NACE EXAM — Health Care exam material
HEAL100 · Other
HEAL100 Health Care — exam and revision material · Other
Updated today
Health Care exam material, 13 pages. Originally published on StudyMerit.
See the first 3 pages exactly as they appear in the document.
N580 Midterm Students also studied Save N580 18 terms Tamarah_Clements Preview Dunphy Primary Care Midterm Revi ... 160 terms Casey_Posada6 Preview N580 quizzes 107 terms Melinda_Brennan1 Preview Dunphy 35 terms kda nurses on the cutting edge promote improvement in patient outcomes accomplish this through: research, EBP, and QI nurses achieve personal growth through and expand clinical decision-making skills through... development of clinical questions literature reviews evaluation of evidence in literature application of "best available evidence" in your practice nurses as knowledgable consumers nurses must be knowledgable consumers of research who can evaluate the strengths and weaknesses of research evidence and use existing standards to determine the merit and readiness of research for use in clinical practice to use research for an EBP and to practice using the highest quality processes, you do not have to conduct research; however, you do need to understand and appraise the steps of the research process in order to read the research literature critically and use it to inform clinical decisions research definition a systematic investigation, including research development, testing and evaluation, designed to develop or contribute to generalizable knowledge quantitative and qualitative research studies are guided by research questions nurses employ the same methods used by other disciplines yet study questions are relevant to nursing practice
quantitative vs. qualititative research quantitative: encompasses the study of research questions and/or hypotheses that describe phenomena, test relationships, assess differences, seek to explain cause- and-effect relationships between variables, and test for intervention effectiveness--numeric data are summarized and analyzed using statistics-- techniques are systematic and methodology is controlled qualititative: question is about understanding the meaning of a human experience such as grief, hope, or loss--meaning of an experience is based on the view that meaning varies and is subjective--context of experience also plays a role-- generally conducted in natural settings and uses data that are words or text rather than numeric to describe the experiences being studied--guided by research questions and data are collected from a small number of subjects, allowing an in- depth study of a phenomenon--subjective approach but systematic in its method QI definition systematic use of data to monitor the outcomes of care processes and improvement methods to design and test changes to continuously improve the quality and safety of health care systems uses currently available knowledge to improve health care delivery within the local setting QI elements 1. conducting an assessment 2. setting specific goals for improvement 3. identifying ideas for changing current practice 4. deciding how improvements in care are measured 5. rapidly testing practice changes 6. measuring improvements in care 7. adopting practice change as new standard of care want to create measurable change across quality domains through application of these 7 steps, often through the plan, do, study, act model research vs. QI research studies generate new knowledge that is generalizable to other populations and settings QI projects use currently available knowledge to improve health care delivery within the local setting IRB should have a written policy and template for determining the difference between humans subjects research and QI research and EBP best research evidence, clinical expertise, and patient values all come together in EBP (see Venn diagram) EBP allows one to systematically use the best available evidence from research with the integration of individual clinical expertise as well as the patient's values and preferences to make clinical decisions developing EBP expertise conduct effective literature reviews develop critical reading skill process 1. preliminary: skimming article abstracts, title 2. comprehensive: understanding the purpose of the study 3. analysis: examining the study components 4. synthesis: assessing the study's validity
levels of evidence see pyramid Level I: systematic review or meta-analysis of RCTs, evidence-based clinical practice guidelines based on systematic reviews Level II: well-designed RCT Level III: controlled trial without randomization (quasi-experimental study) Level IV: nonexperimental study (case-control, cohort studies) Level V: systematic reviews of descriptive and qualitative studies (metasynthesis) Level VI: qualitative studies or descriptive studies Level VII: opinion of experts and authorities, expert committee reports or organizations, not based on research EBP steps ask gather evidence assess, appraise, synthesize literature act evaluate research article format abstract intro or background section: literature review, theoretical framework, hypothesis and/or research question, purpose statement methods: research design, sampling, instruments, data collection, data analysis plan results discussion (ties everything together): recommendations and implications references research journal article qualitative, quantitative, mixed methods systematic review summation and assessment of group of studies that test a similar research question meta-analysis summary of a number of studies focused on one question or topic, and uses a specific statistical methodology to synthesize the findings in order to draw conclusions about the area of focus--systematic review that uses statistical techniques to summarize and assess studies integrative review focused review and synthesis of research or theoretical literature in a particular focus area, and includes specific steps of literature integration and synthesis without statistical analysis; can include both quantitative and qualitative articles (sometimes used interchangeably with systematic review) meta-synthesis/meta-summary synthesis of a number of qualitative research studies on a focused topic using specific qualitative methodology clinical guidelines evidence-based guidelines are those developed using research findings consensus or expert-based guidelines are developed by expert panels guidelines have been developed to assist in bridging practice and research provide clinicians with an algorithm for clinical management, or decision making, for specific diseases (e.g., colon cancer) or treatments (e.g., pain management)
That’s the free preview
You’ve read 3 of 13 pages. The whole document is yours with a free account, and it stays in your library.
HEAL100 · Other
HEAL100 · Other
HEAL100 · Other
Free
With a free account