WGU C361 - Evidence Based Practice and Applied Nursing Exam Questions and answers, VERIFIED 2024 | 22 Pages

*Case Study:* - A group of nurses working in a community health center were unsure of how to answer questions from patients about appropriate means of cleansing children's wounds in home settings. - Most nurses felt that sterile saline should be recommended to minimize the risk of infection, but others believed that tap water was adequate fro cleansing acute wounds. - The nurses decided to examine the evidence and located a systematic review in the Cochrane database. Among the studies that had been conducted, the review concluded that there were no differences in rates of infection or healing with use of tap water versus sterile saline win the cleansing of wounds. - However, few of the studies that had been done involved the use of childcare, and most had been conducted in health-care settings. - The nurses decided to initiate a new study to gather more focused and informative evidence about the effects of saline solution versus tap water in cleansing children's wounds. - -- Does this summary describe an EBP effort? - *Yes, the nurses wanted to determine the best practices with regard to cleaning of children's wounds.* - Would the trigger be described as problem-focused or knowledge focused? - *Problem-focused* - Did the nurses use pre-appraised evidence? - *Yes, a systematic review from the Cochrane database is an example of pre-appraised evidence.* - The nurses decided to initiate a new study because they deemed the evidence base inadequate. - Would their new study be a qualitative or quantitative study? - *Quantitative* *Case Study:* Chris was caring for a 27 year old woman who just delivered her first infant by emergency Cesarean birth. The mother was upset because she believed she would have to deliver subsequent children by cesarean birth. She asked Chris about the risks of birth complications with vaginal birth after cesarean (VBAC). Chris decided to look for the best possible evidence to answer her question. - -- Is Chris engaging in an RU or an EBP effort? - EBP