Podcast
Questions and Answers
What is the first step in the Evidence-Informed Practice process?
What is the first step in the Evidence-Informed Practice process?
Which of the following is NOT considered part of Evidence-Informed Decision Making?
Which of the following is NOT considered part of Evidence-Informed Decision Making?
What are the two primary terms used to describe Evidence-Based Practice?
What are the two primary terms used to describe Evidence-Based Practice?
According to Evidence-Informed Practice, what should nurses do after integrating evidence with clinical expertise?
According to Evidence-Informed Practice, what should nurses do after integrating evidence with clinical expertise?
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What aspect enhances the quality of care for clients in Evidence-Based Practice?
What aspect enhances the quality of care for clients in Evidence-Based Practice?
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During which step of Evidence-Informed Practice do nurses critically appraise the evidence?
During which step of Evidence-Informed Practice do nurses critically appraise the evidence?
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Which of the following best defines Evidence-Informed Practice?
Which of the following best defines Evidence-Informed Practice?
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What is the purpose of integrating patient values and preferences in the decision-making process?
What is the purpose of integrating patient values and preferences in the decision-making process?
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Which of the following theories focuses on the patient's collection of needs?
Which of the following theories focuses on the patient's collection of needs?
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Which theory is primarily associated with guiding and shaping nursing practice?
Which theory is primarily associated with guiding and shaping nursing practice?
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What does the 'A' in the CRAAP Test primarily assess?
What does the 'A' in the CRAAP Test primarily assess?
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Which of the following theories emphasizes the relationship between nurses and their patients?
Which of the following theories emphasizes the relationship between nurses and their patients?
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What is a primary purpose of assessing the 'Accuracy' in the CRAAP Test?
What is a primary purpose of assessing the 'Accuracy' in the CRAAP Test?
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In the context of employing research in nursing practice, what is involved in 'Integrating the Evidence'?
In the context of employing research in nursing practice, what is involved in 'Integrating the Evidence'?
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Which theory addresses the interaction of the entire system and its subsystems?
Which theory addresses the interaction of the entire system and its subsystems?
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Which theorist is known for developing a model related to self-care?
Which theorist is known for developing a model related to self-care?
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Which aspect of the CRAAP Test examines whether the authors make their intentions clear?
Which aspect of the CRAAP Test examines whether the authors make their intentions clear?
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Which of the following describes the approach of Simultaneity Theories?
Which of the following describes the approach of Simultaneity Theories?
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How can nurses disseminate the outcomes of their interventions according to the practices discussed?
How can nurses disseminate the outcomes of their interventions according to the practices discussed?
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What tool is introduced to assist in recognizing appropriate literature in evidence-informed practice?
What tool is introduced to assist in recognizing appropriate literature in evidence-informed practice?
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Which question should be considered when assessing the 'Purpose' of information using the CRAAP Test?
Which question should be considered when assessing the 'Purpose' of information using the CRAAP Test?
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Which model within practice-based nursing theories focuses on assessing health promotion?
Which model within practice-based nursing theories focuses on assessing health promotion?
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During what process would a nurse evaluate the effectiveness of an intervention?
During what process would a nurse evaluate the effectiveness of an intervention?
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What resource might provide valuable context regarding an author's qualifications for a source?
What resource might provide valuable context regarding an author's qualifications for a source?
