To help staff nurses prepare for evidence-based practice, which strategy is NOT appropriate for the nurse manager to recommend?

Establishing a journal club.

Encouraging staff to join a professional association.

Instituting mandatory writing assignments discussing a chosen best-practice article.

Creating an incentive program for staff to pursue a specialty certification.

Answer and Explanation

The Correct Answer is C

A. Establishing a journal club: A journal club provides a collaborative environment for staff to review and discuss current research, promoting evidence-based practice.
B. Encouraging staff to join a professional association: Professional associations often offer resources, education, and networking opportunities that support evidence-based practice.
C. Instituting mandatory writing assignments discussing a chosen best-practice article: Mandatory writing assignments can be seen as punitive and may not be well-received by staff, potentially leading to resistance rather than engagement.
D. Creating an incentive program for staff to pursue a specialty certification: Offering incentives for specialty certification encourages professional development and can enhance evidence-based practice among staff.

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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.

A. Review the correct procedure with staff members who use the mechanical lifts incorrectly. B. Remind employees who sustain back injuries that they are solely responsible for their actions. C. Compile Wikipedia articles to develop a revised procedure to operate mechanical lifts. D. File a grievance about inadequate funding and an unsafe work environment.

Correct Answer is A

Explanation

A. Review the correct procedure with staff members who use the mechanical lifts incorrectly: Reviewing and reinforcing proper use of equipment is a direct and practical approach to improving safety and reducing injuries.
B. Remind employees who sustain back injuries that they are solely responsible for their actions: Placing sole responsibility on employees ignores potential systemic issues and does not address the root cause of the problem.
C. Compile Wikipedia articles to develop a revised procedure to operate mechanical lifts: Using Wikipedia as a source for developing procedures is inappropriate; reliable, evidence-based sources should be used for developing safety procedures.
D. File a grievance about inadequate funding and an unsafe work environment: While addressing funding and safety concerns is important, the immediate step should be to address procedural and equipment issues directly related to the injuries.

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To help staff nurses prepare for evidence-based practice, which strategy is NOT appropriate for the nurse manager to recommend?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

During a review of back injuries, a unit manager discovers a large number of injuries are occurring in spite of mechanical lifts being used. Furthermore, it is determined that some lifts are outdated. In establishing a quality improvement plan, the unit manager should:

Correct Answer is A

Explanation

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