Material
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Table s s Of Content s s
Chapter 1. Using Evidence in Nursing Practice
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C hapter 2. Communication and Collaboration
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Cha pter 3. Admitting, Transfer, and Discharge
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Chapt er 4. Documentation and Informatics
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Chapter 5. Vital Signs
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Chapter 6. Health Assessment C ss ss ss ss
hapter 7. Specimen Collection
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C hapter 8. Diagnostic
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Procedures Chapter 9. Medical
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Asepsis Cha pter 10. Sterile
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Technique
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Chapter 11. Safe Patient Handling and Mobility (SPHM)
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Ch apter 12. Exercise and Mobility
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Chapter 13. Support Surfaces and Special Beds C
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hapter 14. Patient Safety
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Chapter 15. Disaster Preparednes ss ss ss
s Chapter 16. Pain Management
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Chapter 17. End-of-Life Care
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Chapter 18. Personal Hygiene and Bed Making C
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hapter 19. Care of the Eye and Ear
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Chapter 20. Safe Medication Preparation
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Chapter 21. Nonparenteral Medications
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Chapter 22. Parenteral Medications Ch
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apter 23. Oxygen Therapy
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Chapter 24. Performing Chest Physiotherapy Cha
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pter 25. Airway Management
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Chapter 26. Cardiac Care ss ss ss
Chapter 27. Closed Chest Drainage Systems Cha
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pter 28. Emergency Measures for Life Support
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Chapter 29. Intravenous and Vascular Access Therapy Chap
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ter 30. Blood Therapy
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Chapter 31. Oral Nutrition ss ss ss
Cha pter 32. Enteral Nutrition
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Chap ter 33. Parenteral
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Nutrition Cha pter 34. Urinary
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Elimination
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Chapter 35. Bowel Elimination and Gastric Intubation
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Chap ter 36. Ostomy Care
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Chapter 37. Preoperative and Postoperative Care
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Chapter 38. Intraoperative Care
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Chapter 39. Wound Care and Irrigations
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Chapter 40. Impaired Skin Integrity Prevention and Care
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Ch apter 41. Dressings, Bandages, and Binders
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Chapter 42. Home Care Safety ss ss ss ss
Chapter 43. Home Care
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Teaching
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Material
Chapter 01: Using Evidence in Nursing Practice
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Perry et al.: Clinical Nursing Skills & Techniques, 11th Edition
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MULTIPLE s s CHOICE
1. Evidence-based practice is a problem- ss ss ss ss
solving approach to making decisions about patient care that is grounded in:
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a. the latest information found in textbooks.
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b. systematically conducted research studies. ss ss ss
c. tradition in clinical practice. ss ss ss
d. quality improvement and risk-management data. ss ss ss ss
ANSWER:mB
The best evidence comes from well-
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designed, systematically conducted research studies described in scientific journals.
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Portion s of a textbook often become outdated by the time it is published. Many health
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care settings do not have a process to help staff adopt new evidence in practice, and
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nurses in practice s ettings lack easy access to risk-
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management data, relying instead on tradition or convenience. Some sources of evidence
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do not originate from research. These include quality improvement and risk-
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management data; infection control data; retrospective or concurrent chart reviews; and
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clin icians‘ expertise. Although
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non–research-
based evidence is often very valuable, it is important that you learn to rely more on
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research
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-based evidence. ss
DIF: CognitiveLevel: Comprehension OBJ: Discuss the benefits of evidence- s s ss ss ss ss s s
based practice. TOP: Evidence-Based Practice
ss KEY: Nursing Process Step: Assessment
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MSC: NCLEX: Safe and Effective Care Environment (management of care)
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2. When evidence-based practice is used, patient care will be:
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a. standardized for all. s s ss
b. unhampered by patient culture. ss ss ss
c. variable according to the situation. ss ss ss ss
d. safe frommthe hazards of critical thinking.
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ANSWER:mC
Using your clinical expertise and considering patients‘ cultures, values, and preferences
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ensures that you will apply available evidence in practice ethically and appropriately.
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Eve n when you use the best evidence available, application and outcomes will
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differ; as a nu rse, you will develop critical thinking skills to determine whether
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evidence is relevant an d appropriate.
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DIF: CognitiveLevel: Application OBJ: Discuss the benefits of evidence- s s ss ss ss ss s s
based practice. TOP: Evidence-Based Practice
ss KEY: Nursing Process Step: Assessment
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MSC: NCLEX: Safe and Effective Care Environment (management of care)
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3. When a PICOT question is developed, the letter that corresponds with the usual
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standard of care is:
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a. P.
b. I.
c.
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Material
c. CHOICE BLANK ss
d. O.
ANSWER:mC
C = Comparison of interest. What standard of care or current intervention do you
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usually us e now in practice?
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P = Patient population of interest. Identify your patient by age, gender, ethnicity, disease,
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or health problem.
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I = Intervention of interest. What intervention (e.g., treatment, diagnostic test, and
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prognosti c factor) do you think is worthwhile to use in practice?
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O = Outcome. What result (e.g., change in patient‘s behavior, physical finding, and
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change i n patient‘s perception) do you wish to achieve or observe as the result of an
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intervention?
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DIF:CognitiveLevel: Knowledge s s
OBJ: Develop a PICO question. TOP: ss ss ss ss ss
PICO KEY: Nursing Process Step: s s ss s s ss s s
Implementation s s
MSC: NCLEX: Safe and Effective Care Environment
s s ss s s s s s s s s s s (management s s of s s care)
4. A ss well-developed PICOT question helps the nurse: ss ss ss ss ss
a. search for evidence. ss ss
b. include all five elements of the sequence. ss ss ss ss ss ss
c. find as many articles as possible in a literature search.
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d. accept standard clinical routines. ss ss ss
ANSWER:mA
The more focused a question that you ask is, the easier it is to search for evidence in
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the sc ientific literature. A well-
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designed PICOT question does not have to include all five elements, nor does it have to
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fol low the PICOT sequence. Do not be satisfied with clinical routines. Always
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question and u se critical thinking to consider better ways to provide patient care.
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DIF: CognitiveLevel: Analysis OBJ: Describe the six steps of ss ss ss ss ss ss
evidence- based practice. TOP: Evidence-Based Practice
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KEY: Nursing Process Step: Implementation s s ss s s s s
MSC: NCLEX: Safe and Effective Care Environment (management
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5. The nurse is not sure that the procedure the patient requires is the best possible for
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the situation. Utilizing which of the following resources would be the quickest way
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to revi ew research on the topic?
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a. CINAHL
b. PubMed
c. MEDLINE
d. The Cochrane Database ss ss
ANSWER:mD
The Cochrane Community Database of Systematic Reviews is a valuable source of
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synthesi zed evidence (i.e., pre-
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appraised evidence). The Cochrane Database includes the full text of regularly updated
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syst ematic reviews and protocols for reviews currently happening. MEDLINE, CINAHL,
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and P ubMed are among the most comprehensive databases and represent the
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scientific knowledg e base of health care.
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DIF: CognitiveLevel: Synthesis OBJ: Describe the six steps of ss ss ss ss ss ss
evidence- based practice. TOP: Evidence-Based Practice
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KEY: Nursing Process Step: Implementation s s ss s s s s
MSC: NCLEX: Safe and Effective Care Environment (management
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