MS CH 2 Evidence-Based Practice
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Questions and Answers

Who should provide evidence-based nursing care?

  • Only nursing assistive personnel
  • Only registered nurses
  • Only doctors
  • All nursing care providers (correct)
  • What is the purpose of Step 5: Make It Happen in the nursing practice change process?

  • To implement the desired change based on evidence (correct)
  • To evaluate the practice change
  • To collect data for quality initiatives
  • To measure patient outcomes
  • What is the role of the policy and procedure committee in the nursing practice change process?

  • To develop evidence-based guidelines (correct)
  • To measure patient outcomes
  • To evaluate the practice change
  • To conduct quality audits
  • What is the goal of the Quality and Safety Education for Nurses (QSEN) project?

    <p>To improve nursing education</p> Signup and view all the answers

    Which of the following best defines evidence-based practice (EBP)?

    <p>A systematic process that uses current evidence to make decisions about patient care</p> Signup and view all the answers

    Why should evidence-based practice (EBP) be used?

    <p>To ensure the best nursing care possible</p> Signup and view all the answers

    How can nursing evidence that should be put into practice be identified?

    <p>By evaluating the quality and applicability of existing research</p> Signup and view all the answers

    What is the purpose of the Quality and Safety Education for Nurses (QSEN) project?

    <p>To promote safe patient care</p> Signup and view all the answers

    Which intervention was found to be the most effective in removing dental plaque in tube-fed patients?

    <p>Toothbrushes</p> Signup and view all the answers

    What is the risk of pneumonia in tube-fed patients who have oral secretions aspirated?

    <p>High risk</p> Signup and view all the answers

    Which group of patients had the highest percentage of pathogenic bacteria in their mouths?

    <p>Patients fed via nasogastric (NG) tube</p> Signup and view all the answers

    Which intervention reduced the incidence of pneumonia in critically ill patients?

    <p>Oral care with chlorhexidine</p> Signup and view all the answers

    Which of the following is NOT a step in the evidence-based practice (EBP) process?

    <p>Evaluate the practice change</p> Signup and view all the answers

    What is the purpose of questioning the existing way of doing things in the EBP process?

    <p>To ensure that the patient receives the best care possible</p> Signup and view all the answers

    Where can nursing students find best practice nursing reviews?

    <p>Joanna Briggs Best Practices website</p> Signup and view all the answers

    What should be considered when appraising the evidence found in the EBP process?

    <p>The source of the evidence</p> Signup and view all the answers

    According to the text, what is one reason why it could be unsafe to apply research results obtained on people of one age or medical diagnosis to those of another age or with multiple diagnoses?

    <p>The research study was done on people of one age or medical diagnosis</p> Signup and view all the answers

    What is the context that must be considered when using evidence-based practice (EBP)?

    <p>The health care environment, the patient involved, the nurse’s expertise, and the cost</p> Signup and view all the answers

    What is the goal of using evidence-based practice (EBP) in nursing care?

    <p>To ensure quality care and optimal patient outcomes</p> Signup and view all the answers

    What is the rating scale used to label the quality of evidence in nursing?

    <p>Level I to Level IV</p> Signup and view all the answers

    Which of the following methods of request by the nurse would be most appropriate to achieve evidence-based care?

    <p>Instruct the CENA to give oral care using oral swabs to clean the teeth and mouth.</p> Signup and view all the answers

    In considering appropriate care, the nurse bases the care on which of the following to provide excellent care?

    <p>Evidence that is evaluated for the health care agency and each patient.</p> Signup and view all the answers

    When considering the evidence, which of the following sources would generally be safest for a health care agency to implement?

    <p>A systematic review of multiple randomized controlled trials.</p> Signup and view all the answers

    Which of the following is an important safety goal in patient care?

    <p>Using at least two ways to identify patients, but not the patient's room number or location.</p> Signup and view all the answers

    Which of the following actions should the nurse take regarding the information in the study?

    <p>Do a journal search to look for similar studies, and if three similar studies are found, incorporate the information into practice.</p> Signup and view all the answers

    Where should the committee revise the nursing intervention of insertion of a urinary catheter?

    <p>In the policy and procedure manual.</p> Signup and view all the answers

    What is the purpose of the Quality and Safety Education for Nurses (QSEN) project?

    <p>To improve the quality and safety of nursing education.</p> Signup and view all the answers

    What is the rating scale used to label the quality of evidence in nursing?

    <p>The Grading of Recommendations Assessment, Development and Evaluation (GRADE) scale.</p> Signup and view all the answers

    What is the role of the policy and procedure committee in the nursing practice change process?

