Ch. 1 and Ch. 2 Medical-Surgical Nursing: Making Connections to
Practic (Davis) Unit 2 of C471
1. Academy of Medical-Surgical Nursing (AMSN): professional organization for
med-surg RN; mission is too "promote excellence in med-surg nursing"
2. Values of AMSN: -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
3. Strategic Message of AMSN: -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
4. American Nurse Credentialing Center (ANCC): can certify nurses in med-surg
5. ANCC's Magnet Recognition Program: 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
6. Certified Medical-Surgical Registered Nurse (CMSRN): RN who is
credentialed in med-surg, entitled to the credential of Registered Nurse-Board
Certified
(RN-BC)
often in the role of care coordinator
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
7. Domains of Nursing Practice for Med-Surg Certification: 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
, Ch. 1 and Ch. 2 Medical-Surgical Nursing: Making Connections to
Practic (Davis) Unit 2 of C471
6. Monitoring and Ensuring the Quality of Health-Care Practices
7. Organizational and Work Role Competencies
8. Evidence-based nursing practice: 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
9. Evaluating Levels of Evidence: 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
10. Cohort studies: 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
11. Case control study: Lv 4-includes two groups, those with a specific disorder
and those w/o---then compares the two groups
12. Quasi-Experimental Studies: Lv 3- use control and experimental groups but
lacks the random assignment of participants
13. Randomized Controlled Studies: Lv 1 and Lv 2 -Gold standard of research-
include data from selected studies that randomly assigned participants to control
and and experimental groups
14. Systematic review: 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
, Ch. 1 and Ch. 2 Medical-Surgical Nursing: Making Connections to
Practic (Davis) Unit 2 of C471
complete, exhaustive summary of current evidence relevant to a research
question
15. Institute of Medicine (IOM): 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
16. Hospital Consumer Assessment of Healthcare Providers and Systems
(HCAHPS): provides a standardized approach to collect data from pts about their
experiences in hospitals
-Communication w/ providers
-communication w/ nurses
-responsiveness of hospital staff
-pain management
-communication about medications
-discharge information
-cleanliness of the hospital environment
-quietness of the hospital environment
-transition of care
17. Beryl Institute: organization that fosters pt centered care through the "pt
experience" that is influenced by all the interactions and experiences encountered,
based upon the organizations's culture and practices
18. Medical-Surgical Nursing Certification Board (MSNCB): Organization
which certifies eligible med-surg RN who meet specific requirements
19. National Patient Safety Goals: Published by TJC annually-aimed at
improving pt safety through goals that focus on potential problems in the HC setting
Identify patients correctly
Improve staff communication
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