NUR 400 EXAM 1 STUDY: EVIDENCE-BASED NURSING PRACTICE
(UNIT 1)
1. Nightingale discovered that the majority of deaths in the Crimea
were due to poor sanitation rather than casualties in battle. She
persuaded the need for better hygiene in hospitals. She realized
though that just looking at the numbers was unlikely to impress
ministers. But once those numbers were translated into a picture
(diagram) the message could not be ignored. A good diagram is
certainly worth 1000 numbers.
Every nurse ought to be careful to wash their hands very frequently
during the day.
Nightingale is credited with having reduced the mortality rate in
Scutari, the military hospital where she led a team of voluntary nurses,
from forty percent to two percent - largely because, at her petition, the
British government sent out a sanitary commission that cleared a broken
sewer contaminating the water supply and improved ventilation on the
squalid wards.
Nightingale is also the pioneer as a statistician. The published Rose
diagram showed clearly that far more soldiers in the Crimea fell victim to
disease than to the Russian cannons - but that, even in peacetime,
soldiers living in cramped, unsanitary barracks died at a quicker rate
than civilians.
What forms of data you have seen in our time of pandemic?
2. Archie Cochrane called for ettorts to make research summaries about interventions
available to health care providers
Ettorts led to the development of Cochrane Center in Oxford and the
Cochrane Collaboration.
3. David Sackett developed a learning strategy called evidence-based medicine, which
has broad- ened to the use of best evidence by all health care
1/
22
,NUR 400 EXAM 1 STUDY: EVIDENCE-BASED NURSING PRACTICE
(UNIT 1)
practitioners
4. Evidence- this is the use of the best clinical evidence in making patient care
based decisions
practice
(EBP)
2/
22
, NUR 400 EXAM 1 STUDY: EVIDENCE-BASED NURSING PRACTICE
(UNIT 1)
this is the basis for nursing decisions, which influences many recent clinical
practice changes
produces decisions that are:
-clinically appropriate
-cost-ettective
-result in positive client outcomes
--->
the use of EBP optimizes wellbeing and decision making for patients
-ex. Vital signs Q4H is a practice that evidence supports now
5. Do you ever won- In the past, nurses changed hospitalized patients' IV
der why dressings daily, even though no solid evidence supported this practice.
nurses
engage in When clinical trials finally explored how often to change IV dressings,
prac- tices results indicated that daily changes led to higher rates of phlebitis than
that aren't did less frequent changes.
sup- ported
by ev- In many hospital EDs across the country, children with asthma are
idence, while treated with albuterol delivered with a nebulizer, even though
not substantial evidence shows that
implement-
ing practices sub-
when albuterol is delivered with a metered-dose inhaler plus a spacer,
children
by a lot
stantiated
of spend less time
evidence? in the ED and have fewer adverse ettects.
Nurses even disrupt patients' sleep, which is important
for restorative healing, to document blood pressure and pulse rate
because it's hospital policy to
take vital signs every two or four hours, even though no evidence
supports that doing so improves the identification of potential
3/
22
(UNIT 1)
1. Nightingale discovered that the majority of deaths in the Crimea
were due to poor sanitation rather than casualties in battle. She
persuaded the need for better hygiene in hospitals. She realized
though that just looking at the numbers was unlikely to impress
ministers. But once those numbers were translated into a picture
(diagram) the message could not be ignored. A good diagram is
certainly worth 1000 numbers.
Every nurse ought to be careful to wash their hands very frequently
during the day.
Nightingale is credited with having reduced the mortality rate in
Scutari, the military hospital where she led a team of voluntary nurses,
from forty percent to two percent - largely because, at her petition, the
British government sent out a sanitary commission that cleared a broken
sewer contaminating the water supply and improved ventilation on the
squalid wards.
Nightingale is also the pioneer as a statistician. The published Rose
diagram showed clearly that far more soldiers in the Crimea fell victim to
disease than to the Russian cannons - but that, even in peacetime,
soldiers living in cramped, unsanitary barracks died at a quicker rate
than civilians.
What forms of data you have seen in our time of pandemic?
2. Archie Cochrane called for ettorts to make research summaries about interventions
available to health care providers
Ettorts led to the development of Cochrane Center in Oxford and the
Cochrane Collaboration.
3. David Sackett developed a learning strategy called evidence-based medicine, which
has broad- ened to the use of best evidence by all health care
1/
22
,NUR 400 EXAM 1 STUDY: EVIDENCE-BASED NURSING PRACTICE
(UNIT 1)
practitioners
4. Evidence- this is the use of the best clinical evidence in making patient care
based decisions
practice
(EBP)
2/
22
, NUR 400 EXAM 1 STUDY: EVIDENCE-BASED NURSING PRACTICE
(UNIT 1)
this is the basis for nursing decisions, which influences many recent clinical
practice changes
produces decisions that are:
-clinically appropriate
-cost-ettective
-result in positive client outcomes
--->
the use of EBP optimizes wellbeing and decision making for patients
-ex. Vital signs Q4H is a practice that evidence supports now
5. Do you ever won- In the past, nurses changed hospitalized patients' IV
der why dressings daily, even though no solid evidence supported this practice.
nurses
engage in When clinical trials finally explored how often to change IV dressings,
prac- tices results indicated that daily changes led to higher rates of phlebitis than
that aren't did less frequent changes.
sup- ported
by ev- In many hospital EDs across the country, children with asthma are
idence, while treated with albuterol delivered with a nebulizer, even though
not substantial evidence shows that
implement-
ing practices sub-
when albuterol is delivered with a metered-dose inhaler plus a spacer,
children
by a lot
stantiated
of spend less time
evidence? in the ED and have fewer adverse ettects.
Nurses even disrupt patients' sleep, which is important
for restorative healing, to document blood pressure and pulse rate
because it's hospital policy to
take vital signs every two or four hours, even though no evidence
supports that doing so improves the identification of potential
3/
22
