The nurse is determining the best internal evidence to use when ...

[darbym82]

The nurse is determining the best internal evidence to use when planning evidence-based interventions for a patient's care. What should the nurse take into consideration when making this determination?
 
  1. Opinions of authorities and reports of expert committees
  2. Systematic reviews of descriptive and qualitative studies
  3. Systematic reviews or meta-analyses of randomized controlled trials
  4. Comparison of patient assessment and evaluation with quality improvement and outcome evaluations

Question 2

The nurse is planning to use evidence-based practice to plan a patient's care. What actions should the nurse include when using this approach?
 
  Select all that apply.
 
  1. Review internal evidence
  2. Identify external evidence
  3. Discuss patient preferences
  4. Consider individual expertise
  5. Analyze costs associated with care

[aham8f]

Answer to Question 1

Correct Answer: 4

Internal evidence is the incorporation of patient assessments and evaluations with quality improvement and outcomes evaluations. Opinions of authorities and reports of expert committees, systematic reviews of descriptive and qualitative studies, and systematic reviews or meta-analyses of randomized controlled trials are various levels of external evidence.

Answer to Question 2

Correct Answer: 1, 2, 3, 4

EBP has been described as a problem-solving approach for clinical practice that includes the three foundational legs of external evidence, clinical expertise and internal evidence, and patient preferences and values. Analysis of the costs for care is not a part of the evidence-based practice process.