TTC NUR 219 TEST 2 ACTUAL

TTC NUR 219 TEST 2 (ACTUAL / )

QUESTIONS AND VERIFIED ANSWERS

Quality in Nursing Not one concept Based on research and evidence, not opinion Constantly changing since evidence changes

Context definition Circumstances about an idea/event/message

What is "Best Practice"?Proven interventions for better patient outcomes

Systematic Review Evidence that has been verified by multiple studies; "better evidence"

Meta-analysis 1 / 3

Reviews multiple studies to figure out the common result; this is where practice guidelines come from

Levels of Evidence (I to V)

• High quality randomized controlled trial, systematic review

II) Lesser quality trial, prospective cohort study III) Retrospective comparative study, case-control study IV) Case studies

• Expert opinion, bench research

Clinical practice guidelines are the result of:

Research, patient values/goals, expertise, and context

Goals of Practice Guidelines

• Standardize practice
• Support and guide decision-making
• Improve quality of care
• Improve outcomes
• Reduce risk
• Achieve balance between cost and medical treatment 2 / 3

Quality Improvement (QI) Used to improve a specific area in a facility or company.Results in a new way of doing things.

What is the best choice for a QI project?Multiple random-controlled studies

Purpose of QI Improve internal processes and practices, less rigorous and formal than research or EBP, data is gathered quickly within a specific unit/facility and is difficult to extrapolate to gen population, focused on interventions

Key aspects of QI

• Culture of staff improvement
• Blame free environment
• Effective data collection
• Teams for problem solving
• Focus on the customer
• / 3