In: Nursing
Evidence-based assessment (EBA) refers to the use of research and theory to guide the selection of constructs to be used for a specific assessment purpose and to inform the methods and measures used in the assessment process
Assessment of the patient is usually the first contact the APN has with the patient. It is an important time to gather information from the patient interview, physical examination, laboratory data, and test interpretation. Scientific evidence, properly interpreted, is applied in this step of assessment.
Example of evidence based practice
1. Infection Control
Nurses play a key role in helping to prevent illness before it happens by adhering to evidence-based infection-control policies.
This includes keeping the healthcare environment clean, wearing personal protective clothing, using barrier precautions and practicing correct handwashing.
2.Measuring Blood Pressure Noninvasively in Children
Nurses should measure blood pressure according to evidence-based practice because accurate measurements are an essential part of effective treatment. Measuring blood pressure in children is a different procedure than it is for adults. Measuring children’s blood pressure involves the auscultatory method, then comparing the measurement against data gathered with the oscillometric method.
3. Intravenous Catheter Size and Blood Administration
Nurses should follow EBP when using intravenous catheters to administer blood for packed red blood cell transfusions (PRBC). The protocol indicates that nurses should use a smaller-gauge catheter, which increases patient comfort.
EBP is necessary because
Answer 2
Culture is defined as group of people Who live and share same way of life,philosophy and ethucs
three traits of a culture are i
values and beliefs, religion, traditions and customs.
1. Values & beliefs :- it is defined as what understanding and belief a person have
For example in America if you are hardworking you are more successful
2. Religion :- it include religious belief as Hindu celebrate Diwali with great joy but Muslim celebrate EiD ul fitar
3. Tradition and customs :- it passes from one generation to other generation ,it flows in family
Culture is
1. Learned
2.shared
3. Based on symbols
4.integrated
5 dynamic
Technique to interview specific type of patient
1 Build rapport-
Patients share private information with them based on trust that has developed over time and understanding that these individuals have their best interest in mind
Rapport is most easily established by providers who are confident and professional, and who take the time to communicate with their patients.
2.Respect patient privacy - It is unwise to ask very private or touchy questions if an honest answer is the goal
3. Recognise face value -Paying attention to patients' facial expressions may give clues regarding things they are not saying, as well as alert you to pain and severity of pain.
4 moved to patient field of vision - approach where patient can easily see you
5 consider how you look - their physical presence as with actual speech is indication of good communicator
6.ask open ended question - Tell me how you're feeling right now," or, "Talk to me about the surgery you had last week." Ask like this
7 one thing at a time -you string together all of your thoughts into one big question, or ask question after question with just seconds in between, you will likely get answers to only some of what you truly need to know.
8 leave the medical terminology alone always talk to your patient in language he is able to understand
9listen - listen carefully what patient want to tell you
10 culutre matter - Knowing the culture, particularly social customs, will allow you to connect with your patients and their families, and will assist you in quickly gaining the trust you need.