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School of Nursing
NU 202
Fall 2014
Admission Ticket
November 24, 2014
Potter & Perry, Chapter 5: Evidence3-Based Practice (EBP)
Focus your reading on the information outlined below. The additional content in the chapter will
be covered in a later nursing course.





Define EBP
a. A problem solving approach to the clinical practice that integrates the
conscientious use of best evidence in combination with a clinicians expertise and
the patients preferences and values in making decisions about patient care.
What is the difference between EBP and research utilization?
a. Research utilization is defined as the use of research knowledge, often based on a
single study in clinical practice. Research utilization often is used interchangeably
with evidence-based practice, research utilization is but a part of evidence-based
practice. Evidence-based practice considers the clinician's expertise and patient
values and preferences.
List the 6 steps of EBP
a. Ask a clinical question
b. Collect the most relevant and best evidence
c. Critically appraise the evidence you gather
d. Intergrate all evidence with clinincal experience and pt preferences and values in
making a practice decision or change
e. Evaluate the practice decision or change
f. Share the outcomes of EBP changes with others.
List 4 of the 9 searchable scientific literature databases & sources
a. AHRQ:
d. World views on evidence based nursing
Collecting the best evidence
a. Explain what is meant by a peer-reviewed article
i. Reviewed by a panel of experts familiar with the topic before the
published the article
b. What are clinical guidelines?"
i. Systematically developed statements about a plan of care for a specific set
of clinical circumstances involving a specific patient population :
(National guidelines clearing house)


c. What type of literature offers the highest level of experimental

research/scientific evidence?
i. Sysytematic review or meta-analysis of randomized controlled trials
Briefly (very briefly) describe quality improvement and performance
a. Quality improvement : continuous study and improvement of the processes of
the healthcare services to meet the needs of pts and others and to inform the
healthcare policy
b. performance improvement is gauged by a individual organization that analyzes
and evaluates current performance levels and seeks to implement improvements
in the clinical setting.

Potter & Perry: Chapter 27: Patient Safety

Focus your reading on the following:

Safety in health care organizations

a. List 6 parameters (p. 365) health care organization focus on to foster a
patient-centered safety culture
i. Id. Pts correctly
ii. Improve staff communication
iii. Uses medicines safely
iv. Reduce the risk of nosocomial infections
v. Check pts medications
vi. Identify pt safety risks
b. List the highest risk to patient safety at each developmental stage:
i. Infant, toddler, & preschool : Injuries!
ii. School-age child: head injuries
iii. Adolescent : accidents and substance abuse
iv. Adult: lifestyle habits
v. Older adult: Falls
c. List 2 examples of the individual risk factors listed below
i. Lifestyle
ii. Impaired mobility
iii. Sensory or communication impairment
iv. Lack of safety awareness
d. Provide examples of risk in the health care agency
e. Review the National Quality Forum list of serious reportable events (Box 273)
f. Review The 2009 Centers for Medicare and Medicaid services HospitalAcquired Conditions (present-on-admission indicators) (Box 27-4)

g. The following lists risks to patient safety within the health care environment.
Considering the developmental level of the patient, describe 2 steps the nurse
can take to prevent or minimize accidents in relation to each risk.
i. Falls
ii. Patient-inherent accidents
iii. Procedure-related accidents
iv. Equipment-related accidents
h. List 1 example of a nursing assessment question that could be used to assess:
i. Activity & exercise
ii. Medication history
iii. History of falls
iv. Home maintenance safety
i. Review Fall Assessment Tool (Table 27-1) Since falls are a nurse-sensitive
indicator, it is imperative the professional nurse is aware of the parameters
important to assess fall risk.
j. Access the QSEN website and list the 6 QSEN competencies
k. Briefly describe 2 safety interventions in the acute care setting related to
i. Environment
ii. Falls
iii. Restraints
iv. Side rails
v. Fires
vi. Electrical hazards
vii. Seizures
viii. Radiation
ix. Disasters
Review Box 27-8: Focus on Older Adults