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 B
Explanation
A. Searching the literature for a systematic review: Searching for systematic reviews is part of evidence retrieval but does not encompass the broader concept of TRIP, which focuses on applying research.
B. Applying strategies that aid in adoption of research in practice: TRIP involves implementing strategies to incorporate research findings into clinical practice, which aligns with this option.
C. Providing the results of research studies to practitioners: Simply providing research results does not address the broader process of translating and applying research into practice.
D. Conducting an integrative review of the literature: An integrative review involves summarizing existing research but does not focus on the application of research findings to practice.
Correct Answer is A
Explanation
A. Depersonalization: Depersonalization involves feeling detached from one’s work and treating patients as objects rather than individuals, which matches Rama's behavior of ignoring patient requests and being rude.
B. Role ambiguity: Role ambiguity occurs when there is a lack of clarity about job responsibilities and expectations, which does not align with the described behaviors.
C. Depression: Depression involves persistent sadness and loss of interest in activities, which may not directly explain the specific behaviors of ignoring and being rude to patients.
D. Hardiness: Hardiness is a personality trait that involves resilience and the ability to endure stressful situations, which contrasts with Rama's negative behaviors.
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