Correct Answers.
Steps in evidenced informed practice - Answer PICO - population, intervention, comparison,
outcome
CHN - Answer Community health nurse
Purpose of clinical practice guidelines - Answer Developed by experts who find and appraise
the evidence, draw conclusions, and make recommendations about best practices
How do CHNs implement and particulate in evidence informed practice - Answer Assist client
with decision making, ensure evidence is at an appropriate literacy level for each client, advise
the client of the benefits and risks of an intervention, consider client preferences/values,
program evaluation, involve in gathering data
What is epidemiology? - Answer The study of the distribution and determinants of health-
related states or events in specified populations, and the application of this study to the control
of health problems.
Framingham study - Answer A cohort study on cardiovascular disease, which identified
causality between risk factors and cardiovascular disease. Has helped HCPs identify heart
disease risk early on
Epidemiology triangle components - Answer Host, environment, agent
Descriptive epidemiology - Answer Population health assessment, monitoring/analyzing
health related data for detect trends (who, when, and where)
Analytical epidemiology - Answer Unconverted cause and effect associations for disease or
problem (how and why)
What is the epidemiological approach? - Answer 1. Start with descriptive (who, when,
where)
2. Move to analytical (why, how), literature review, research an approach, monitor effectiveness
Mortality - epidemiology - Answer Number of deaths due to a disease in a population
, Morbidity - epidemiology - Answer Occurrence of disease in a population, incidence rate
(new cases), prevalence rate (all cases of a specific condition at a given time)
Commonly encountered epidemiological measures - Answer 1. Mortality
2. Morbidity
3. Risk
4. Relative risk
Risk - epidemiology - Answer Probability that the event will occur within a specified period
Relative risk - epidemiology - Answer Incidence rate of disease in expose population divided
by incidence of disease in unexposed population
Odds ratio - epidemiology - Answer Exposed persons with disease/unexposed persons with
disease divided by exposed persons without the disease/unexposed persons without the
disease
(Estimate of relative risk factor)
Epidemiology in present day public health sources - Answer Outside sources - census,
Canadian community health survey, hospital stay database. Internal sources - internal EMR
systems, spreadsheets
Epidemiology and nursing - Answer Nursing interventions have been developed through
epidemiology, outbreak management, contract tracing
3 dimensions of community - Answer People, place, function
Community as partner model - Answer Relationship between CHN and community, focus on
collective good of population, emphasize of communities strengths, works with community
Community as client model - Answer Provide interventions for total population, CHN is
viewed as an expert, community assessment used epidemiological data, interventions directed
by government protocols
What characteristics do effective partnerships have? - Answer Equality in decision making,
shared vision, integrity, agreement on specific goals, plan of action to meet goals
Asset mapping - Answer Identifying community-based initiatives such as community
development, strategic planning, and organizational development