Essay EBP Evidence Based Practice

Essay EBP m




Evidence Based Practice m m




The nurse is collecting data to determine how much of the unit's nursing practice is evidence based.
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Which action should the nurse implement as a first step to gather this data?
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Compare the charting between each member of the staff.
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Look at each nurse's scope of practice.
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Compose a list of actions that each nurse completes daily in the clinical setting.
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Compose a list of the challenges reported by each nurse. - AnswerCompose a list of actions that each
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nurse completes daily in the clinical setting.
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The nurse needs to assess how much of the current nursing practice is evidence based. The nurse can
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start this by making a list of actions done in a clinical day. Beside each action, the nurse can then make a
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note about whether it is evidence based, the routine followed, if a shortcut was used, or whether they
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perform the action that way because that is how they have learned it.
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The nurse preceptor is reviewing with a new nurse how to compare the nursing process to the process
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of evidence-based practice (EBP).
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Which statement by the preceptor describes the difference in the processes?
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"The nursing process deals with a specific clinical question, while EBP deals with the patient's holistic
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needs."
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,"The nursing process only focuses on the patient, while EBP focuses just on a process."
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"The nursing process is constantly evolving, while EBP is concrete."
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"The nursing process deals with the patient's holistic needs and EBP deals with a clinical question." -
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Answer"The nursing process deals with the patient's holistic needs and EBP deals with a clinical
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question."
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If this development process sounds familiar, it is probably because the steps are very similar to those of
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mthe nursing process of assessment, diagnosis, planning, implementing, and evaluation. Where the
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mnursing process seeks to address the patient's holistic needs, the process of EBP deals with a specific
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mclinical question that may be researched in an attempt to improve patient outcomes related to the
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mclinical question. m




The nurse is caring for a pregnant patient and is interested in evidence-based practice (EBP) resources
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for both the mother and the infant after birth.
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Which source should the nurse consider?
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Journal of Gerontologic Nursing m m m




Journal of Nursing Education m m m




Journal of the American Psychiatric
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Nursing Association m




Healthy People 2020 - AnswerHealthy People 2020
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Healthy People 2020 provides an excellent source of national health objectives, which serve to highlight
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areas in which EBP is needed as well as the availability of evidence-based resources across the lifespan.
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The other resources are specific to either education, the older adult, or mental health.
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,Which would be considered a main objective of the research related to Healthy People 2020 as it relates
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to children?
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Providing patient-centered care for special needs
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Curing the flu virus m m m




Waiting until the child is 1 year old to vaccinate
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Using limited vaccinations - AnswerProviding patient-centered care for special needs
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Healthy People 2020 objectives include reducing child mortality rates as well as decreasing the incidence
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of transmission of preventable diseases among children. Increasing access to a medical home—which is
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a model of care that promotes healthcare provider-led, patient-centered, coordinated health services—
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for children with special needs is the most important objective.
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The nurse is designing a presentation about evidence-based practice (EBP).
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Which example illustrates evidence derived from research?
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A nurse reads studies about the effects of massage on back pain.
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The patient may refuse to have back surgery.
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In certain cultures, male patients accept massage treatment only from male therapists.
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Studies suggest that medical massage effectively reduces lower back pain. - AnswerStudies suggest that
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medical massage effectively reduces lower back pain.
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Evidence is clinical knowledge, expert opinion, or information resulting from research; this is best
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illustrated by the study-based conclusion that medical massage reduces lower back pain. Research is
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gathering objective facts and information to advance knowledge about a specific topic, as illustrated by
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, m a nurse reading studies about the effects of massage on back pain. Male patients who accept massage
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m treatments only from male therapists and consent for surgery illustrate patient preferences.
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The manager wants to know how a staff nurse supports the use of evidence-based practice (EBP).
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Which response best reflects the staff nurse's misperception about a barrier to implementing EBP?
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"I've been picking up a lot of extra shifts—I'm too busy to take on another work-related responsibility."
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"I think what we're doing now works just fine—why fix what isn't broken?"
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"I've taken extra patients almost every night this month—I can't handle the thought of adding one more
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thing to my to-do list."
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"I'm not certified in research, and I don't have time to take a course right now—EBP is outside my scope
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of practice." - Answer"I'm not certified in research, and I don't have time to take a course right now—
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EBP is outside my scope of practice."
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The nurse's statement suggesting that development of EBP requires specialty certification best reflects a
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misperception about EBP. All nurses are encouraged to actively engage in the development of EBP. The
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remaining three statements reflect the barriers of increased patient workload demands, nursing work
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schedule demands, and resistance to change from traditional patient-care routines.
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The nurse is providing an in-service on evidence-based practice (EBP). When asked what barriers the
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nurses experience daily related to EBP, one nurse states that they are so busy and overloaded already.
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Which resource should the nurse suggest to counteract this barrier?
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"Learn how to do a critical appraisal of evidence."
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"Revisit your scope of practice." m m m m




"Utilize the internet to access practice guidelines."
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