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
m m m m m m m m m m m m m m m m m
nurse completes daily in the clinical setting.
m m m m m m m
The nurse needs to assess how much of the current nursing practice is evidence based. The nurse can
m m m m m m m m m m m m m m m m m
start this by making a list of actions done in a clinical day. Beside each action, the nurse can then make a
m m m m m m m m m m m m m m m m m m m m m m
note about whether it is evidence based, the routine followed, if a shortcut was used, or whether they
m m m m m m m m m m m m m m m m m m
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."
m
,"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."
m
If this development process sounds familiar, it is probably because the steps are very similar to those of
m m m m m m m m m m m m m m m m m
mthe nursing process of assessment, diagnosis, planning, implementing, and evaluation. Where the
m m m m m m m m m m m
mnursing process seeks to address the patient's holistic needs, the process of EBP deals with a specific
m m m m m m m m m m m m m m m m
mclinical question that may be researched in an attempt to improve patient outcomes related to the
m m m m m m m m m m m m m m m
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
m m m m m
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.
m m m m m m m m m m m m m m m m m
The other resources are specific to either education, the older adult, or mental health.
m m m m m m m m m m m m m m
,Which would be considered a main objective of the research related to Healthy People 2020 as it relates
m m m m m m m m m m m m m m m m m
to children?
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Providing patient-centered care for special needs
m m m m m
Curing the flu virus m m m
Waiting until the child is 1 year old to vaccinate
m m m m m m m m m
Using limited vaccinations - AnswerProviding patient-centered care for special needs
m m m m m m m m m
Healthy People 2020 objectives include reducing child mortality rates as well as decreasing the incidence
m m m m m m m m m m m m m m
of transmission of preventable diseases among children. Increasing access to a medical home—which is
m m m m m m m m m m m m m m
a model of care that promotes healthcare provider-led, patient-centered, coordinated health services—
m m m m m m m m m m m m
for children with special needs is the most important objective.
m m m m m m m m m
The nurse is designing a presentation about evidence-based practice (EBP).
m m m m m m m m m
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.
m m m m m m m m m m m
Studies suggest that medical massage effectively reduces lower back pain. - AnswerStudies suggest that
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medical massage effectively reduces lower back pain.
m m m m m m m
Evidence is clinical knowledge, expert opinion, or information resulting from research; this is best
m m m m m m m m m m m m m
illustrated by the study-based conclusion that medical massage reduces lower back pain. Research is
m m m m m m m m m m m m m m
gathering objective facts and information to advance knowledge about a specific topic, as illustrated by
m m m m m m m m m m m m m m m
, m a nurse reading studies about the effects of massage on back pain. Male patients who accept massage
m m m m m m m m m m m m m m m m
m treatments only from male therapists and consent for surgery illustrate patient preferences.
m m m m m m m m m m m
The manager wants to know how a staff nurse supports the use of evidence-based practice (EBP).
m m m m m m m m m m m m m m m
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."
m m m m m m m m m m m m m m m m
"I think what we're doing now works just fine—why fix what isn't broken?"
m m m m m m m m m m m m
"I've taken extra patients almost every night this month—I can't handle the thought of adding one more
m m m m m m m m m m m m m m m m
thing to my to-do list."
m m m m m
"I'm not certified in research, and I don't have time to take a course right now—EBP is outside my scope
m m m m m m m m m m m m m m m m m m m
of practice." - Answer"I'm not certified in research, and I don't have time to take a course right now—
m m m m m m m m m m m m m m m m m m m
EBP is outside my scope of practice."
m m m m m m
The nurse's statement suggesting that development of EBP requires specialty certification best reflects a
m m m m m m m m m m m m m
misperception about EBP. All nurses are encouraged to actively engage in the development of EBP. The
m m m m m m m m m m m m m m m m
remaining three statements reflect the barriers of increased patient workload demands, nursing work
m m m m m m m m m m m m m
schedule demands, and resistance to change from traditional patient-care routines.
m m m m m m m m m m
The nurse is providing an in-service on evidence-based practice (EBP). When asked what barriers the
m m m m m m m m m m m m m m
nurses experience daily related to EBP, one nurse states that they are so busy and overloaded already.
m m m m m m m m m m m m m m m m m
Which resource should the nurse suggest to counteract this barrier?
m m m m m m m m m
"Learn how to do a critical appraisal of evidence."
m m m m m m m m
"Revisit your scope of practice." m m m m
"Utilize the internet to access practice guidelines."
m m m m m m
Evidence Based Practice m m
The nurse is collecting data to determine how much of the unit's nursing practice is evidence based.
m m m m m m m m m m m m m m m m
Which action should the nurse implement as a first step to gather this data?
m m m m m m m m m m m m m m
Compare the charting between each member of the staff.
m m m m m m m m
Look at each nurse's scope of practice.
m m m m m m
Compose a list of actions that each nurse completes daily in the clinical setting.
m m m m m m m m m m m m m
Compose a list of the challenges reported by each nurse. - AnswerCompose a list of actions that each
m m m m m m m m m m m m m m m m m
nurse completes daily in the clinical setting.
m m m m m m m
The nurse needs to assess how much of the current nursing practice is evidence based. The nurse can
m m m m m m m m m m m m m m m m m
start this by making a list of actions done in a clinical day. Beside each action, the nurse can then make a
m m m m m m m m m m m m m m m m m m m m m m
note about whether it is evidence based, the routine followed, if a shortcut was used, or whether they
m m m m m m m m m m m m m m m m m m
perform the action that way because that is how they have learned it.
m m m m m m m m m m m m m
The nurse preceptor is reviewing with a new nurse how to compare the nursing process to the process
m m m m m m m m m m m m m m m m m
of evidence-based practice (EBP).