    <p>To review and revise policies and procedures based on current evidence.</p> Signup and view all the answers

    Why should evidence-based practice (EBP) be used?

    <p>To improve patient outcomes and quality of care.</p> Signup and view all the answers

    Which of the following is NOT a step in the evidence-based practice (EBP) process?

    <p>Conducting a randomized controlled trial</p> Signup and view all the answers

    What is the goal of using evidence-based practice (EBP) in nursing care?

    <p>To improve patient outcomes</p> Signup and view all the answers

    What is the purpose of the Quality and Safety Education for Nurses (QSEN) project?

    <p>To improve patient safety and quality of care</p> Signup and view all the answers

    What is the role of the policy and procedure committee in the nursing practice change process?

    <p>To develop evidence-based guidelines</p> Signup and view all the answers

    Which of the following interventions was found to be the most effective in removing dental plaque in tube-fed patients?

    <p>Soft bristle toothbrush</p> Signup and view all the answers

    What is the risk of pneumonia in tube-fed patients if oral secretions are aspirated?

    <p>High risk</p> Signup and view all the answers

    Which group of patients had the highest percentage of pathogenic bacteria in their mouths?

    <p>Patients fed via nasogastric (NG) tube</p> Signup and view all the answers

    Which intervention reduced the incidence of pneumonia in critically ill patients?

    <p>Oral care with chlorhexidine</p> Signup and view all the answers

    Which level of evidence is considered the best in the rating scale used to label the quality of evidence in nursing?

    <p>Level I</p> Signup and view all the answers

    What is the goal of evidence-based practice (EBP) in nursing care?

    <p>To ensure quality care and optimal patient outcomes</p> Signup and view all the answers

    Why is it important to consider the context when using evidence-based practice (EBP)?

    <p>To adapt research findings to the specific healthcare environment</p> Signup and view all the answers

    Where can nursing evidence that should be put into practice be identified?

    <p>From multiple sources including medical research, nursing research, and research from other professions</p> Signup and view all the answers

    Which of the following is the first step in the evidence-based practice (EBP) process?

    <p>Ask the burning question</p> Signup and view all the answers

    Which of the following databases is best known for nursing literature?

    <p>CINAHL</p> Signup and view all the answers

    What is the purpose of Step 4: Measure outcomes before and after change in the nursing practice change process?

    <p>To evaluate the practice change</p> Signup and view all the answers

    What is the role of the policy and procedure committee in the nursing practice change process?

    <p>To determine if the change is appropriate for adoption</p> Signup and view all the answers

    Which of the following methods of request by the nurse would be most appropriate to achieve evidence-based care?

    <p>Instruct the CENA to give oral care using oral swabs to clean the teeth and mouth.</p> Signup and view all the answers

    In considering appropriate care, the nurse bases the care on which of the following to provide excellent care?

    <p>Evidence that is evaluated for the health care agency and each patient.</p> Signup and view all the answers

    A policy and procedure committee is reviewing evidence for a new policy. When considering the evidence, which of the following sources would generally be safest for a health care agency to implement?

    <p>A Joanna Briggs Best Practices Guideline.</p> Signup and view all the answers

    Which of the following is an important safety goal in patient care?

    <p>Using at least two ways to identify patients.</p> Signup and view all the answers

    Which of the following actions should the nurse take regarding the information in the study?

    <p>Present the proposed practice change to the policy and procedure committee at work for evaluation and possible adoption.</p> Signup and view all the answers

    What is the role of the policy and procedure committee in the nursing practice change process?

    <p>To review and evaluate the proposed practice change.</p> Signup and view all the answers

    What is the purpose of the Quality and Safety Education for Nurses (QSEN) project?

    <p>To improve the quality and safety of nursing education.</p> Signup and view all the answers

    What is the rating scale used to label the quality of evidence in nursing?

    <p>A</p> Signup and view all the answers

    What is the goal of using evidence-based practice (EBP) in nursing care?

    <p>To make nursing care more efficient.</p> Signup and view all the answers

    Where should the committee revise the nursing intervention of insertion of a urinary catheter?

    <p>In the policy and procedure committee meeting.</p> Signup and view all the answers

    Why should evidence-based practice (EBP) be used in nursing care?

    <p>To improve patient outcomes and provide high-quality care</p> Signup and view all the answers

    Who should provide evidence-based nursing care?

    <p>All healthcare professionals involved in patient care</p> Signup and view all the answers

    What is the purpose of the Quality and Safety Education for Nurses (QSEN) project?

