Exam 21: Translating Research into Practice

The nurse manager of an ICU wants to implement the revised policy and procedure on central line catheter care.What would be the most effective method of getting the staff nurses to incorporate a new evidence-based practice into their care?

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?

Volunteers in a study are assigned randomly to groups.Some of the volunteers receive an herbal supplement that is reputed to control nausea,and some of the volunteers are assigned to a control group where a placebo is administered.This is an example of a(n):

The nurse manager wants to use evidence-based recommendations to prevent ventilator-associated pneumonia.In order to effectively gather evidence to guide practice,what is the critical first step?

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,and that there is no good reason to do anything different than what she is already doing.An approach that may gain Marie's support of the idea is to:

Once evidence related to the use of prompted voiding in patients with cognitive impairment has been appraised and integrated with practice,it is important to:

As the unit manager,you are interested in determining whether patient autonomy is preserved through informed consent in surgical settings.You determine that participatory action research is the best method to address this question.Which of the following is consistent with a participatory action research design?

The chief nursing officer at a local hospital seeking Magnet™ status creates staff development classes concerning translation of research into practice (TRIP).What best describes TRIP?

The implementation of saline flushes for capped angiocatheters is an example of:

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

After searching the literature,Tara,the unit manager develops a table that outlines the findings of studies on management of incontinence.She then examines the studies in terms of risk and whether the findings fit within her practice context and for her population of moderately to severely cognitively impaired patients.This is which phase of Stetler's research utilization model?

At an organizational level,which of the following strategies would assist in ensuring that EBP is incorporated into nursing care?

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

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

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

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

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?

Which of the following is a meta-analysis?

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 (select all that apply):