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographic location, and socioeconomic status what is the decision making process? Is a purposeful and goal directed effort that uses a systematic process to choose among options. * ify the problem and DEFINE it 2. gather data 3. analyze data 4. identify the options/solutions 5. Pros and cons of each options 6. selection - make the DECISION Problem solving process 1. know the facts 2. separate the facts from interpretation. 3. be objective and descriptive. 4. determine the scope of the problem. How important is it to first identify the problem? ... How do effective nurse leaders share new knowledge with their staff? The nurse manager interprets published research findings that have implications for the staff or the patients and makes every effort to incorporate the findings into unit activities so that both staff and patients can benefit from evidence based care how does the aging of the American population impact health care delivery? ... Patient Centered Care Patient-centered care supports active involvement of patients and their families in the design of new care models and in decision-making about individual options for treatment. How do nurses advocate for their patients? ** ADVOCACY APPLIES IN EVERY SCOPE OF NURSING ** 1. the nurse supports clients by ensuring that they are properly informed, that their rights are respected, and that they are receiving the proper level of care 2. Nurses must act as advocates even when they disagree with clients' decisions. 3. Nurses must advocate for clients when the health care system is not acting in their best interests. Primary goals of the affordable care act? 1. Ending the insurance companies' ability to drop coverage for someone when he or she gets sick 2. care for all children by eliminating the preexisting conditions restrictions found in most policies 3. access to high risk pools for all uninsured, even adults with preexisting conditions. 4. increasing the age to 26 years for young adults to be covered on their parents' plans 5. eliminating higher insurance premiums based on a person's gender or health status. 6. expanding Medicare payment to health-care facilities that have a small number of medicare clients What is the function of the Parish Nurse? An experienced RN in good standing with the professional governing body or association. A parish nurse links faith and health to combine professional nursing with Christian ministry. What is the nurses' role in effecting changes in policy? Be up to date on cutting edge research, lead by example. * HOLD AN INSERVICE. How can a nurse become involved in political advocacy? They have the following credentials: self confidence, motivation, creativity, a capacity to change, and persistence. Become active in a professional organization. Develop a Political Relationship with a local Legislator. ** MANY POLITICIANS DO NOT HAVE BACKGROUND IN HEALTHCARE, THEREFORE NURSES NEED TO BE INVOLVED IN TALKING TO THEM. THEY DO NOT HAVE A BACKGROUND IN HEALTHCARE ** Steps of the Nursing process - Assessment: includes physiological data, psychological, sociocultural, spiritual, economic, and life style factors. - Diagnosis: a nursing diagnosis is the nurse's clinical judgment about the client's response to actual or potential health conditions or needs. - Outcomes/Planning: based on the assessment and diagnosis, the nurse sets measurable and achievable short and long range goals for the patient. - implementation: Nursing care is implemented according to the care plan -Evaluation: Both the patient's status and the effectiveness of the nursing care must be continuously evaluated and the care plan modified as needed. what are the nurse practice acts? ... Types of Leadership? Authoritative Democratic Laissez-faire Transformational Authoritative these leaders make decisions for the group. They tend to motivate by coercion, with communication occurring down a chain of command. Staff work output is usually high, and this makes it a great style to have in crisis situations Democratic These leaders include the group when decisions are made. They tend to motivate by supporting achievements made by group members and they communicate both up and down the chain of command. Their staff's work output is usually good because cooperation is valued