m m m m
Which statement by the preceptor describes the difference in the processes?
m m m m m m m m m m
"The nursing process deals with a specific clinical question, while EBP deals with the patient's holistic
m m m m m m m m m m m m m m m
needs."
m
,"The nursing process only focuses on the patient, while EBP focuses just on a process."
m m m m m m m m m m m m m m
"The nursing process is constantly evolving, while EBP is concrete."
m m m m m m m m m
"The nursing process deals with the patient's holistic needs and EBP deals with a clinical question." -
m m m m m m m m m m m m m m m m
Answer"The nursing process deals with the patient's holistic needs and EBP deals with a clinical
m m m m m m m m m m m m m m m
question."
m
If this development process sounds familiar, it is probably because the steps are very similar to those of
m m m m m m m m m m m m m m m m m
mthe nursing process of assessment, diagnosis, planning, implementing, and evaluation. Where the
m m m m m m m m m m m
mnursing process seeks to address the patient's holistic needs, the process of EBP deals with a specific
m m m m m m m m m m m m m m m m
mclinical question that may be researched in an attempt to improve patient outcomes related to the
m m m m m m m m m m m m m m m
mclinical question. m
The nurse is caring for a pregnant patient and is interested in evidence-based practice (EBP) resources
m m m m m m m m m m m m m m m
for both the mother and the infant after birth.
m m m m m m m m m
Which source should the nurse consider?
m m m m m
Journal of Gerontologic Nursing m m m
Journal of Nursing Education m m m
Journal of the American Psychiatric
m m m m m
Nursing Association m
Healthy People 2020 - AnswerHealthy People 2020
m m m m m m
Healthy People 2020 provides an excellent source of national health objectives, which serve to highlight
m m m m m m m m m m m m m m
areas in which EBP is needed as well as the availability of evidence-based resources across the lifespan.
m m m m m m m m m m m m m m m m m
The other resources are specific to either education, the older adult, or mental health.
m m m m m m m m m m m m m m
,Which would be considered a main objective of the research related to Healthy People 2020 as it relates
m m m m m m m m m m m m m m m m m
to children?
m m
Providing patient-centered care for special needs
m m m m m
Curing the flu virus m m m
Waiting until the child is 1 year old to vaccinate
m m m m m m m m m
Using limited vaccinations - AnswerProviding patient-centered care for special needs
m m m m m m m m m
Healthy People 2020 objectives include reducing child mortality rates as well as decreasing the incidence
m m m m m m m m m m m m m m
of transmission of preventable diseases among children. Increasing access to a medical home—which is
m m m m m m m m m m m m m m
a model of care that promotes healthcare provider-led, patient-centered, coordinated health services—
m m m m m m m m m m m m
for children with special needs is the most important objective.
m m m m m m m m m
The nurse is designing a presentation about evidence-based practice (EBP).
m m m m m m m m m
Which example illustrates evidence derived from research?
m m m m m m
A nurse reads studies about the effects of massage on back pain.
m m m m m m m m m m m
The patient may refuse to have back surgery.
m m m m m m m
In certain cultures, male patients accept massage treatment only from male therapists.
m m m m m m m m m m m
Studies suggest that medical massage effectively reduces lower back pain. - AnswerStudies suggest that
m m m m m m m m m m m m m
medical massage effectively reduces lower back pain.
m m m m m m m
Evidence is clinical knowledge, expert opinion, or information resulting from research; this is best
m m m m m m m m m m m m m
illustrated by the study-based conclusion that medical massage reduces lower back pain. Research is
m m m m m m m m m m m m m m
gathering objective facts and information to advance knowledge about a specific topic, as illustrated by
m m m m m m m m m m m m m m m
, m a nurse reading studies about the effects of massage on back pain. Male patients who accept massage
m m m m m m m m m m m m m m m m
m treatments only from male therapists and consent for surgery illustrate patient preferences.
m m m m m m m m m m m
The manager wants to know how a staff nurse supports the use of evidence-based practice (EBP).
m m m m m m m m m m m m m m m
Which response best reflects the staff nurse's misperception about a barrier to implementing EBP?
m m m m m m m m m m m m m
"I've been picking up a lot of extra shifts—I'm too busy to take on another work-related responsibility."
m m m m m m m m m m m m m m m m
"I think what we're doing now works just fine—why fix what isn't broken?"
m m m m m m m m m m m m
"I've taken extra patients almost every night this month—I can't handle the thought of adding one more
m m m m m m m m m m m m m m m m
thing to my to-do list."
m m m m m
"I'm not certified in research, and I don't have time to take a course right now—EBP is outside my scope
m m m m m m m m m m m m m m m m m m m
of practice." - Answer"I'm not certified in research, and I don't have time to take a course right now—
m m m m m m m m m m m m m m m m m m m
EBP is outside my scope of practice."
m m m m m m
The nurse's statement suggesting that development of EBP requires specialty certification best reflects a
m m m m m m m m m m m m m
misperception about EBP. All nurses are encouraged to actively engage in the development of EBP. The
m m m m m m m m m m m m m m m m
remaining three statements reflect the barriers of increased patient workload demands, nursing work
m m m m m m m m m m m m m
schedule demands, and resistance to change from traditional patient-care routines.
m m m m m m m m m m
The nurse is providing an in-service on evidence-based practice (EBP). When asked what barriers the
m m m m m m m m m m m m m m
nurses experience daily related to EBP, one nurse states that they are so busy and overloaded already.
m m m m m m m m m m m m m m m m m
Which resource should the nurse suggest to counteract this barrier?
m m m m m m m m m
"Learn how to do a critical appraisal of evidence."
m m m m m m m m
"Revisit your scope of practice." m m m m
"Utilize the internet to access practice guidelines."
m m m m m m