The nurse manager wants to use evidence-based recommendations to prevent ventilator-associated pneumonia. After developing a spirit of inquiry and identifying a problem, what is the next step to effectively gather evidence for guiding practice (i.e., evidence-based inquiry)?
Integrate available evidence with unit expertise.
Develop the clinical question.
Appraise the evidence.
Identify the databases to be used.
The Correct Answer is B
A. Integrate available evidence with unit expertise: This step comes after gathering evidence and assessing its quality. It involves applying evidence in conjunction with clinical expertise.
B. Develop the clinical question: Formulating a clear, focused clinical question is crucial for guiding the search for relevant evidence and ensuring that the inquiry addresses specific aspects of the problem.
C. Appraise the evidence: This step is performed after collecting evidence to evaluate its quality and relevance, ensuring that the findings are reliable and applicable.
D. Identify the databases to be used: Identifying databases is part of the search process, but it follows the development of a clinical question to guide the search for relevant evidence.
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Related Questions
Correct Answer is B
Explanation
A. Deter mistakes by emphasizing the consequences of committing a medication error: While emphasizing consequences can be important, it does not address the root causes or systemic issues that may be contributing to the errors.
B. Include the bedside nurses in the decision-making process involving their practice: Engaging bedside nurses in decision-making helps address issues directly affecting their work environment and practice, fostering a culture of safety and collaboration that can reduce errors.
C. Encourage nurses who commit medication errors to file incident reports, placing them in the patient's chart: While reporting errors is important for documentation, placing them in the patient's chart may not be the best practice for addressing systemic issues or improving procedures.
D. Relinquish responsibility by asking a separate department to oversee quality improvement: Quality improvement should be a collaborative effort, not delegated entirely to another department, to ensure that changes are relevant and effective.
Correct Answer is B
Explanation
A. Avoiding: Avoiding conflict would involve not addressing the issue or avoiding the conversation, which is not the case here.
B. Compromising: Compromising involves making mutual concessions to reach a solution that is acceptable to both parties, which is demonstrated by the charge nurse agreeing to cover the nurse’s patients in exchange for help with the drug count.
C. Cooperating: Cooperating would involve working together to solve the problem, but without a clear exchange or compromise, which does not fully describe this situation.
D. Competing: Competing involves a win-lose approach, where one party’s needs are met at the expense of the other’s, which does not apply here as both parties are making concessions.
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