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10 Cards in this Set

  • Front
  • Back
List the principles of evidence-based practice
1. Provides foundation for practice guidelines, diagnostic testing and changes in procedures or treatments
2. Forms the evidence base for pathways of care and helps to standardize care or eliminate wide variations in care that may not be efficacious may be be safe or may be superfluous.
3. assists the development of clinical benchmaking and proces or outcome based performance measures.
4 Eliminates nnecessary processes or procedures.
5. sorts through research findings to find therapies that are effective or control cost.
What type of research is considered the gold standard in western medicine
RCT
Name the 5 sequential phases of Stetler model of research utilization and explain each phase.
1. Preparation phase - defines the purpose, sets priorities, set measurable outcomes.
2. Validation phase - examine/critique the evidence assess applicability to your setting.
3. Comparative evaluate/decision-making phase - synthesize the research findings. Decide what to use and do next. Apply findings if credible, conduct study if needed.
4. Translation application phase - development of dissemnation and change strategies.
5. Evaluation phase - formal/informal costs benefits formative/summative. Need for firtjer work.
Name barriers to using research evidence in clinical practice
1. Lack of confidence in critiquing research studies.
2. Lack of time to find studies.
How can a clincian assess applicability of research findings to patient care.
1. Evaluate the validict of the research.
2. Determine the practicality of implementing the finding.
3. Weigh any associated risks and benefits to the patient.
4. Consider the ethical issue, available resouces and cost.
Decribe primary secondary and tertiary care.
1. Primary: services focus on preventing
disease in susceptible populations.
2• Secondary: services focus on early detection
of disease states and treatment that will
reduce severity and limit short‐ and longterm
sequelae of disease.
3• Tertiary: services limit disability and
promote rehabilitation from clinical disease
How does lack or poor oral care affect pregnant women
Increases risk of spontaneous abortion or premature deliver. Also long term affects cardiac health.
Name areas for effective counseling interventions for healthy, asymptomatic women.
Dental health, diet and exercise, injury prevention, household safety, recreational safety, prevention, for elderly women, sexual behavior, tobacco use.
Name vaccines contraindicated for women who are pregnant or immunocompromised.
MMR, herpes zoster, varicella vaccines.
Name vaccines recommended for women
Hepatitis A & B, Human papillomavirus (HPV), Influenza, meningococcal, MMR, Pneumococccal (polysaccharide, TD, Tdap, Varicella, zoster for women over or equal to 60. See page 77-78