A nurse is researching data about best practice for reducing medication errors on a surgical unit. Which of the following steps of evidence based practice (EBP) is the nurse taking?

Explanation:

A. Incorporate the treatment into the client's care:

Once the nurse has determined whether the client's grieving is healthy or complicated, they can integrate appropriate treatments and interventions into the client's care plan. Treatment options may include counseling, therapy, support groups, medication (if indicated), and holistic approaches to address physical, emotional, and spiritual aspects of grief.

B. Develop client-specific goals and outcomes:

Collaborating with the client, the nurse establishes client-specific goals and outcomes related to grief management and coping. These goals should be realistic, measurable, and aligned with the client's needs and preferences. Examples of goals may include improving coping skills, reducing emotional distress, fostering acceptance, and promoting resilience.

C. Determine whether coping strategies were successful:

Throughout the care process, the nurse continuously evaluates the effectiveness of coping strategies implemented to support the client in managing grief. Assessment of coping strategies involves monitoring the client's emotional state, functional status, coping skills utilization, and progress toward achieving established goals and outcomes. Adjustments to the care plan may be made based on the assessment findings.

D. Establish whether the client's grieving is healthy or complicated:

This step involves assessing the client's grief to determine whether it is a normal, healthy response to loss or if it has become complicated, characterized by intense, prolonged, or dysfunctional grief reactions. Assessing the client's grief status is crucial for tailoring appropriate interventions and support.

Explanation:

A. "Reliance on personal experiences is important to the process of EBP."

This statement is not accurate in the context of evidence-based practice (EBP). EBP emphasizes the use of the best available evidence from research, combined with clinical expertise and patient values and preferences. While personal experiences can provide context, they should not be the primary basis for decision-making in EBP.

B. "Identifying the problem is the first step of the EBP process."

This statement is correct. The first step in the EBP process is identifying a clinical problem or question that requires evidence-based intervention or decision-making. This step involves clearly defining the issue and understanding its significance.

C. "Reviewing the effectiveness of the findings is the last step of the EBP process."

This statement is not accurate. While evaluating the effectiveness of the chosen intervention or practice change is an essential component of EBP, it is not necessarily the last step. EBP involves an iterative process where findings are continuously evaluated, integrated into practice, and refined based on ongoing evidence and outcomes.

D. "There are four steps in the process of EBP."

This statement is not entirely accurate. While different models and frameworks may outline EBP in different steps or stages, it typically involves multiple steps that include formulating a clinical question, searching for evidence, critically appraising the evidence, applying the evidence to practice, and evaluating outcomes.