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Exam 21: Translating Research Into Practice

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Question 1

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A strategic goal developed by the chief nursing officer is to implement an evidence-based practice program.What is an appropriate strategy that can be used by a nurse manager who is beginning to implement an evidence-based practice program?

A) Conducting a review of adverse events and incident reports
B) Soliciting input from staff members
C) Reviewing specialty organization guidelines
D) Identifying patients with extended lengths of stay

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Question 2

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Within a multisite healthcare system,the most appropriate strategies for translation of research would be:

A) Widespread development of protocols using EBP at unit levels.
B) Dissemination of EBP recommendations to individuals, units, and the organization.
C) Development of skills of individual managers on how to build guidelines based on EBP.
D) Establishment of an interdisciplinary center to guide and lead the translation of research findings into practice.

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Question 3

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A nurse manager introduces prompted voiding into nursing practice on a unit,which is supported by clinical guidelines based on evidence-based practice.The nurses on the unit resist implementation,indicating that the bathroom facilities are too far away for efficient implementation of the guidelines,and that resources are too few to accomplish the initial voiding observations.For the nurse manager in this situation,it is important to have further discussion with the staff regarding

Which of the following is most accurate regarding evidence-based practice?

Understanding why it is important to provide certain strategies for the emotional support of parents of critically ill children is an example of:

The nurse manager decides to change staffing schedules in the intensive care unit.She chooses to use Rogers' Diffusion of Innovations Theory to implement the change.What are the elements of Rogers' Diffusion of Innovations Theory?

Before implementation of the new policy and procedure on central line catheter care,the nurse manager uses an appraisal system to evaluate the evidence.What is important in using an appraisal system to evaluate the evidence gathered in preparation for development of a new protocol?

The chief nursing officer at a local hospital seeking Magnet™ status creates staff development classes concerning research utilization.What best describes research utilization?

The chief nursing officer at a local hospital seeking Magnet™ status creates staff development classes about incorporating evidence-based nursing.What best describes evidence-based nursing?

Which of the following is a meta-analysis?

To help staff nurses adjust to using research in practice,what strategy would the nurse manager use?

You are excited by evidence supporting the use of PDAs at the bedside to improve documentation and patient outcomes.You have disseminated the information through discussions and e-mails and are now ready to begin the process of considering implementation on the unit.To develop positive attitudes toward the use and implementation of the technology,you would discuss your ideas with (Rogers' Diffusion of Innovation Theory) :

What is a strategy that can be used by a small community hospital with limited resources to develop an evidence-based nursing practice program?

Marie is a long-term staff nurse on the rehab floor.Her unit manager has been eager to adopt evidence-based recommendations related to family-centered care on the unit.Marie's response has been that she rarely has time to provide care to patients,let alone families.An approach that may gain Marie's support of the idea is to:

The nurse manager wants to use evidence-based recommendations to prevent ventilator-associated pneumonia.What type of research would provide the strongest evidence for this clinical issue?

Tara,the unit manager,is telling her colleague about her recent project,which involves seeking the most effective approaches to incontinence care,with the intention of adopting evidence-supported approaches on her dementia care unit.Her colleague suggests that translation of research into practice is:

The clinical guidelines for management of incontinence developed by the Registered Nurses Association of Ontario (RNAO) :

After searching the literature,Tara (Question 11) develops a table that outlines the findings of studies on management of incontinence; it includes an appraisal of such criteria as risk and applicability to her particular population of moderately to severely cognitively impaired patients.This is which phase of Stetler's research utilization model?

Which of the following has been identified as a significant factor in moving EBP into patient care?

Which of the following would be most effective in implementing the findings of Dobbins et al.on treating problems associated with bowel motility?