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Steps to Evidence-Based Practice
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Steps to Evidence-Based Practice

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Questions and Answers

What types of fluids and materials do the prevention measures apply to?

  • Only blood and blood products
  • Only excretions and contaminated surfaces
  • All body fluids and secretions (correct)
  • Only mucous membranes and nonintact skin

    • Which protective devices are recommended for preventing infection transmission?

  • Protective clothing and boots
  • Only masks and gloves
  • Only gowns and masks
  • Gowns, gloves, masks, and eyewear (correct)

    • Which statement is true about infection prevention measures related to body fluids?

  • They need to be applied to all body fluids regardless of the source. (correct)
  • They do not apply to secretions other than blood.
  • They are only necessary in healthcare environments.
  • They only apply to fluids visible to the naked eye.

    • Which of the following is NOT included among the infection prevention measures?

    <p>Use of ungloved hands for most tasks</p> Signup and view all the answers

    What is an example of personal protective equipment (PPE) used for infection prevention?

    <p>Gowns that protect skin and clothing</p> Signup and view all the answers

    What is the purpose of healthcare personnel wearing an N95 respirator?

    <p>To protect against airborne contaminants</p> Signup and view all the answers

    When are contact precautions necessary for patients?

    <p>When patients have blood or body fluid exposures</p> Signup and view all the answers

    Which of the following best describes airborne precautions?

    <p>Using a respirator to prevent inhalation of pathogens</p> Signup and view all the answers

    What does the term 'standard precautions' refer to in healthcare?

    <p>Using protective equipment for all interactions with patients</p> Signup and view all the answers

    What are multi-drug resistant organisms like VRE and MRSA associated with?

    <p>Resistant infections that can spread easily</p> Signup and view all the answers

    What is the first step in Evidence-Based Practice (EBP)?

    <p>Cultivate a spirit of inquiry</p> Signup and view all the answers

    Which element is essential when formulating a clinical question in EBP?

    <p>PICOT format</p> Signup and view all the answers

    What is the purpose of critically appraising evidence in the EBP process?

    <p>To ensure the quality of evidence</p> Signup and view all the answers

    During the EBP process, integrating evidence with clinical expertise involves considering what additional element?

    <p>Patient preferences and values</p> Signup and view all the answers

    What step comes after searching for the most relevant and best evidence in EBP?

    <p>Critically appraising the evidence</p> Signup and view all the answers

    What step is undertaken to assess whether practice changes based on evidence were effective?

    <p>Evaluate the outcomes</p> Signup and view all the answers

    Which step is NOT considered part of the EBP process?

    <p>Conducting meta-analyses</p> Signup and view all the answers

    What is a key focus in the integration step of the EBP process?

    <p>Patient engagement and collaboration</p> Signup and view all the answers

    Which precaution is specifically required for controlling the spread of Clostridium difficile?

    <p>Wearing gloves and a gown</p> Signup and view all the answers

    What is true about the contact precautions for patients infected with Clostridium difficile?

    <p>Hand washing with soap and water is essential</p> Signup and view all the answers

    Which of the following is a common pathogen that requires contact precautions?

    <p>Clostridium difficile</p> Signup and view all the answers

    What additional measure should a nurse take when caring for a patient with contact precautions?

    <p>Wearing a gown and gloves upon entering the patient's room</p> Signup and view all the answers

    What is NOT an effective method of preventing infection by Clostridium difficile?

    <p>Relying solely on alcohol-based hand sanitizers</p> Signup and view all the answers

    Which organisms are included in the list of pathogens that may require specific nursing care?

    <p>All of the above</p> Signup and view all the answers

    What should be done with noncritical care equipment used for patients on contact precautions?

    <p>Use resident dedicated equipment</p> Signup and view all the answers

    Which pathogen listed is NOT associated with contact precautions?

    <p>Rhinovirus</p> Signup and view all the answers

    What does clinical judgment involve?

    <p>Application of knowledge, ethics, evidence-based practices, and clinical experience</p> Signup and view all the answers

    Which of the following best defines evidence-based practice (EBP)?

    <p>An approach that incorporates the clinician's expertise and the best evidence</p> Signup and view all the answers

    What is the primary outcome of using clinical judgment in healthcare?

    <p>Final beliefs, decisions, or conclusions regarding patient care</p> Signup and view all the answers

    How does evidence-based practice influence patient care?

    <p>Through a combination of best evidence, expertise, and patient values</p> Signup and view all the answers

    Which elements are crucial to the process of clinical judgment?

    <p>Knowledge, clinicians' expertise, and available resources</p> Signup and view all the answers

    What role do patient preferences play in evidence-based practice?

    <p>They are a key element in the decision-making process</p> Signup and view all the answers

    Which of the following is NOT a component of evidence-based practice?

    <p>A strict adherence to traditional practices</p> Signup and view all the answers

    What results from the systematic use of best evidence in clinical practice?

    <p>More informed and effective decision-making</p> Signup and view all the answers

    Study Notes

    Steps to Evidence-Based Practice (EBP)

    • Cultivate an inquiry-driven culture and environment that supports EBP.
    • Formulate a clinical question using the PICOT format (Population, Intervention, Comparison, Outcome, Time).
    • Conduct a thorough search for the most relevant, high-quality evidence.
    • Critically appraise the gathered evidence for validity and applicability.
    • Integrate the best evidence with clinical expertise, and consider patient preferences and values to inform clinical decisions.
    • Evaluate the outcomes of practice changes based on evidence to improve patient care.

    Infection Prevention

    • Implement measures to prevent infection transmission during contact with blood, body fluids, non-intact skin, mucous membranes, and contaminated surfaces.
    • Utilize barrier precautions such as personal protective equipment (PPE), including gowns, gloves, masks, and eyewear, to enhance safety.
    • Ensure rigorous precautions for handling blood, body fluids, secretions, and excretions, with the exception of urine.
    • Health care personnel must wear N95 respirators in the presence of patients with airborne infections, such as tuberculosis, and employ private or cohort room strategies.

    Patient Health Problems Requiring Precautions

    • Standard precautions apply to all patients, particularly those with health issues necessitating contact, airborne, or droplet precautions.
    • Direct contact with blood or body fluids of infected patients can compromise healthcare workers’ skin or mucous membranes.
    • Risks include colonization or infection by multidrug-resistant organisms (MDROs) like VRE, MRSA, influenza viruses, and others.

    Precautions for Clostridium difficile

    • Strict hand hygiene using soap and water is required; alcohol-based hand sanitizers are ineffective against spores.
    • Gowns and gloves are mandatory when entering the rooms of patients with C. difficile infections.

    Nursing Care for Patients under Contact Precautions

    • Beyond standard precautions, healthcare providers must don gowns and gloves before entering the rooms of patients under contact precautions.
    • Use dedicated, disposable noncritical care equipment to prevent cross-contamination.
    • Employ clinical judgment based on knowledge, ethics, evidence-based practices, and experience while delivering patient care.

    Evidence-Based Practice (EBP) Definition

    • EBP is a structured problem-solving method integrating the best evidence with clinician expertise, taking into account patient preferences, values, and available healthcare resources for enhanced decision-making in patient care.

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    Related Documents

    NURS 505 Exam 1 Study Guide (1).docx

    Description

    This quiz explores the essential steps involved in fostering an Evidence-Based Practice (EBP) culture. Participants will learn about cultivating inquiry and the importance of implementing EBP in professional settings. Gain a deeper understanding of how EBP can improve outcomes.

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