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Exam (elaborations)

Nur 342 Exam 2 Mod 10 Questions And Verified Answers

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NUR 342 EXAM 2 MOD 10 QUESTIONS AND VERIFIED ANSWERS

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Standards for Quality Improvement Reporting Excellence (SQUIRE) is what?


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•Framework for reporting new knowledge and how to improve healthcare




implementing EBP, example

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•Normal saline instillation prior to endotracheal suctioning
•Goal is to maximize the quantity of secretions removed
Theory:
Saline possibly thins secretions
Saline possibly helps dislodge secretions
Saline possibly stimulates coughing
Saline possibly lubricates endotracheal tube




Criteria for picking a good EBP model - the EBP model should:


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1.Facilitate the work required for completing an EBP project
2.Have educational components that help nurses critique and assess the
strength and quality of the evidence
3.Guide the process of implementing practice changes
4.Potentially be implemented across specialty practice areas




The Johns Hopkins Process for EBP: The PET Process components - translation


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Determine appropriateness of recommendation in specific settings;
develop action and evaluation plan; implement plan; evaluate and report
outcomes; secure support for widespread change; identify next steps;
disseminate findings

, Advancing Research and Clinical practice through close Collaboration (ARCC) model
key feature


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is the use of mentors as a central mechanism for implementing and
sustaining EBP




Barriers to EBP implementation


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•Inadequate knowledge and skills in EBP
•Lack of culture and environment that supports EBP
•Outdated organizational policies
•Limited resources and tools
•Resistance from colleagues and leaders
•Inadequate number of EBP mentors




•Integrating evidence into clinical decision making to change nursing practice should
be guided by:


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•Conceptual models and frameworks for EBP




Institute of Medicine: •Crossing the Quality Chasm: A New Health System for the 21st
Century (2001)

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