NUR 342 Exam 2 (Mod 10) Questions and Correct Answers
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Course
NUR 342
Institution
NUR 342
Evidence Based Practice: What is it? • "Integration of best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care" • "the conscientious use of current best evidence in making decision about patient care" "lifelong problem-solving ...
NUR 342 Exam 2 (Mod 10) Questions
and Correct Answers
Evidence Based Practice: What is it? ✅• "Integration of best current evidence with
clinical expertise and patient/family preferences and values for delivery of optimal health
care"
• "the conscientious use of current best evidence in making decision about patient care"
"lifelong problem-solving approach to clinical practice"
Institute of Medicine: To Err is Human: Building a Safer Health System (1999)
✅•Prevalence of medical error as patient safety issue
•National media attention: 98,000 error-related deaths per year in hospital (based on
1984 data from NY)
•Preventing death and injury requires system-level changes
Institute of Medicine: •Crossing the Quality Chasm: A New Health System for the 21st
Century (2001) ✅•Patient safety is only part of a larger context
•Focus on how the health system can be reinvented to improve the delivery of care
Crossing the Quality Chasm: A New Health System for the 21st Century (2001) - health
care systems should strive to provide care that is what? ✅**safe, effective, patient-
centered, timely, efficient, and equitable**
The Future of Nursing: Leading Change, Advancing Health (IOM 2010) - the nurses
should practice to full extent of what? ✅full extent of education and training
The Future of Nursing: Leading Change, Advancing Health (IOM 2010) - nurses should
achieve what? ✅achieve higher levels of education and training through improved
education system
The Future of Nursing: Leading Change, Advancing Health (IOM 2010) - nurses should
be full partners w/ who in what? ✅with physicians and other health care professionals,
in redesigning health care
The Future of Nursing: Leading Change, Advancing Health (IOM 2010) - effective
workforce planning and policy making require what? ✅require better data collection
and information infrastructure
Why EBP ✅Safety
•1 in 7 Medicare patients will experience an adverse event (Health and Human
Services, 2010).
, • 1 in 5 elderly patients who are discharged patients will be readmitted within 30 days
(Dartmouth Atlas, 2013).
•Every year 210,000 - 440,000 patient deaths in hospitals are associated with medical
errors (John, 2013).
•"All health professionals should be educated to deliver patient-centered care as
members of an interdisciplinary team emphasizing evidence-based practice, quality
improvement approaches and informatics" (IOM 2003; p. 3).
•
Improving the safety of healthcare requires what ✅an EBP approach
Problem w/ EBP ✅research to practice gap
Implementing EBP, example ✅•Normal saline instillation prior to endotracheal
suctioning
•Goal is to maximize the quantity of secretions removed
Theory:
Saline possibly thins secretions
Saline possibly helps dislodge secretions
Saline possibly stimulates coughing
Saline possibly lubricates endotracheal tube
Barriers to EBP implementation ✅•Inadequate knowledge and skills in EBP
•Lack of culture and environment that supports EBP
•Outdated organizational policies
•Limited resources and tools
•Resistance from colleagues and leaders
•Inadequate number of EBP mentors
Health care system redesign components ✅1. Apply evidence to health care delivery
2. Use IT
3. Align payment policies with quality improvement
4. Prepare the workforce
Applying evidence to health care delivery ✅make evidence more accessible to
clinicians and patients, identify best practices/guidelines, disseminate
Using IT ✅build information infrastructure to support health care delivery, email
communication with patients
Aligning payment and quality improvement ✅adequate compensation, incentives for
quality, transparency for consumers
Preparing workforce ✅more emphasis on teaching EBP and more opportunities for
interdisciplinary training
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