The nurse is assisting with patient data collection in a clinic. The nurse is assigned to a young female patient who has an older male friend present at her bedside. The patient is nervous, timid, very thin, and with poor hygiene and lets the friend answer all of the nurse's questions. What actions should the nurse take?

Explanation:

A. What were the costs associated with the research?

While the costs associated with research can be important in certain contexts, such as resource allocation or budget considerations, it is not typically a primary consideration in the critical appraisal of research evidence for evidence-based practice.

B. Does the study have reliability?

Reliability refers to the consistency and stability of research findings. It is important to assess whether the study's methods and measurements are reliable to ensure that the results are trustworthy and reproducible.

C. Is the research applicable to other populations?

Applicability or generalizability of research findings refers to whether the results can be applied to populations or settings beyond those directly studied in the research. Evaluating applicability helps determine the relevance of the study findings to different patient populations or clinical scenarios.

D. What methods were used to conduct the research?

Understanding the research methods is crucial for evaluating the quality and rigor of the study. This includes assessing the study design, sampling methods, data collection procedures, interventions or exposures studied, and statistical analyses used.

E. How were the study results analyzed?

Examining how the study results were analyzed helps determine the validity and reliability of the findings. It is important to assess whether appropriate statistical methods were used, whether potential biases were addressed, and whether the results are robust and meaningful.

F. What was the purpose of the study?

Understanding the purpose or research question of the study is fundamental for evaluating its relevance and significance to clinical practice. The research question should be clearly stated and align with the study's objectives, methods, and conclusions.

Explanation:

A. Medical condition:

Including the client's medical condition in the Situation component of the ISBARR communication tool is important because it provides an overview of the client's health status. This may include a brief description of the primary diagnosis, current symptoms, or any significant changes in the client's condition since the last shift. It helps the receiving nurse understand the context and urgency of the report.

B. Treatment:

While treatment information is crucial for providing comprehensive care to the client, it is typically included in the Background or Assessment components of the ISBARR communication tool. The Situation component focuses on summarizing the client's current status rather than detailing specific treatments or interventions.

C. Vital signs:

Vital signs, such as heart rate, blood pressure, respiratory rate, temperature, and oxygen saturation, are essential clinical data. However, they are usually included in the Assessment component of the ISBARR communication tool, where the nurse provides a detailed assessment of the client's physiological parameters and trends.

D. List of medications:

Similar to treatment information, a list of medications is typically included in the Background or Assessment components of the ISBARR communication tool. It is important for the receiving nurse to know what medications the client is taking, including doses, frequencies, and any recent changes, but this information is more detailed and specific than what is typically included in the Situation component.