NUR 152 Exam 4 Documentation – Correctly
Answered Questions
Save
Terms in this set (74)
Documentation is anything written or printed
What is documentation?
relating to the patient.
Why is documenting as a Documenting reflects the quality of care and
nurse important? accountability for care provided.
What is evidence Clinical decision making based on best evidence
practice? (EBP) (research), clinical expertise, and patient values
1. Assess need for change in practice
Steps for changing
2. Collect/ Analyze data/evidence
practice based on EBP?
3. Design, implement and evaluate change
When searching for The P.I.C.O.T question
information on EBP, what
question structure do we
use to search?
P= Patient/ Population of interest
I= Intervention of interest
What does each letter in
C= Comparison of Interest
P.I.C.O.T stand for?
O= Outcome
T= Time
-Utilizing CURRENT EBP/ research to guide care
What are the ANA
-Participates in the creation of EBP through research
standards that a RN is
when needed
held accountable for?
- Shares research findings with colleagues
EBP and agency P&P -Always based on latest research
should ALWAYS be -Never based on "the way it's always been done"
based on what, and
NEVER based on what?
, How can you as a RN Read journals, attend seminars/ workshops,
ensure that EBP and network, join organizations
P&P's are always based
on current research?
Use of indwelling catheters
What are some examples Wound care
of EBP? DOCUMENTATION
Technology
How do you know if You can check Library/ Scholarly web based data
research/ EBP is accurate bases to check accuracy and currency
or valid?
What are two nursing Quantitative and Qualitative research
research methods?
What is Quantitative Systematic collection, statistical analysis ans
research? interpretation of numerical data
- Usually reported with charts and graphs
What are some examples
- E.G. What causes pressure ulcers? What is the best
of Quantitative research?
treatment?
What is Qualitative Systematic collection and analysis of narrative data
research?
What are some examples - Used in sociology and psych
of when Qualitative - e.g. How do subjects respond when receiving a
research is used? cancer diagnosis?
- Ensures continuity of care
Why is effective - Saves time
documentation - Minimizes error
important? - Necessary for reimbursement & accreditation
- Reduces risk of liability
HCR acronym means? Health Care Record
EMR acronym stands for? Electronic Medical Record
HCP acronym stands for? Health Care Provider
Answered Questions
Save
Terms in this set (74)
Documentation is anything written or printed
What is documentation?
relating to the patient.
Why is documenting as a Documenting reflects the quality of care and
nurse important? accountability for care provided.
What is evidence Clinical decision making based on best evidence
practice? (EBP) (research), clinical expertise, and patient values
1. Assess need for change in practice
Steps for changing
2. Collect/ Analyze data/evidence
practice based on EBP?
3. Design, implement and evaluate change
When searching for The P.I.C.O.T question
information on EBP, what
question structure do we
use to search?
P= Patient/ Population of interest
I= Intervention of interest
What does each letter in
C= Comparison of Interest
P.I.C.O.T stand for?
O= Outcome
T= Time
-Utilizing CURRENT EBP/ research to guide care
What are the ANA
-Participates in the creation of EBP through research
standards that a RN is
when needed
held accountable for?
- Shares research findings with colleagues
EBP and agency P&P -Always based on latest research
should ALWAYS be -Never based on "the way it's always been done"
based on what, and
NEVER based on what?
, How can you as a RN Read journals, attend seminars/ workshops,
ensure that EBP and network, join organizations
P&P's are always based
on current research?
Use of indwelling catheters
What are some examples Wound care
of EBP? DOCUMENTATION
Technology
How do you know if You can check Library/ Scholarly web based data
research/ EBP is accurate bases to check accuracy and currency
or valid?
What are two nursing Quantitative and Qualitative research
research methods?
What is Quantitative Systematic collection, statistical analysis ans
research? interpretation of numerical data
- Usually reported with charts and graphs
What are some examples
- E.G. What causes pressure ulcers? What is the best
of Quantitative research?
treatment?
What is Qualitative Systematic collection and analysis of narrative data
research?
What are some examples - Used in sociology and psych
of when Qualitative - e.g. How do subjects respond when receiving a
research is used? cancer diagnosis?
- Ensures continuity of care
Why is effective - Saves time
documentation - Minimizes error
important? - Necessary for reimbursement & accreditation
- Reduces risk of liability
HCR acronym means? Health Care Record
EMR acronym stands for? Electronic Medical Record
HCP acronym stands for? Health Care Provider
