A strategic goal for nursing in the facility developed by the chief nursing officer is to implement an evidence-based practice program. What is an appropriate strategy that can be used by a nurse manager who is beginning to implement an evidence-based practice program on the unit?

Identifying patients with extended lengths of stay.

Reviewing specialty organization guidelines.

Conducting a review of adverse events and incident reports.

Soliciting input from staff members.

Answer and Explanation

The Correct Answer is B

A. Identifying patients with extended lengths of stay: While identifying these patients can highlight areas needing improvement, it does not directly help in implementing an evidence-based practice program.
B. Reviewing specialty organization guidelines: Specialty organization guidelines are based on current best practices and evidence, providing a foundation for the implementation of evidence-based practice.
C. Conducting a review of adverse events and incident reports: This review is important for quality improvement and safety but does not directly facilitate the establishment of an evidence-based practice program.
D. Soliciting input from staff members: Staff input is valuable for ensuring engagement and compliance, but it should be guided by evidence and guidelines to establish a robust evidence-based practice program.

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Correct Answer is C

Explanation

A. Evidence-based practice should focus solely on the advancement of the nursing profession, while prohibiting involvement of other healthcare disciplines: Evidence-based practice involves a multidisciplinary approach to improve patient outcomes, not limited to nursing alone.
B. Evidence-based practice replaces continuous quality improvement: Evidence-based practice complements continuous quality improvement rather than replacing it, as both aim to enhance patient care and outcomes.
C. Evidence-based practice integrates the best research evidence with clinical expertise and the patient's unique values and circumstances in making care decisions: This definition accurately describes evidence-based practice, highlighting the integration of research, clinical expertise, and patient preferences.
D. Evidence-based practice began with medicine and assists in determining which medical models can be applied in nursing practice: While evidence-based practice has roots in medicine, it has evolved to be a fundamental aspect of nursing and other healthcare disciplines, emphasizing a broader application beyond medical models.

A. Incidence of catheter-induced urinary tract infections. B. Nursing staff ratios. C. Availability of resources, such as fire extinguishers. D. Quality of nursing care provided.

Correct Answer is A

Explanation

A. Incidence of catheter-induced urinary tract infections: Outcome audits measure the results or outcomes of care, such as the incidence of infections, reflecting the effectiveness of care interventions.
B. Nursing staff ratios: This pertains to a process or structure audit, which examines staffing levels and their adequacy rather than the outcomes of care.
C. Availability of resources, such as fire extinguishers: This is assessed by a structure audit, focusing on the availability and adequacy of resources rather than client care outcomes.
D. Quality of nursing care provided: While important, quality of care is typically assessed through various audit types including process and outcome audits, and is not specifically categorized under outcome audits alone.

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A strategic goal for nursing in the facility developed by the chief nursing officer is to implement an evidence-based practice program. What is an appropriate strategy that can be used by a nurse manager who is beginning to implement an evidence-based practice program on the unit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is most accurate regarding evidence-based practice?

Correct Answer is C

Explanation

A nurse in an acute care setting is serving on a committee whose charge is to use the auditing process to client care. Which of the following aspects of client care is measured by an outcome audit?

Correct Answer is A

Explanation

A charge nurse is planning to conduct a performance appraisal of a staff member on her unit. Which of the following actions should the nurse take?

A nurse is a member of a quality-improvement committee seeking to reduce the risk of adverse events in a health care facility. When reviewing recently submitted incident reports, which of the following incidents should the nurse identify as a sentinel event?

A manager notes that the incidence of medication errors has increased since the implementation of staffing changes. What strategy should the manager consider to reduce errors?

A nurse manager has recently become aware of a conflict between the pharmacy and the staff nurses regarding sending and receiving medications. Which of the following actions should the nurse take first to resolve the conflict?

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During an annual performance evaluation, a manager provides truthful feedback about the nurse's performance. What ethical principle does this represent?

Which of the following is an effective approach in the appraisal of research studies?

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