Which of the following is most accurate regarding evidence-based practice?
Evidence-based practice should focus solely on the advancement of the nursing profession, while prohibiting involvement of other healthcare disciplines.
Evidence-based practice replaces continuous quality improvement.
Evidence-based practice integrates the best research evidence with clinical expertise and the patient's unique values and circumstances in making care decisions.
Evidence-based practice began with medicine and assists in determining which medical models can be applied in nursing practice.
The Correct Answer is C
A. Evidence-based practice should focus solely on the advancement of the nursing profession, while prohibiting involvement of other healthcare disciplines: Evidence-based practice involves a multidisciplinary approach to improve patient outcomes, not limited to nursing alone.
B. Evidence-based practice replaces continuous quality improvement: Evidence-based practice complements continuous quality improvement rather than replacing it, as both aim to enhance patient care and outcomes.
C. Evidence-based practice integrates the best research evidence with clinical expertise and the patient's unique values and circumstances in making care decisions: This definition accurately describes evidence-based practice, highlighting the integration of research, clinical expertise, and patient preferences.
D. Evidence-based practice began with medicine and assists in determining which medical models can be applied in nursing practice: While evidence-based practice has roots in medicine, it has evolved to be a fundamental aspect of nursing and other healthcare disciplines, emphasizing a broader application beyond medical models.
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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 D
Explanation
A. Autonomy: Autonomy refers to respecting individuals' right to make their own decisions, which is not the primary focus in providing feedback.
B. Nonmaleficence: Nonmaleficence involves avoiding harm, which is indirectly related to providing truthful feedback, but not the main ethical principle here.
C. Justice: Justice involves fairness and equality, which can be related to evaluations but is not specifically about providing truthful feedback.
D. Fidelity: Fidelity refers to being truthful and maintaining trustworthiness. Providing honest feedback is a key aspect of fidelity, ensuring transparency and trust in the manager-nurse relationship.
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