What is the ultimate purpose for reviewing research by levels of evidence? - ANSWER-to
appraise the evidence or research to identify the applicability
-to improve quality of care as well as to promote pt. safety during disease/illness
-the critical care RNs has to able to systematically collect, review synthesize, and
appraise the evidence for practice changes in support of clinical outcomes
highest level of evidence - ANSWER systematic review of RCT
lowest level of evidence- ANSWER expert opinion
limitations of research and barriers to implementation-ANSWER -lack of knowledge of
research process
, -limited access to lit
-lack of skill to critique
-limited interest in sci inquiry
-limited power to change practice
-time factors
-lack of organized support and commitment
-volume of research being published
-availability of mentors
Synergy model ANSWER A model of care delivery adopted by the American Association
of Critical-Care Nurses that matches the needs and characteristics of the patient with
the competencies of the nurse. Seven characteristics are unique to every patient, and
each nurse has varying levels of ability, which are categorized into eight competencies.
Care is best when knowledge, skills, and competencies of the nurse are applied to meet
the complex needs of the patient and family.
Pt characteristics that nurses are concerned about include - ANSWER -resiliency
-vulnerability
-stability
-complexity
-resource availability
-partipation in care
-participation in decision making
-predictability
Nursing competencies pts are concerned about include - ANSWER -clinical judgement
-advocacy and moral agency
-caring practices
-collaboration
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