    <p>To promote the continual improvement of quality and safety in patient care</p> Signup and view all the answers

    What is the role of the policy and procedure committee in the nursing practice change process?

    <p>To develop evidence-based procedure guidelines</p> Signup and view all the answers

    Which of the following is NOT a focus area of the Quality and Safety Education for Nurses (QSEN) project?

    <p>Communication</p> Signup and view all the answers

    What is the purpose of the Quality and Safety Education for Nurses (QSEN) project?

    <p>To promote the continual improvement of quality and safety in patient care</p> Signup and view all the answers

    What is the role of the policy and procedure committee in the nursing practice change process?

    <p>To develop evidence-based procedure guidelines</p> Signup and view all the answers

    Which of the following is an important aspect of providing safe, quality care in nursing?

    <p>Effective communication</p> Signup and view all the answers

    Which of the following is NOT a step in the evidence-based practice (EBP) process?

    <p>Evaluate the practice change</p> Signup and view all the answers

    Where can nursing students find best practice nursing reviews?

    <p>Joanna Briggs Best Practices website</p> Signup and view all the answers

    What is the role of the policy and procedure committee in the nursing practice change process?

    <p>To evaluate the practice change</p> Signup and view all the answers

    What is the purpose of Step 4: Measure outcomes before and after change in the nursing practice change process?

    <p>To evaluate the practice change</p> Signup and view all the answers

    Which of the following is the weakest level of evidence according to the rating scale used in nursing?

    <p>Level IV</p> Signup and view all the answers

    What is the purpose of measuring outcomes as part of evidence-based practice (EBP)?

    <p>To confirm the value of a change in nursing practice</p> Signup and view all the answers

    What is the best source of evidence for Level I evidence in nursing?

    <p>Medical research</p> Signup and view all the answers

    Why is it important to consider the context when using evidence-based practice (EBP)?

    <p>To ensure quality care</p> Signup and view all the answers

    According to the research articles, what is the most effective method of oral care for tube-fed patients?

    <p>Using a soft bristle toothbrush and toothpaste</p> Signup and view all the answers

    What is one potential consequence of inadequate oral care in tube-fed patients?

    <p>Increased risk of pneumonia</p> Signup and view all the answers

    Which group of patients had the highest percentage of pathogenic bacteria in their mouths?

    <p>Patients fed via nasogastric (NG) tube</p> Signup and view all the answers

    What intervention was found to be the most effective in reducing the incidence of pneumonia in critically ill patients?

    <p>Oral care with chlorhexidine</p> Signup and view all the answers

    Which of the following best defines evidence-based practice (EBP)?

    <p>A systematic process that employs current evidence to make decisions about patient care</p> Signup and view all the answers

    What is the purpose of the Quality and Safety Education for Nurses (QSEN) project?

    <p>To promote safe patient care and improve the quality of nursing education</p> Signup and view all the answers

    What is the role of the policy and procedure committee in the nursing practice change process?

    <p>To review evidence and develop new policies and procedures based on evidence-based practice</p> Signup and view all the answers

    What is the context that must be considered when using evidence-based practice (EBP)?

    <p>Patient preferences, costs, clinical expertise, and clinical settings</p> Signup and view all the answers

    Which of the following is the most appropriate method of request by the nurse to achieve evidence-based care for oral care?

    <p>Explain that use of a toothbrush and toothpaste decreases pneumonia in older adults.</p> Signup and view all the answers

    What does the nurse base the plan of care on to provide excellent care?

    <p>Evidence that is evaluated for the health care agency and each patient.</p> Signup and view all the answers

    When considering evidence for a new policy, which of the following sources would generally be safest for a health care agency to implement?

    <p>A systematic review of multiple studies.</p> Signup and view all the answers

    What is the goal of evidence-based practice (EBP) in nursing care?

    <p>To reduce errors in health care and improve patient care.</p> Signup and view all the answers

    Which of the following is a step in the evidence-based practice (EBP) process?

    <p>Conduct a journal search to look for similar studies</p> Signup and view all the answers

    What is the role of the policy and procedure committee in the nursing practice change process?

    <p>To evaluate and adopt the proposed practice change</p> Signup and view all the answers

    What is the purpose of the Quality and Safety Education for Nurses (QSEN) project?

    <p>To improve the quality and safety of nursing care</p> Signup and view all the answers

    Why should evidence-based practice (EBP) be used?

    <p>To improve the quality and safety of nursing care</p> Signup and view all the answers

    What is the risk of pneumonia in tube-fed patients if oral secretions are aspirated?

    <p>Increased risk of pneumonia</p> Signup and view all the answers

    Where should the committee revise the nursing intervention of insertion of a urinary catheter?

