Theoretical Basis Quiz 2 Study Guide-
UC 8002 Questions & Answers (Rated A+)
What is preferred instead of tradition, authority, trial & error, personal experience, & intuition? - ANSWER - theory driven research-based information
What is an example of theory driven research? - ANSWER - Incorpating Roy's theory used in practice instead of doing something just b/c your manager said so.
What are 3 Factors affecting how to select theory? - ANSWER - need to understand concepts
principles needs of clients/community how to use the concepts/principles when planning & implementing
factors affecting the selection of a theory to guide nursing practice research - ANSWER - 1. Specifies actions or interventions 2. Promotes responsibly and accountability for nursing care 3. Describes settings and situations in which practice should осcur
How do specific nursing theories are applied to practice situations and expand nursing knowledge to guide practice? - ANSWER - • Identifies recipients/clients of nsg care • Describe settings & situations in which practice should оссur • Define data to collect & how to classify it • Outline actual & potential probs to consider • Aids in understanding of nsg Dx Clarifies objectives & establishes expected outcomes • Specifies actions/interventions • Set standards for practice • Differentiate nsg practice from other healthcare jobs • Promotes responsibility & accountability for nsg care • ID areas of research
1. Are the theory goals & practice goals congruent should be considered when? - ANSWER - Identify guidelines that affect your selection of a theory to shape your advanced nursing practice.
Is the context of the theory compatible with your practice situation? - ANSWER - Identify
guidelines that affect your selection of a theory to shape your advanced nursing practice.
Is there similarity btwn the theory variables & your practice variables? - ANSWER - Identify guidelines that affect your selection of a theory to shape your advanced nursing practice. Are explanations of the theory sufficient to be used as basis for nsg action? - ANSWER - Identify guidelines that affect your selection of a theory to shape your advanced nursing practice
Does research evidence support the theory? - ANSWER - Identify guidelines that affect your selection of a theory to shape your advanced nursing practice
How can the theory influence nsg practice in your setting? - ANSWER - Identify guidelines that affect your selection of a theory to shape your advanced nursing practice
A decision must be made about the applicability of the research to practice - ANSWER -
Identify guidelines that affect your selection of a theory to shape your advanced nursing practice
What are the best strategies to search the literature to identify relevant theories to guide
practice? - ANSWER - • Use primary sources, not secondary. • Peer reviewed & refereed sources
Scholarly- - ANSWER - edited by professionals in the discipline (Ex. Journal of Nursing Scholarship, Stroke, New England Journal of Medicine)
Trade - ANSWER - more casual & contain info r/t professional development, products, practices, & trends in the discipline (Ex AJN)
Popular lit - ANSWER - - for the general public & basic info (Ex Prevention)
•what are Types of lit reviews? - ANSWER - o Integrative reviews o Systematic reviews
o Meta-analysis
o Integrative reviews - ANSWER - provide summary of empirical & theoretical lit to improve understanding of a topic. Qualitative & quantitative studies. Ex Holt did a review
to summarize evidence of length ofRN shifts & pt outcomes.
Systematic reviews - ANSWER - higher level of evidence than integrative. More rigorous. Scientific tools used to summarize results/implications of otherwise manageable qualities of research. Articles included all address the SAME question.
Systematic reviews - ANSWER - Ex. Phillips & Nay did a review to determine nsg interventions & how effective they were at minimizing complications r/t med administration via enteral tubes. Quality Improvement
Integrative reviews - ANSWER - Ex Holt did a review to summarize evidence of length of RN shifts & pt outcomes. Meta-analysis- - ANSWER - combine results into measurable format & statically estimate effects of interventions. Combine works that are similar/identical to make statistical comparisons. Use this when you can't use a RCT
Meta-analysis- - ANSWER - Ex. Johnson et al. determined the benefits & harms of meds for adults w/ ETOH use disorders Quality Improvement
What should you do when Searching the lit? - ANSWER - use lots of search terms & variations. Search until you find no new references, go back 15-20 yrs, investigate credibility of unfamiliar source before using it, consult health science librarian
What shouldnt you do when Searching the lit: - ANSWER - Review only articles in full text online (too limiting), limit to last 5 yrs, limits search to just 2 databases, secondary sources, ignoring publications from other countries, limit search to electronic databases
Example of Orem's Self-Care Theory - ANSWER - CKD affects many parts of pts life (Ex diet changes, energy levels, complex med regimen, etc.). Pts are encouraged to be active participants in their care. Participation in decision-making r/t treatment, compliance, etc. seeking & securing appropriate medical assistance.
Example of Orem's self-care theory - ANSWER - o Mr. Reagan is a pleasant 68 year old
gentleman who is African American and just became an American citizen 4 months ago.
He is on your unit and has just been diagnosed with diabetes requiring you to be begin diabetic teaching. And Orem theory encourages patients to actively participate in their care and decision making to enhance their treatment compliance.
Define neuman's System Model - ANSWER - o Nurse practice w/ a goal setting & holistic approach to care. Model affects decision making r/t pts perceptions & role of pts normal & flexible lines of defense. Need to consider pts central core attributes & resources. Pts have to decide type of renal replacement therapy to begin & maintain & how resources (Ex self, financial) affect choice & sustainability
Example of Neuman's System Model - ANSWER - o A nursing system's theory created by a nurse envisioning individuals holistically as a series of concentric circles.
Describe Peplau's Theory of Interpersonal Relationships - ANSWER - o Nsg is a healing art that requires mutual respect btwn the nurse & pt as part of therapeutic process. Focus is to assist pt to understand the need for care & facilitate his/her learning process. Focus is on PATIENT'S needs, not the nurse. Nurses need to understand their own personal reactions to situations & recognize risk of becoming
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