Evidence based practice in nursing
and healthcare 4th edition by Melnyk
chapters 1-23
,TABLE OF CONTENT
y y
Unity1y:yStepsyZero,yOne,yTwo:yGettingyStarted
Chapter y1y:yMaking ytheyCaseyforyEvidence-BasedyPracticeyandyCultivating yaySpirityofyInquiry
Chapter y2y:yAsking yCompelling,yClinicalyQuestions
Chapter y3y:yFinding yRelevantyEvidenceytoyAnsweryClinical yQuestions
Unity2y:yStepyThreey:yCritically yAppraising yEvidence
Chapter y4y:yCritically yAppraising yKnowledgeyforyClinicalyDecision yMaking
Chapter y5y:yCriticallyyAppraising yQuantitativeyEvidenceyforyClinicalyDecisionyMaking
Chapter y6y:yCritically yAppraising yQualitativeyEvidenceyforyClinical yDecisionyMaking
Chapter y7y:yPatientyConcerns, yChoices,yandyClinical yJudgmentyinyEvidence-BasedyPractice
Chapter y8y:yAdvancing yOptimal yCareywithyClinicalyPracticeyGuidelines
Unity3y:yStepsyFour yandyFive y:yMovingyFromyEvidence ytoySustainable yPractice yChange
Chapter y9y:yImplementing yandySustaining yEvidence-BasedyPracticeyinyRealyWorldyClinicalySettings
Chapter y10y:yTheyRoleyofyOutcomes yandyEvidence-
BasedyQualityyImprovement yinyEnhancingyandyEvaluatingyPracticeyChanges
Chapter y11y:yImplementingytheyEvidence-
BasedyPracticeyCompetencies yinyClinical yandyAcademic ySettingsytoyEnsureyHealthcare yQuality yandyImprov
edyPatientyOutcomes
Chapter y12y:yLeadershipyStrategies yforyCreating yandySustaining yEvidence-BasedyPracticeyOrganizations
Unity4y:yCreatingyandySustaining yayCultureyandyEnvironment yforyEvidence-BasedyPractice
Chapter y13y:ySparking yInnovation ythrough yEvidence-BasedyPractice
Chapter y14y:yModelsytoyGuideyImplementation yandySustainability yofyEvidence-BasedyPractice
Chapter y15y:yCreating yayVisionyandyMotivating yChangeytoyEvidence-
BasedyPracticeyinyIndividuals, yTeams,yandyOrganizations
Chapter y16y:yTeaching yEvidence-BasedyPracticeyinyAcademicySettings
Chapter y17y:yTeaching yEvidence-BasedyPracticeyinyClinical ySettings
Chapter y18y:yARCCyEvidence-BasedyPracticeyMentors:yTheyKeyytoySustaining yEvidence-BasedyPractice
Unity5y:yStepySixy:yDisseminating yEvidence yandyEvidence-BasedyPractice yImplementation yOutcomes
Chapter y19y:yUsing yEvidenceytoyInfluenceyHealthyPolicy
Chapter y20y:yDisseminating yEvidenceythroughyPublications, yPresentations, yHealth yPolicy yBriefs,yandythey
Media
Unity6y:yGenerating yExternal yEvidence yandyWriting ySuccessful yGrantyProposals
Chapter y21y:yGenerating yEvidenceythrough yQuantitative yandyQualitativeyResearch
Chapter y22y:yWritingyaySuccessfulyGrantyProposalytoyFundyResearchyandyEvidence-
BasedyPracticeyImplementation yProjects
Chapter y23y:yEthicalyConsiderations yforyEvidenceyImplementation yandyEvidenceyGeneration
,Chapter 1 Making the Case for Evidence-
y y y y y y
BasedPractice and Cultivating a Spirit of
y y y y y y y
Inquiry
, 1. InytheyhospitalywhereyNurseyL.yprovidesycare,ytraditionydictatesythatyoralytemperat
uresybeyincludedyinyeveryysetyofypatientyvitalysigns,yregardlessyofypatientydiagnosisy
oryacuity.yThisyisymostylikelyyanyexampleyofywhichyofytheyfollowingyphenomena?
A) Theyprioritizationyofyinternalyevidenceyoveryexternalyevidence
B) Practiceythatylacksyevidenceytoysupportyitsyapplication
C) Theyintegrationyofypersonalyexpertiseyintoynursingycare
D) Evidence-basedypractice
2. Theyclinicalynurseyeducatory(CNE)yonyaypostsurgicalyunityhasyrecentlyycompleted
yaypatientychartyreviewyafterytheyimplementationyofyaypilotyprogramyaimedyatypro
motingyearlyyambulationyfollowingysurgery.yWhichyofytheyfollowingycomponentsy
ofyEBPyisytheynurseyputtingyintoypractice?
A) Patientypreferences
B) Researchyutilization
C) Experience
D) Internalyevidence
3. NurseyR.yhasyobservedythatyreorientingydementedypatientsyasyfrequentlyyasypossib
leytendsytoyminimizeytheypatients'ylevelyofyagitationyinytheyevening.yTheynurseyhasys
haredythisyobservationywithyaycolleague,ywhoyisyskeptical,ystatingythat,y“It'sybestyto
ystickytoyevidence-basedypractice.”yHowycanyNurseyR.ybestyrespond?
A) “EBPycanyincludeyclinicians'ypersonalyexpertise.”
B) “Personalyexperienceyisyoftenymoreysoundythanyformalyevidence-basedypractice.”
C) “TraditionalypracticeyandyEBPyareyusuallyyshownytoybeytheysame.”
D) “Myyyearsyofyexperienceycanybeyjustyasyvaluableyasyanyyliteratureyrevi
ewyoryrandomizedytrial.”
4. Whichyofytheyfollowingyfactorsyprovidesytheymostyimportantyrationaleyforytheycon
sistentyimplementationyofyEBP?
A) EBPyprovidesyforytheymostycost-effectiveypatientycare.
B) EBPyisyaccessibleytoyallyhealthcareyclinicians.
C) EBPyprovidesyconsistencyyinycareyacrossyhealthcareysettings.
D) EBPyimprovesypatientyoutcomes.
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