NSG 350 Final Test Questions with Correct Answers (1)

NSG 350 Final Test Questions with Correct Answers (1) Standards of care - Answer-•Often set by professional organizations •Directs and maintains high quality of care •Code of Ethics by ANA is a standard of care protocols of care - Answer-•Step-by-step actions to take •Often institution specific using the best evidence available evidence based practice guildline - Answer-•Systematically derived statements to assist practitioners in providing best care •Done as a team •Not unit/institution specific making •Provides evidence based recommendations that aids institutions' decision in developing protocols •Includes how evidence collected/graded •NOT step by step process but provides the why, when, who, what systematic review/meta-analysis - Answer-•In short, a comprehensive review of "what is known" using a VERY systematic method •Meta-analysis goes one step more and completes additionally statistical analysis on existing data •Should be done as a team •MUST HAVE 6 PARTS TO REPORT (abstract, intro, methods, results, discussion, references) 6 parts - Answer-abstract, intro, methods, results, discussion, references research article - Answer-•A detailed report of a conducted research study •MUST HAVE 6 PARTS TO REPORT (abstract, intro, methods, results, discussion, references) seven steps of EBP - Answer-0- cultivate a spirit of inquiry 1- ask a clinical question in PICO format 2- search for the most relevant and best evidence 3- critically appraise the evidence you gather 4- integrate all evidence with your clinical expertise and patient preferences and values 5-Implement 6- evaluate 7- disseminate share the outcomes of EBP changes with others starting point of EBP - Answer-Any inquiry of what is best for our patients and how can we improve patient outcomes foreground question - Answer-a specific question that when answered provides evidence to support clinical decision making (Ex: Are infants who use a pacifier at greater risk for SIDS compared to no pacifier use?) background question - Answer-important part of daily patient care, basic knowledge question, can be answered quickly and found in a text book (ex: What causes SIDS?) main goal of PICO - Answer-find best evidence steps of writing pico question - Answer-1.QUESTION, THINK, DISCUSS 2.Jot down P-I-C-O 3.Decide on a template Apply P-I-C-O terms to chosen template . cause - Answer-•Are who have at risk for compared with with or without . diagnosing . Prevention - Answer-•For does the use of reduce the future risk of compared to . . meaning - Answer-•How do diagnosed with perceive . Hierarchy of Evidence - Answer-•LEVEL 1- systematic review, meta-analysis, clinical practice guideline •LEVEL 2- well-designed randomized control trial (RCT) •LEVEL 3- well-designed controlled trial without randomization •LEVEL 4- well-designed cohort or correlational study •LEVEL 5- systematic review of descriptive, qualitative •LEVEL 6- single descriptive, qualitative •LEVEL 7- case reports of expert committees or opinion of experts finding evidence - Answer-1.Search for an evidence-based guideline • ex: TRIP database 2.Search reputable sites •ex: or •This is where you may "google" 3.Search databases •CINAHL (Cumulative Index to Nursing and Allied Health Literature) most relevant nursing database advantages to using CPG - Answer-saves time, easy to use, usually greater expertise of composers citation - Answer-Last name, first initial. (year). Article title; only first word capitalized. Journal title; italics; capitalize all major words, volume, (issue), 100-116. doi:...... EBP - Answer--Best research evidence -Clinical expertise -Patient values and needs -Cost effective care #1 priority (goal) - Answer-improve patient outcomes role of BSN student - Answer-§consumer: §Read and summarize evidence §Apply evidence in clinical practice §Read and critique evidence Role of RN - Answer-§consumer: §Provide care based on best evidence §Constantly evaluate care §ALWAYS question: §"Why am I doing this?" §"Is there a better way?"