Evidence based practice & nursing informatics 39 Questions with Verified Answers
What is evidence based practice? - CORRECT ANSWER A problem-solving
... [Show More] approach to clinical decision-making within a health care organization
-Best current evidence
-Clinical expertise
-Family preferences
How can nursing research enhance the nursing profession - CORRECT ANSWER - Obtain the best information available and integrate it into nursing practice
- Improve quality of care based on the best practices from research
2 ways nursing research should be evaluated - CORRECT ANSWER -reports no more than 3-5 years old
-peer reviewed journals
How is nursing research implemented? - CORRECT ANSWER - most new procedures must go through a policy and procedure committee
-procedure must be approved prior to use
-procedure is then standardized for use by all appropriate personnel
Barriers to implementing evidenced based practice? - CORRECT ANSWER -nurses negative attitudes toward nursing research
-inadequate skills in disseminating research findings
- lack of institutional support for research by nurses
study findings that are not ready for use in nursing practice
Health Informatics - CORRECT ANSWER the use of information technology to support health-care delivery
Nursing Informatics - CORRECT ANSWER The specialty that integrates the following sciences:
Nursing science
Information science
Computer science
Cognitive science
3 areas of nursing informatics - CORRECT ANSWER 1. Technology
2. Nursing theory
3. Function
Accessing information - CORRECT ANSWER Use of the internet, "information explosion"
Resources for nurses
Nursing practice more accountable & efficient
Use reliable & credible websites
What are some examples of websites?
Education & support for patients
Patients empowered with knowledge
Data-sharing (patientslikeme.com)
Electronic access - CORRECT ANSWER computer laptops
computer on wheels
computers at bedside
Point of care system - CORRECT ANSWER -handheld devices facilitate point of care systems
- includes the lab, radiology, outpatient clinics, and even the home for home health-care providers
What are advantages to the electronic health record? - CORRECT ANSWER -time savings
- increased care coordination
- reduced risk
- more efficiency
- less unnecessary tests
- better research
- more secure than paper health record
Disadvantages of electronic health record - CORRECT ANSWER - cost
- steep learning curve
- at risk for glitches
- issues of privacy and access
threats to information security - CORRECT ANSWER -Unauthorized access
- Accidents
Telehealth - CORRECT ANSWER -Healthcare at a distance
-Physicians examine and treat patients from distant sites with video cameras
Purpose of telehealth - CORRECT ANSWER - serves remote populations
- addresses consumer concerns about access to care
EBP Cochran model - CORRECT ANSWER -Cochran model
Record, Question, Experiment, Analyze
EBP-Mosby - CORRECT ANSWER -Pair external evidence (Clinical trails and control trails etc)
with
-Internal evidence (Clinical expertise)
-combined with patient values
What makes up the delivery of optimal healthcare (EBP) - CORRECT ANSWER -Best current evidence
-Clinical expertise
-Family preferences
What is the benefit of EBP - CORRECT ANSWER -Improve care and outcomes
-Decrease costs
-Improve reimbursement
-decrease geographic variations in care
-Improve clinician empowerment and satisfaction
-Decrease HWP turnover
-Meets expectation of informed public
What is qualitative research - CORRECT ANSWER -Statistical analysis-research
What is qualitative - CORRECT ANSWER -How to respond to condition-understanding human behavior
What is a systematic review-metanalysis - CORRECT ANSWER -Rigor of studies
-Peer reviews
-Is it feasible, meaningful, effective
clincial decision support (CDS) - CORRECT ANSWER ...the process in which individual data elements are represented in the computer by a special code to be used in making comparisons, trending results, and supplying clinical reminders and alerts.
-Tool used by clinicians who don't have time to run trials and studies to do patient care
Basic Scientific Methods and processes - CORRECT ANSWER -Systematic review
-Meta-analysis
-Randomized control trails
-Observational studies
What is a systematic review - CORRECT ANSWER a rigorous and systematic synthesis of research findings about a clinical problem
What is a meta-analysis? - CORRECT ANSWER -pools data from several studies to come up with a conclusion
What is a randomized controlled trial? - CORRECT ANSWER -Involves a treatment group and control group and reduces
bias
Observational study - CORRECT ANSWER -Research that observes the effect of a risk factor
What is an evidence summary - CORRECT ANSWER -Key findings in layman's terms that can be acted upon
Clinical Opinion - CORRECT ANSWER -The way qualified personnel utilize knowledge
Reseach - CORRECT ANSWER the systematic investigation into and study of materials and sources in order to establish facts and reach new conclusions.
Reliable sources for locating evidence reports and clinical practice guidlines - CORRECT ANSWER -Jointcommision.org CLABSI tool kit
-Lippocott
What is the role in evidence in determining Best Practice - CORRECT ANSWER -As more research (evidence) is done, that research is incorporated into Best Practice
Evidence based practice - CORRECT ANSWER clinical decision making that integrates the best available research with clinical expertise and patient characteristics and preferences
What must nurses do in order to make accurate and efficient recommendations for policy updates - CORRECT ANSWER -Be skilled research consumers
What do policy and procedure manuals outline - CORRECT ANSWER -practice standard for various care activities
Why should P and P be regularly updated? - CORRECT ANSWER To reflect the current evidence and standards of practice and are
approved by a committee charged with this oversight
What role do nurses have in developing and maintaining P and P - CORRECT ANSWER They serve on such committees to participate in updates [Show Less]