Evidence Base Practice - Answers Combination of research in conjunction with what the nurse
already knows from their own clinical knowledge and experience.
Pyschosocial and Enviornmental Aspects - Answers Can trigger the manifestation of psychiatric
illness as well as the neurobiology and the response to medications
Science of Nursing - Answers Finding evidence
Art of Nursing - Answers Developing skills for practice:
Caring
Attending
Advocacy
3 Aspects of Caring - Answers -Empathetic understanding
-Being present through actions and words
-Giving of self while preserving importance of self
Attending - Answers The intensity of Presence
Advocacy - Answers Defensive action of helping others, particularly when the other does not
have the knowledge, skill or ability to speak for themselves
Goal of Evidence-Based Practice - Answers Decrease the research practice gap. Always have
the best research being implemented in clinical practice.
Nursing PRIOR to 1980 was based on... - Answers - Personal Experince
- The experience of others
- trial and error
- tradition
Psych nursing now is based on... - Answers - Evidence-based practice
- Genetic and environmental contributions to mental illness
HIldegard Peplau - Answers - The mother of psychiatric nursing
- Believed a scientific approach was essential in psych nursing
3 Considerations in Clinical Decison Making - Answers - Patient preference
,- Research evidence
- Clinical Expertise
5 A's of Evidece-Based Practice - Answers - Ask (identify a problem, ask the question)
- Acquire literature
- Appraise the literature for relevance, application, validity
- Apply the evidence, choose interventions based off of research
- Assess, evaluate performance- did the interventions work?
Strongest evidence to base clinical practice is based off of is... - Answers Meta analysis
(systemic reviews) of randomized controlled studies and evidence-based clinical practice
guidelines
Weakest evidence for clinical practice - Answers - Clinical Experience
- Expert Committee Reports
- Opinions
- Descriptive Studies
Internet Data Bases for Nursing Research - Answers PubMed
Nursing Allied Health Literature
Cochran Reviews
Clinical Practice Guidelines - Answers - Systemically developed statements based on literature
review that appraise/summarize the best evidence to guide clinicians
- Increases quality and consistency of care
Clinical Algorithms - Answers - Step-by-step guidelines prepared in a flow chart
Clinical/Critical pathways - Answers - Specific to the institution
- Map for specified treatments and interventions
- Provides specific time frames that have been shown to improve outcomes
Medical Care Model - Answers - Focuses on fixing/curing the illness
- Medicine/Physcian is central to minimizing patients disability
Recovery Care Model - Answers Goal- Empowerment, maximize the patients abilities and
, independence within the limitations of their illness
- A social model focused on rehab/recovery
- Focus on managing symptoms
Trauma-Informed Care - Answers - Recognizes that trauma is nearly universally found in the
histories of mental illness
- Trauma as a contributor to illness
- What happened to you, NOT what is wrong with you
- Focus on empowerment and cultural respect
Patient Centered Care - Answers - Best practice (QSEN, ANA, IOM)
- Patient needs above all else
- Advocacy, support (physical and emotional)
QSEN - Answers Quality and Safety Education for Nurses
QSEN KSA's - Answers Knowledge, skills and attitude necessary for good practice.
- Patient centered care
- teamwork/collaboration
- Evidence-based practice
- Quality Improvement
- Safety
- Informatics
Define Mental Health - Answers - Successful performance of mental functions resulting in the
ability to engage in productive activities, enjoy fulfilling relationships, adapt to change and cope
with adversity
- A basic human right
- The foundation of thinking communicating, learning, emotional growth, resilience and self-
esteem
Define Mental Illness - Answers - Medical conditions that affect a persons thinking, feeling,