A nurse is assisting in the preparation of an in-service about evidence-based practice (EBP).

Which of the following questions should the nurse include when discussing critical appraisal of collected evidence?(Select All that Apply.)

Explanation:

A. Avoid touching the client:

While it's essential to be gentle and respectful when touching an unresponsive client, avoiding all touch may not be appropriate. Touch can be a comforting and reassuring gesture, and many clients at the end of life benefit from gentle touch, such as holding their hand or providing a gentle massage.

B. Continue to talk to the client as if they are awake:

Talking to the client, even if they are unresponsive, is encouraged. Hearing is often the last sense to diminish, and talking to the client in a soothing and reassuring manner can provide comfort and a sense of presence. The nurse should speak calmly and compassionately, addressing the client by name and providing updates on care activities.

C. Limit the client's visitors to one at a time:

Limiting the number of visitors and controlling the environment can help maintain a calm and peaceful atmosphere for the client. However, the specific number of visitors allowed at a time may vary based on the client's preferences, cultural considerations, and facility policies. It's important to respect the client's wishes regarding visitors while ensuring their comfort and well-being.

D. Whisper when talking in the client's room:

Whispering may not be necessary unless the client is particularly sensitive to loud noises. Speaking in a calm and gentle tone is generally more appropriate, as it allows the client to hear clearly without causing unnecessary strain or confusion.

Explanation:

A. Improve communication among staff members:

This is an important goal related to patient safety as effective communication is crucial for providing safe and coordinated care. Improving communication helps prevent errors and ensures that critical information is shared among healthcare team members.

B. Correctly identify clients prior to administering medications:

This is a key patient safety goal as medication errors can have serious consequences for patients. Ensuring the correct identification of clients before medication administration helps prevent medication errors and enhances patient safety.

C. Increase job satisfaction for staff members:

While job satisfaction is important for staff well-being, it is not directly related to the National Patient Safety Goals. The NPSGs primarily focus on specific actions and protocols aimed at improving patient safety outcomes.

D. Educate clients about health promotion and prevention:

While patient education is valuable, it is not a specific National Patient Safety Goal. The NPSGs are typically focused on systematic changes and protocols within healthcare organizations to enhance patient safety.

E. Prevent catheter-associated urinary tract infections in clients:

This is a relevant National Patient Safety Goal as healthcare-associated infections, including catheter-associated urinary tract infections (CAUTIs), are a significant patient safety concern. Implementing strategies to prevent CAUTIs aligns with the NPSGs' goal of reducing healthcare-associated infections.