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.
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 D
Explanation
A. The task being delegated matches the AP's skill level: This corresponds with the five rights of delegation, ensuring that tasks are assigned based on the AP’s capabilities.
B. The task being delegated to the AP is relatively non-invasive: Non-invasive tasks are generally suitable for delegation, aligning with the principle of matching tasks to the AP’s skills.
C. The task being delegated to the AP is within their scope of practice: Delegation should always be within the AP’s legal and professional scope of practice.
D. The task being delegated requires close supervision: The need for close supervision is not a component of the five rights of delegation. The rights focus more on the appropriateness of the task, the individual’s skills, and the delegation process rather than the level of supervision required.
Correct Answer is B
Explanation
A. Allow LPNs and CNAs to perform tasks beyond their scope of practice: This approach can lead to legal and ethical issues, compromising patient safety and putting staff at risk for disciplinary action.
B. Establish a rewards program to recognize achievements of the staff: Implementing a rewards program acknowledges and values the hard work of the staff, boosting morale and job satisfaction, which can lead to decreased turnover rates.
C. Hire additional staff so individual workloads are lessened: While this can reduce stress and burnout, it might not directly address the need for recognition and motivation, which are crucial for job satisfaction.
D. Improve the working conditions of the unit by investing in ergonomic chairs: Enhancing physical work conditions is beneficial, but it does not address the core issues of motivation and recognition that significantly impact job satisfaction.
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