Quiz 1

Expository- intended to explain or describe something

  • Provide a clear, focused explanation of a particular topic, process, or set of ideas



Art of Knowing in Nursing Theory

  • Empirical- textbooks, literature, research, verifiable, objective

  • Personal- from experience

  • Ethical- gained through belief systems, expressed through moral codes and ethical decision making

  • Aesthetic- the art of nursing, knowing why to do something is as important as knowing, subjective, individual, unique, nursing intuition and empathy



Evidence-Based Practice- problem-solving approach to clinical decision making within a health care organization, uses the best clinical evidence in making patient care decisions typically from research, translates knowledge into practice

  • Not all evidence is created equal

  • Evidence alone is never enough

  • Clinicians make recommendations

  • Shared decision making

Research- applies a methodology whether quantitative or qualitative to develop, uncover, create, find, add new knowledge

Quality improvement- utilizes a system to monitor and evaluate the quality and appropriateness of care (outcomes) based on EBP and research



Core values of nursing practices- compassion, critical thinking, holistic approach to patient care



ANA’s Definition of Nursing- 

  • protection, promotion, and optimization of health

  • Prevention of illness & injury

  • Facilitation of healing

  • Alleviation of suffering

  • Advocacy

  • Recognition of the connection of all humanity

  • Caring

  • Clinical expertise

  • Critical thinking

  • Collaboration 



Phenomena of Concern- issues, experiences, or states that are of primary interest to a discipline, drive theory development, research, and practice in that field

  • Nursing POC- health & illness, adaptation, coping, quality of life, self-care, family caregiving, cultural meaning of health & illness, health promotion & risk reduction

  • Shared POC- pain, nutrition, functional status, health behaviors, family dynamics



Quanitiative Research- numbers

  • DEDUCTIVE reasoning process

  • objective



Qualitative Research- words & text

  • INDUCTIVE reasoning process

  • subjective



Concepts- abstractions of particular aspects of human behavior or characteristics

Constructs- slightly more complex abstractions

Theories- knit concepts into a coherent system that purports to explain phenomena



Mixed Methods Research Design- procedure for collecting, analyzing, and “mixing” both quantitative and qualitative data in a single study to understand a research problem



Steps of EBP-

1- applying evidence to practice

2- appraising evidence

3- searching for evidences

4- formulating your clinical question



  • Ask, search, appraise, integrate, evaluate, disseminate



Johns Hopkins EBP- an inquiry-based framework allowing rapid and appropriate application of current research and best practices

  • It simplifies the EBP process & cultivates a culture of care based on evidence

  • Three overall steps- PET Process

    • Practice question, evidence, translation

Hopkins= PET (Problem, Evidence, Translation)



3 dimensions of evidence-based practice- 

1- best research evidence

2- clinical expertise

3- patient values & preferences



3 Dimensions of EBP: “EEV” (Evidence, Expertise, & Values)



OVERALL GOAL OF THE EBP PROCESS- reduce variability in practice to improve quality










Three forms of nursing inquiry: quality improvement, research, EBP



EBP- solve specific clinical problems, improve practice

RESEARCH- generate new knowledge, advance knowledge



PET Process- practice question, evidence, translation



Practice question phases-

1- explore the problem

2- develop the problem statement

3- write the EBP question



PICOT

P- patient population

I- intervention of interest

C- comparison intervention

O-  outcome

T-  time