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. 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.
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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