Week 11 Review Flashcards
(7 cards)
In caring for patients, it’s important for the nurse to realize that evidence-informed decision making is which of the following?
a. the only valid source of knowledge that should be used
b. secondary to traditional or standard care knowledge
c. dependent on the patient values and expectations
d. not related to quality improvement studies
c. dependent on the patient values and expectations
The first step in evidence-informed practice is to ask a clinical question. In doing so, what does the nurse need to realize with regard to researching interventions?
a. the question is more important than its format
b. the question will lead the researcher to hundreds of articles that must be read
c. the question may be easier if its in a PICO format
d. the question may be more useful the more general it is
c. the question may be easier if its in a PICO format
The nurse is developing a PICO question related to sucrose administration before phlebotomy in infants. “Is the pain score lower in infants who are administered sucrose one minute before phlebotomy than in infants who do not receive sucrose at all? With a PICO question, P is the population of interest, I is the intervention of interest, C is the comparison of interest, and O is the outcome. Is this a true PICO question?
a. yes, because the outcome always comes before the intervention
b yes, regardless of placement of elements
c. no, because the comparison come after the intervention
d. no because the outcome come after the intervention
b yes, regardless of placement of elements
The nurse has used her PICO question to develop an evidence-informed change in protocol for a certain nursing procedure. However, to make these changes throughout the entire institution would require more support staff than is available at this time. What is the nurse’s best option?
a. drop the idea of making the change at this time
b. insist that management hire the needed staff to facilitate the change
c. seek employments in another institution that may have the staff needed
d. conduct a pilot study to develop evidence to support the change
d. conduct a pilot study to develop evidence to support the change
According to hospital policy, when starting an intravenous (IV) catheter, the nurse must first prepare the potential IV site with alcohol and dress it with a gauze dressing. The nurse has done a literature review and believes that evidence-informed practice dictates the use of a transparent dressing to prevent catheter dislodgement. What should the nurse do?
a. begin to use transparent dressing instead of gauze dressings
b. bring findings to the policy and procedure committee
c. use transparent dressings on half of half of her IV starts and gauze on the other
d. continue following hospital policy without saying anything
b. bring findings to the policy and procedure committee
When evaluating quality improvement (QI) programs in relation to evidence-informed decision making, what should the nurse note?
a. both are designed to improve performance
b. when implementing evidence-informed practice (EIP) projects, it is important to review QI data
c. EIP is not at all related to QI
d. evaluation of processes is the realm of performance improvement, not QI
b. when implementing evidence-informed practice (EIP) projects, it is important to review QI data
The quality improvement committee has been alerted to an increased number of falls in the hospital. Most of these falls have occurred at night and have involved patients who were trying to crawl over bed rails. A literature review revealed that most falls occur because patients are trying to go to the bathroom. the committee created a practice change that bed rails should be left in the down position, and hourly nursing rounds should be conducted. What is the committee’s next steps?
a. evaluate the changes in 1 month
b. wait a month before implementing the changes
c. implement the changes as a pilot study
d. communicate to staff the results of this inquiry
d. communicate to staff the results of this inquiry