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Study Notes
Week 11: Professional Development I
- Module 11 covers Nursing Theories, Research, and Evidence-Based Practice
- A land acknowledgement is included, recognizing the Mohawk Nation, Haudenosaunee Confederacy, and the treaties governing the territories on which the college campuses are situated
Agenda
- Housekeeping: Review of questions from previous week
- Learning Outcomes: Define key terms, describe selected nursing theories and frameworks, identify common components of nursing theories, describe the purpose of research in nursing, define introductory research concepts, understand research involvement for the nursing profession, explain the need for evidence in decision-making, describe evidence-based practice and nursing research in relation to quality improvement, describe sources of evidence suitable for nursing practice, investigate a practice question suitable for nursing research, review best practice guidelines to evaluate research, and suggest the best clinical practice
- Nursing Theory & Research: Defining nursing theory terms
- Evidence-Based Practice: Discussion of library presentation about evidence-informed practice, CRAAP test, and researching evidence
- Coming Up: Information and assignments for the next module and upcoming final exam
- Questions: Time for questions
Nursing Theory Terms
- Concept: An idea or notion
- Conceptual Model: A group of related concepts that show relationships among them
- Framework: A basic structure for developing theories, used as a context to understand theory
- Metaparadigm: The concepts that define the domain of a discipline and include—person, environment, health, and nursing care
Nursing Theory
- Nursing theory aims to organize knowledge about nursing to allow nurses to use it professionally and accountably
- It's useful because it provides a systematic way to explain, predict, and prescribe phenomena
- Improves perspectives for viewing patient situations, organizing data, and analyzing & interpreting information
Nursing Theory - Major Types & Models
- Grand Theories: Global frameworks encompassing human behavior & nursing science; provide structural frameworks for broad ideas but not specific interventions
- Middle Range Theories: Less abstract; address specific concepts and practice in different nursing fields.
- Descriptive Theories: Describe phenomena, why they occur, their consequences, how to explain and predict nursing situations
- Prescriptive Theories: Address interventions and consequences; guide research and intervention development
- Practice-Based Theories: Guide and shape practice (e.g., Florence Nightingale Model, McGill Model)
- Needs Theories: Conceptualize the patient in terms of needs (e.g., Maslow's Hierarchy, Henderson Model, Orem Self-Care Theory)
- Interactionist Theories: Focus on relationships between nurses and patients (e.g., Hildegard Peplau, Joyce Travelbee, Evelyn Adam)
- Systems Theories: Accounts for whole entities (systems) and parts (subsystems) and complex interconnections (e.g., Dorothy Johnson, Betty Neuman, Sister Callista Roy)
- Simultaneity Theories: A distinct approach articulating an understanding of the client of nursing and the role of the nurse (e.g., Martha Rogers, Rosemarie Parse, Jean Watson)
The Nursing Process
- The nursing process results from the problem-solving approach
- Traditionally involves assessment, planning, intervention, and evaluation.
- Steps represent distinct applications of general nursing knowledge for nurse-patient situations
- The current nursing process includes "Diagnosis" formally (ADPIE)
- The nursing process is widely applicable and useful in modern practice
- Includes elements of critical thinking and multiple ways of knowing, like intuitive judgment and conscious thinking
Researching the Evidence
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Asking the Clinical Question: Develop clear clinical research questions relevant to practice
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Examples: "What is the best cleaner for hygiene?" or "How can falls be prevented in a post-op unit?"
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The PICO Question: (Quantitative) A format: Population, Intervention, Comparison, Outcome to produce focused research questions for best quality resources
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The PS Question: (Qualitative) A format: Population, Situation, to focus on context and experiences, suitable for questions about experiences and meanings instead of outcomes and quantitative interventions
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Collecting Best Evidence: Find evidence using various sources like agency policies, practice guidelines, and databases.
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Relevant databases: Medical database, CINAHL
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Critique the Evidence: Essential competency for evidence-informed practice. Evaluate the value of the empirical literature. Use the CRAAP test to determine literature quality
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The CRAAP Test: A method to evaluate the credibility of sources, with 5 criteria: Currency, Relevance, Authority, Accuracy, and Purpose.
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Integrating the Evidence: Apply research to care plans, use findings as rationales for intervention decisions.
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Evaluating the Outcome: Assess intervention effectiveness, evaluate clinical decisions in practice settings
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Disseminating the Outcome: If results are positive, improve care practices on a larger scale, and share the results among other nurses
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