llefebvre01-
how do nurses use their senses?
make observations/gather information which helps them understand their environment (the patient, the clinical situation and other people that are part of the environment) as well as knowing and understanding themselves.
knowing and understanding their patients, their clinical situation, their environment & knowing and understanding ourselves.
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what is an obligation of the nursing profession?
generate nursing knowledge
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what is the foundation for practice, research and education?
nursing knowledge
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what is conduct and disseminate?
conduct: research + studies -> generating knowledge
disseminate: knowledge + publishing -> improve practice + care
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what are 3 common types of research?
qualitative, quantitative, mixed
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what is qualitative research?
The investigation of phenomena through a collection of narrative materials
Understanding the human condition – lived experiences...
Data that is analysed and presented is non-numerical and involves techniques such as interviews and observations
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what is quantitative research?
The study of phenomena that involves precise measurement and quantification
Data that is analyzed and presented is statistical, mathematical
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what is mixed methods?
combination of both
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what is the 7 step evidence based practice?
0: cultivating curiosity
1: asking answerable questions
2: searching the evidence
3: appraising the evidence
4: integrating evidence into practice
5: evaluating practice change
6: disseminating results of evaluation
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why do we implement EBNP?
improved pt care + pt outcomes
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what are the 9 levels of evidence?
systems
summaries
synopses of syntheses
syntheses
synopses of studies
studies
expert opinion
narrative reviews
background resources
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explain systems
secondary - has been critically appraised
clinical info system
computerized decision support system
ex: integrated w/pt reports, not readily available
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explain summaries
secondary - has been critically appraised
point of care tools
regularly updated clinical guidelines that integrate EB info about specific clinical problems
ex: best practice guidelines, UpToDate, DynaMed Plus
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explain synopses of syntheses
secondary - has been critically appraised
summarize info found in systematic reviews
ex: BMJ journals, Ortho evidence
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explain syntheses
secondary - has been critically appraised
systematic reviews
scoping reviews
methodology section present
ex: Cochrane lib, TRIPS, CINAHL, Scopus, Google Scholar
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explain synopses of studies
secondary - has been critically appraised
summarize evidence from high quality studies
methodology section present
ex: evidence based abstract journals, evidence based nursing
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explain studies
primary - not a study
qualitative/quantitative/mixed
methodology section present
ex: CINAHL, Google Scholar, Scopus
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explain expert opinion
not a study
NO methodology section
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explain narrative reviews
not a study
NO methodology section
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explain background resources
textbooks
UpToDate
ex: Library catalogue, Google Scholar
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what is critically appraising studies?
determining if studies are relevant, valid, reliable and applicable to clinical question
CRAAP test
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what is knowledge translation?
a dynamic and iterative process that includes synthesis, dissemination, exchange and ethically- sound application of knowledge to improve the health of Canadians, provide more effective health services and products and strengthen the health care system
may involve the adoption of new nursing practices or care processes (e.g., implementation of nursing best-practice guidelines), as well as the evaluation and improvement of existing nursing care practices or service delivery (e.g., quality improvement initiatives).
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what is implementation science?
the scientific study of methods to promote the systematic uptake of research findings and other EBPs into routine practice to improve the quality and effectiveness of health services and care
Address problem of non-adoption of evidence-based clinical innovations in practice
Process of Change - How does change take place
Identify factors that affect the uptake of clinical innovations into
routine use
Implementation trials focus on testing strategies with the goal of increasing uptake and sustainability of the clinical innovation
Need for Implementation nurse scientistsEvaluate outcomes specific to implementation efforts
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what are professional nursing associations?
Canadian association of critical care nurses
community health nurses of Canada
Canadian association of nurses in oncology
Canadian nurses association
Canadian federation of mental health nurses
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what is the CNA?
canadian nursing association
CNA certification is a nationally recognized nursing specialty credential for nurses. The CNA Certification Program consists of 22 nursing practice specialties.• Certified Nurse in Critical Care Canada
• Emergency Nurse Certified Canada• Gerontological Nurse Certified Canada
• Certified in Neonatal Nursing Canada
