Nursing A ConceptBased Approach to Learning VOLUME TWO
Nursing: A Concept-Based Approach to Learning VOLUME TWO EDITION VOLUME TWO || SECOND EDITION MODULE 45 Evidence-Based Practice Nursing: A Concept-Based Approach to Learning Volume Two, Second Edition Copyright © 2015, 2011 by Pearson Education, Inc. All Rights Reserved
A Case for Evidence • A problem-solving approach to clinical practice that integrates the conscientious use of best evidence in combination with a clinician’s expertise and patient preferences and values. Nursing: A Concept-Based Approach to Learning Volume Two, Second Edition Copyright © 2015, 2011 by Pearson Education, Inc. All Rights Reserved
Concepts Related to Evidence. Based Practice • • • Clinical Decision Making Advocacy Quality Improvement Accountability Professional Behaviors Nursing: A Concept-Based Approach to Learning Volume Two, Second Edition Copyright © 2015, 2011 by Pearson Education, Inc. All Rights Reserved
Benefits of Evidence-Based Practice • Nurses using EBP § Collaborate with other disciplines § Ensure quality communication, continuity § Improve client care Nursing: A Concept-Based Approach to Learning Volume Two, Second Edition Copyright © 2015, 2011 by Pearson Education, Inc. All Rights Reserved
Ethical and Legal Issues • • Respect for human dignity Beneficence Justice Informed consent § Right to receive full disclosure, information regarding study § Right to withdraw from study at any time Nursing: A Concept-Based Approach to Learning Volume Two, Second Edition Copyright © 2015, 2011 by Pearson Education, Inc. All Rights Reserved
Steps to Evidence-Based Practice (EBP) • Six steps provide a systematic approach to rational clinical decision making: 1. 2. 3. 4. 5. 6. Clinical question Collect evidence Critique the evidence Integrate the evidence Evaluate Share the outcomes Nursing: A Concept-Based Approach to Learning Volume Two, Second Edition Copyright © 2015, 2011 by Pearson Education, Inc. All Rights Reserved
Evidence-Based Decision Making Nursing: A Concept-Based Approach to Learning Volume Two, Second Edition Copyright © 2015, 2011 by Pearson Education, Inc. All Rights Reserved
Examples • • Patient Falls Pressure Ulcer Prevalence Nurse Turnover Nosocomial Infections Nursing: A Concept-Based Approach to Learning Volume Two, Second Edition Copyright © 2015, 2011 by Pearson Education, Inc. All Rights Reserved
Quality and Performance Improvement • Every health care organization gathers data on health outcome measures as a way to gauge the quality of care. • Examples: medication delivery and using research findings to improve practice. Nursing: A Concept-Based Approach to Learning Volume Two, Second Edition Copyright © 2015, 2011 by Pearson Education, Inc. All Rights Reserved
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