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 (B)</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 (B)</p> Signup and view all the answers

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

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

When are contact precautions necessary for patients?

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

Which of the following best describes airborne precautions?

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

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

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

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

<p>PICOT format (A)</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 (C)</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 (D)</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 (D)</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 (B)</p> Signup and view all the answers

Which step is NOT considered part of the EBP process?

<p>Conducting meta-analyses (B)</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 (A)</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 (C)</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 (B)</p> Signup and view all the answers

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

<p>Clostridium difficile (D)</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 (C)</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 (A)</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 (D)</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 (B)</p> Signup and view all the answers

Which pathogen listed is NOT associated with contact precautions?

<p>Rhinovirus (D)</p> Signup and view all the answers

What does clinical judgment involve?

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

Which elements are crucial to the process of clinical judgment?

<p>Knowledge, clinicians' expertise, and available resources (B)</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 (D)</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 (A)</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 (A)</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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NURS 505 Exam 1 Study Guide PDF

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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