    <p>In the policy and procedure manual</p> Signup and view all the answers

    According to the text, what is the acronym used to remember the six steps of the evidence-based practice (EBP) process?

    <p>ASKMME</p> Signup and view all the answers

    What is the first step in the evidence-based practice (EBP) process?

    <p>Ask the burning question</p> Signup and view all the answers

    Which database is best known for nursing literature and provides evidence-based care sheets?

    <p>CINAHL</p> Signup and view all the answers

    What is the purpose of Step 4: Measure outcomes before and after change in the nursing practice change process?

    <p>To evaluate the practice change</p> Signup and view all the answers

    Which of the following is the weakest level of evidence in nursing?

    <p>Level IV</p> Signup and view all the answers

    What is the best source of evidence for Level I evidence in nursing?

    <p>Cochrane Reviews</p> Signup and view all the answers

    What is the goal of evidence-based practice (EBP) in nursing care?

    <p>To provide the best care possible</p> Signup and view all the answers

    Why is it important to consider the context when using evidence-based practice (EBP)?

    <p>To account for differences in clinical settings and patients</p> Signup and view all the answers

    Which of the following is NOT a step in the evidence-based practice (EBP) process?

    <p>Conducting a randomized controlled trial</p> Signup and view all the answers

    What is the purpose of the Quality and Safety Education for Nurses (QSEN) project?

    <p>To promote safe patient care</p> Signup and view all the answers

    What is the role of the policy and procedure committee in the nursing practice change process?

    <p>To review and revise policies and procedures</p> Signup and view all the answers

    Which intervention reduced the incidence of pneumonia in critically ill patients?

    <p>Oral care with chlorhexidine mouthwash</p> Signup and view all the answers

    What is the most effective method of oral care for tube-fed patients, according to the research articles?

    <p>Using a toothbrush</p> Signup and view all the answers

    What is the risk of pneumonia in tube-fed patients who have oral secretions aspirated?

    <p>Increased risk of pneumonia</p> Signup and view all the answers

    What intervention was found to be the most effective in reducing the incidence of pneumonia in critically ill patients?

    <p>Oral care with chlorhexidine</p> Signup and view all the answers

    Where should the committee revise the nursing intervention of insertion of a urinary catheter?

    <p>In the nursing practice change process</p> Signup and view all the answers

    Which of the following is NOT a step in the evidence-based practice (EBP) process?

    <p>Implement the desired change in nursing practice based on evidence</p> Signup and view all the answers

    What is the purpose of the Quality and Safety Education for Nurses (QSEN) project?

    <p>To promote the continual improvement of quality and safety in patient care</p> Signup and view all the answers

    Where can nursing evidence that should be put into practice be identified?

    <p>In research studies</p> Signup and view all the answers

    Which of the following interventions was found to be the most effective in reducing the incidence of pneumonia in critically ill patients?

    <p>Thorough oral care</p> Signup and view all the answers

    Which of the following is the most appropriate method of request by the nurse to achieve evidence-based care for oral care?

    <p>Explain that use of a toothbrush and toothpaste decreases pneumonia in older adults.</p> Signup and view all the answers

    In considering appropriate care, the nurse bases the care on which of the following to provide excellent care?

    <p>Evidence that is evaluated for the health care agency and each patient.</p> Signup and view all the answers

    A policy and procedure committee is reviewing evidence for a new policy. When considering the evidence, which of the following sources would generally be safest for a health care agency to implement?

    <p>A systematic review of multiple randomized controlled trials.</p> Signup and view all the answers

    What is the goal of evidence-based practice (EBP) in nursing care?

    <p>To improve patient outcomes and reduce errors in health care.</p> Signup and view all the answers

    According to the information in the study, what action should the nurse take regarding the research findings?

    <p>Do a journal search to look for similar studies, and if three similar studies are found, incorporate the information into practice.</p> Signup and view all the answers

    What is the purpose of the policy and procedure committee in the nursing practice change process?

    <p>To revise nursing interventions</p> Signup and view all the answers

    What is the role of evidence-based practice (EBP) in nursing care?

    <p>To improve patient safety</p> Signup and view all the answers

    What is the purpose of the Quality and Safety Education for Nurses (QSEN) project?

    <p>To improve patient safety</p> Signup and view all the answers

    Where should the policy and procedure committee revise the nursing intervention of insertion of a urinary catheter?

    <p>In the nursing care guidelines</p> Signup and view all the answers

    What is the rating scale used to label the quality of evidence in nursing?

    <p>Level I evidence</p> Signup and view all the answers

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