Ch. 1 and Ch. 2 Medical-Surgical Nursing: Making Connections to Practice (Davis) Unit 2 of C471
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Course
Medical-Surgical Nursing
Institution
Medical-Surgical Nursing
Ch. 1 and Ch. 2 Medical-Surgical Nursing:
Making Connections to Practice (Davis) Unit
2 of C471
Academy of Medical-Surgical Nursing (AMSN) - answerprofessional organization for med-
surg RN; mission is too "promote excellence in med-surg nursing"
Values of AMSN - answer-Engage in ongoing profe...
Ch. 1 and Ch. 2 Medical-Surgical Nursing:
Making Connections to Practice (Davis) Unit
2 of C471
Academy of Medical-Surgical Nursing (AMSN) - answer✔✔professional organization for med-
surg RN; mission is too "promote excellence in med-surg nursing"
Values of AMSN - answer✔✔-Engage in ongoing professional development
-Use EBP
-Speak w/a unified voice
-Serve as leaders on health-care teams
-Have the necessary resources to deliver excellent care
-Practice in a healthy work environment
Strategic Message of AMSN - answer✔✔-Improving patient care
-Developing personally and professionally
-Advocating for the specialty of med-surg nursing
-Connection w/other nurses who share their compassion and commitment
American Nurse Credentialing Center (ANCC) - answer✔✔can certify nurses in med-surg
ANCC's Magnet Recognition Program - answer✔✔awarded to health-care facilities that
demonstrate excellence in the recruitment, recognition, and retention of nursing staff as well as
excellence in patient care and quality
Certified Medical-Surgical Registered Nurse (CMSRN) - answer✔✔RN who is credentialed in
med-surg, entitled to the credential of Registered Nurse-Board Certified (RN-BC)
Primary direct care provider in acute care setting- often the KEY to communication between
various HC members
****Higher patient acuity and increased complexity of pts care needs accompanied by shorter
lengths of stay in acute care place RN in vital role of ensuring the pts are prepared for transitions
to different levels of care. Facilitating the pts and family understanding of TX plan and discharge
teaching
Domains of Nursing Practice for Med-Surg Certification - answer✔✔1. Helping role
2. Teaching-Coaching Function
3. Diagnostic and Patient Monitoring
4. Effective Management of Rapidly Changing Situations
5. Administering and Monitoring Therapeutic Interventions and Regimens
6. Monitoring and Ensuring the Quality of Health-Care Practices
7. Organizational and Work Role Competencies
Evidence-based nursing practice - answer✔✔problem-solving approach to health-care delivery,
nursing care practices, and protocols--based upon the best evidence from research studies and the
expertise of clinicians
1. Develop the question
2. Search and collate the best evidence
3. Evaluate the quality of the evidence
4. Integrate evidence into practice
5. Evaluate outcomes of practice change
6. Disseminate the evidence
Evaluating Levels of Evidence - answer✔✔Lv 1 is the highest level of evidence
Lv 1 Evidence from systematic reviews of randomized controlled studies (RCT)
Lv 2 Evidence from at least 1 RCT
Lv 3 Evidence from quasi-experimental studies
Lv 4 Evidence from case-control and cohort studies
Lv 5 Evidence from systematic reviews of descriptive or qualitative studies
Lv 6 Evidence from a single descriptive or qualitative study
Lv 7 Evidence from expert individual authorities or comments
Cohort studies - answer✔✔Lv 4- use a group of people (cohort) who are initially free of disease
and are then followed over a period of time to examine whether the development of new cases
differs between those with and without exposure to some type of disease, environmental hazard,
etc
Case control study - answer✔✔Lv 4-includes two groups, those with a specific disorder and
those w/o---then compares the two groups
Quasi-Experimental Studies - answer✔✔Lv 3- use control and experimental groups but lacks the
random assignment of participants
Randomized Controlled Studies - answer✔✔Lv 1 and Lv 2 -Gold standard of research- include
data from selected studies that randomly assigned participants to control and and experimental
groups
Systematic review - answer✔✔a type of literature review that uses systematic methods to collect
secondary data, critically appraise research studies, and synthesize findings qualitatively or
quantitatively. ... They are designed to provide a complete, exhaustive summary of current
evidence relevant to a research question
Institute of Medicine (IOM) - answer✔✔A nonprofit organization established in 1970 as a
component of the US National Academy of Sciences that works outside the framework of
government to provide evidence-based research and recommendations for public health and
science policy.
To ERR is Human- Report
-between 44000-98000 deaths occurred in the US due to preventable medical errors
-40000 incidences per day in US resulted in pt harm
--**-- ineffective communication among interprofessional health care team identified in a root
cause analysis
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