Deck 16: Evidence-Based Practice: Strategies for Nursing Leaders

Question 1

Clinicians tend to buy into the need for practice change when (select all that apply):

A) there is a strong evidence base.
B) the topic addresses an identified need.
C) the practice change offers a relative advantage.
D) the practice change is endorsed by organizational executive leadership.
E) data demonstrate an opportunity for practice improvement within the clinical area.

Answer 1

there is a strong evidence base.
the topic addresses an identified need.
the practice change offers a relative advantage.
data demonstrate an opportunity for practice improvement within the clinical area.

Question 2

When articulating the business case for evidence-based practice to governing boards, key messages to share with board members include (select all that apply):

A) reporting of patient safety events.
B) reporting of anticipated outcomes.
C) reporting only projects that have cost savings.
D) functional responsibility of committees within the organizational and nursing infrastructure.
E) reporting the linkages between evidence-based practice and the organization's mission, values, and strategic plan.

Answer 2

reporting of anticipated outcomes.
functional responsibility of committees within the organizational and nursing infrastructure.
reporting the linkages between evidence-based practice and the organization's mission, values, and strategic plan.

Question 3

The cardiac care unit is putting together a clinical practice committee. To develop expertise in evidence-based practice processes, the members of the committee should have skills that include the ability to (select all that apply):

A) report results.
B) perform research.
C) critique and synthesize evidence.
D) statistically analyze quality improvement.
E) develop an implementation and evaluation plan.

Answer 3

report results.
critique and synthesize evidence.
statistically analyze quality improvement.
develop an implementation and evaluation plan.

Question 4

The _____ Act provides incentives for adoption and implementation of electronic health records (EHRs) while enhancing privacy and security for patients and providing incentives for practitioners and hospitals to engage in meaningful use.

A) Stark
B) HIPAA
C) HITECH
D) Anti-kickback

Question 5

A reinfusion plan should be incorporated into the action plan for implementation of a new practice. What is a reinfusion plan?

A) Method used to implement the previous practice if the new practice has been found to be detrimental to patient care
B) Strategy for ongoing communication about the new practice until the practice has been integrated into daily care
C) Recruitment of new nurses from different institutions who can help with role modeling and communication of the new practice
D) Tactic used to invigorate leaders to continue to communicate better with staff nurses and ancillary personnel

Question 6

Creating action plans can facilitate leadership support and use of evidence-based practice. The nurse manager can use the action plan to (select all that apply):

A) set the staffing schedule.
B) allocate resources as needed.
C) set the expectations for the unit.
D) promote staff questioning practice.
E) encourage and respond to new ideas.

Question 7

Opinion leaders are:

A) formal leaders who lead evidence-based practice development teams.
B) formal leaders who write new evidence-based practice guidelines.
C) informal leaders who influence peers by evaluating innovations for use in certain settings and promoting clinicians' use of evidence in clinical decision making.
D) informal leaders who gather data about nursing practice changes.

Question 8

To promote an organizational culture that embraces evidence-based practice, an organization must (select all that apply):

A) recognize and reward the work.
B) adopt an evidence-based practice model.
C) provide education about evidence-based practice.
D) discourage nurses from questioning their practice.
E) recruit nurses with interest in evidence-based practice.

Question 9

The responsibility of developing the unit culture for evidence-based practice belongs to the:

A) staff nurses.
B) unit manager.
C) medical director.
D) chief executive officer.

Question 10

Strategies for building a strong organizational context of evidence-based practice include (select all that apply):

A) linking quality improvement and patient safety.
B) clear articulation of the benefits of evidence-based practice.
C) formal recognition from high-level organizational leaders for successes.
D) incorporating education about the evidence-based practice in orientation for new hires.
E) incorporating evidence-based practice into organizational policies and procedures.

Question 11

The chief executive nursing officer has discussed implementation of evidence-based practice at hospital-wide nursing meetings. She is leading a team to incorporate evidence-based practice terminology into the vision and mission of the institution. She also is advising the multidisciplinary leadership team to incorporate evidence-based practice expectations into the performance appraisals of all staff members. The chief executive nursing officer is modeling:

A) continuous quality improvement methodology and techniques.
B) marketing tactics that will help familiarize the staff with new terminology.
C) professional duties for new protocol acceptance throughout the institution.
D) strategies for incorporation of evidence-based practice into the infrastructure of the organization.

Question 12

Evidence-based practice includes:

A) collaborative practice dynamics between health care professionals.
B) documentation of patient care as evidence of nursing practice.
C) integration of research with clinical expertise and patient values.
D) mutual goal setting and application in the clinical setting.

Question 13

Intravenous lines being dressed using sterile technique with a 2-×2-inch gauze and occlusive sterile tape versus a transparent dressing are being evaluated for infection rates. These data are collected and compared with current research to suggest an opportunity for improvement. This is an example of:

A) best practice evaluation.
B) current practice critique.
C) practice difference analysis.
D) performance gap assessment.

Question 14

Research utilization encompasses the:

A) collection of study data.
B) critique of study results.
C) determination of statistical tests.
D) development of a study.

Question 15

A rigorous scientific process used to combine findings from research (usually randomized controlled trials) into a powerful and clinically useful report to guide practice is known as a systematic review. Standard components of a systematic review to consider are (select all that apply):

A) process for initiating.
B) standard reporting format.
C) reliability and validity of data.
D) process for synthesizing the body of evidence.
E) process for finding and assessing individual studies.

Question 16

The role of the project director is to:

A) take meeting minutes.
B) maintain the action plan.
C) set the expectations for the unit.
D) report project progress to the governing body.

Question 17

A team has formed to determine which methods have worked best and which factors influence the implementation of an evidence-based practice program. This is known as _____ research.

A) authoritarian
B) autocratic
C) transformational
D) translational

Question 18

Which of the following will positively influence how quickly a practice change is adopted?

A) Clearly defined patient outcomes are expected as a result of the change.
B) Complex and detailed interventional practice changes are implemented.
C) Senior management leaders are the sole members of the team.
D) The new practice is much different from current practice.

Question 19

A clinical nurse specialist is meeting one on one with staff nurses while they are working to discuss data about the evidence-based practice. This is known as:

A) academic detailing.
B) champion coaching.
C) individual instruction.
D) professional mentoring.

Question 20

The responsibility to articulate the business case for evidence-based practice to governing boards lies with:

A) the staff nurse.
B) senior leadership.
C) the nurse manager.
D) the quality improvement committee.

Question 21

Jenny is an advanced practice nurse on the telemetry unit. How might Jenny's skills be used to contribute to a culture of evidence-based practice (select all that apply)?

A) She can facilitate meetings.
B) She can function as team leader.
C) She can assist with problem solving.
D) She can identify potential roadblocks.
E) She can increase her patient load.

Question 22

The CNO at Mercy Hospital is implementing a new evidence-based practice for fall prevention. List the steps in order she should take to advance stakeholders (both people and systems) through the process of diffusion.

A) Integrating and sustaining use
B) Creating awareness and interest
C) Promoting action and adaptation
D) Building knowledge and commitment

Question 23

The functions of staff nurses in a culture of evidence-based practice include (select all that apply):

A) functioning as change champions.
B) facilitating adoption of practice change.
C) facilitating use of research findings in practice.
D) overseeing the process and progress of projects as project director.
E) identifying important and clinically relevant topics to develop into evidence-based practice improvements.