EBP Key words NMC OSCE

Are you looking for some easy EBP key words to memorise evidence based practice station? You are in right place. Please make use of this article to learn and memorise topics in this station. Don’t forget to share with your friends who are preparing for their NMC OSCE.  All the new topics are discussed with EBP keywords in bold and italics to help you easily remember.

EVIDENCED-BASED PRACTICE STATION – EBP KEYWORDS HELP

Ankle Sprain 

  1. Paracetamol and Ibuprofen are equally effective analgesics
  2. Clinicians prefer ibuprofen but no clear evidence that it is superior
  3. Current research suggests paracetamol is an effective analgesia for pain from soft tissue injuries
  4. Ibuprofen is safe but it has more adverse effects and contraindicated in patients who have bronchospasm, cardiac and renal failure
  5. For asthmatics, paracetamol is more suitable.

Autism 

  1. Professionals’ poor knowledge and understanding of autism are barrier to people who have autism accessing support and treatment
  2. Professionals need additional training to communicate
  3. People who feel disregarded by professionals are less likely to seek further help
  4. People who have autism are affected by a misperception that they have a learning disability, but it is not true. However, they may still have difficulties with understanding and processing information.
  5. Consider that mental health support and treatment may help overall wellbeing and improve self-harming behavior.

Bedside handover 

  1. Research shown adult patients and nurses both prefer handover at bedside rather than elsewhere
  2. Most patients find bedside handover are beneficial. Patients feel involved and supports two-way communication.
  3. Patients prefer to have a member/carer/friend and two nurses pesent rather than the nursing team present. However, member/carer/friend was not considered important by nurses
  4. Patients expressed weak preference for having sensitive information handed over quietly at bedside. Nurses expressed strong preference for handling sensitive information over verbally away from bedside.
  5. Developing the process and design of handover can improve implementation of patient-centered safety

Cervical Screening 

  1. HPV is the main cause of cervical cancer
  2. 10 to 20 years for cervical cancer develop from HPV infection. Woman’s current sexual behavior does not reflect current risk.
  3. 30-45 years = peak age for developing cervical cancer, but it can occur to anyone who has a cervix
  4. Discuss any concerns/fears about screening
  5. Advise that she should attend screening every 3 years until she turns 49 when she should attend every 5 years. Only screen woman after 65 if they have previous abnormal result.

Cranberry juice and urinary tract infections 

  1. Some research shows cranberry juice may prevent UTI in healthy individuals, if drunk regularly
  2. Cranberry juice may be less likely to induce nausea than other sugary drinks
  3. No evidence available that cranberry juice may prevent UTI in individuals who have high risk conditions or those with indwelling catheters
  4. No evidence available that suggest cranberry can be used to treat UTI in place of antibiotics
  5. Research was funded by a leading cranberry juice manufacturer

Dementia 

  1. Research trials have been conducted where music therapy have been introduced and they have had some benefits for individuals who have dementia
  2. No lack of evidence that music therapy can improve symptoms of agitation music therapy can improve depression, and this may provide rationale for implementing music therapy
  3. Informs ——   Music therapy may have positive effect on overall quality of life of people with dementia. However, this evidence is less reliable than evidence on depression
  4. No clear evidence on how long the effects created by music therapy remain after the activity stops

Diabetes

  1. Less likely to suffer hypoglycemia as she is not prescribed with insulin
  2. Hypoglycemic episodes are often caused by diet-related factors
  3. Observe for signs and symptoms of hypoglycemia (excessive sweating, feeling faint, light-headed, blurred vision, new confusion and/or nausea) Call 999
  4. Inform also family and friends about symptoms and Call 999
  5. Requires monitoring more frequently

Female Myocardial Infarction

  1. Early and correct recognition of MI Symptoms.
  2. As a female, she may or may not experience chest pain.
  3. Symptoms: nausea and back, shoulder, throat/neck, cheek/teeth and arm pain
  4. Report  symptoms  she  consider  to  be ‘cardiac’ related or not’
  5. Call 999 if experienced any of the above symptoms.

Fever in children 

  1. Fever is an important mechanism in fighting underlying infection and it is recommended to treat fever only if it cause child distress
  2. Consider that either paracetamol or ibuprofen can safely used to treat in fever
  3. It is safe to administer ibuprofen without food up to 7 days only. After 7 days, child has to eat something with ibuprofen to reduce potential gastric side effects.
  4. Consider wether child has asthma, ibuprofen and paracetamol may exacerbate respiratory symptoms
  5. Healthcare professionals may perceive that ibuprofen has more adverse effects than paracetamol but there is no evidence to support this

Pressure Ulcer Prevention

  1. Specific foam reduce 10% of pressure ulcer
  2. Rare side effect mild skin irritation
  3. Being male, at more risk of developing sore
  4. Regular skin inspections, changing position, well hydrated and balanced diet are key to prevent pressure ulcers
  5. Foam dressing prevent ulcer and it will discuss further by tissue viability team

Restraint 

  1. Explains that compassionate communication may prevent the need to restraint patient
  2. Considers that physical restraint may be necessary to promote the safety of staff and patients as a last resort after other options have been exhausted
  3. Inform that physical restraint may promote fear in patients and distress among staff
  4. Consider that physical restraint may be perceived as a demonstration of power that staff display over patients
  5. Explains that use of physical restraint may create loss of trust and breakdown in patient and staff relationship

Saline versus Tap water 

  1. Occurrences of wound infections when cleaned with sterile saline or tap water have shown no difference between the two
  2. Advise that there is a lack of available evidence on the effects of water or saline on wound healing
  3. I will let (name) aware that there is no differences in patient satisfaction in either group. However, there was a lack of robust evidence on the instances of pain experienced by patients
  4. I will highlight that there were no standard criteria for assessing wound infection across the trials. Limited results
  5. Explains that tap water has been recommended as a cost-effective option for wound cleaning

Smoking Cessation

  1. Replacement therapies have not been found to achieve the same level of satisfaction as smoking. E-cigarettes has higher rates of satisfaction compared with nicotine replacement.
  2. Studies show that stopping smoking is more likely to cause throat and mouth irritation, compared with nicotine replacement.
  3. Nicotine replacement therapies cause nausea
  4. Without F2F support, low efficacy for both treatments. Signposting them to the smoking cessation service.
  5. Considerations of giving up smoking by offering support and encouragement.

Honey Dressing for Venous Leg Ulcers

  1. Honey is expensive and not effective
  2. No reduction in size of ulcer or healing time compared with the standard treatment.
  3. Patients reported an increased rate of pain
  4. It will help eliminate MRSA
  5. Dressing wound should be based on current evidenced-based protocol.

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