A cardiac nurse wants to know about the best practices to prevent ...

[beccaep]

A cardiac nurse wants to know about the best practices to prevent pneumonia after open-heart surgery. In what order do the steps of the evidence-based practice (EBP) process take place?
 
  1. Asking burning clinical questions
  2. Making recommendations for practice improvement
  3. Implementing accepted recommendations
  4. Finding the very best evidence to try to answer those questions
  5. Evaluating outcomes
  6. Critically appraising and synthesizing the relevant evidence
  a.
  5, 1, 4, 6, 3, 2
  b.
  1, 5, 4, 3, 2, 6
  c.
  1, 4, 6, 2, 3, 5
  d.
  5, 2, 1, 4, 6, 3

Question 2

A research nurse meets with the nurse manager to discuss plans for the development of evidence-based practice (EBP) guidelines using the Reavy and Tavernier model. Which statement should the nurse include in the discussion?
 
  a. Our efforts should focus on forming a team to develop an EBP initiative.
  b. I will assist staff nurses with literature reviews and the synthesis of evidence.
  c. You should identify barriers to evidence-based implementation.
  d. I will develop a PICOT question and share it with the staff nurses.

[tjayeee]

Answer to Question 1

ANS: C
The process of EBP is systematic and includes the following steps: (1) asking burning clinical questions; (2) finding the very best evidence to try to answer those questions; (3) critically appraising and synthesizing the relevant evidence; (4) making recommendations for practice improvement; (5) implementing accepted recommendations; and (6) evaluating outcomes.

Answer to Question 2

ANS: B
The Reavy and Tavernier model views the staff nurse as the clinical expert and believes that the expertise of a nurse researcher should facilitate the EBP process by supporting nursing staff in identifying areas for improvement, assisting staff with literature reviews and synthesis of evidence, and helping with the implementation and evaluation of EBP projects. Team forming is a component of the Iowa model. Identification of strengths and barriers to EBP implementation is a component of the ARCC model. Staff nurses should identify their own PICOT questions from burning clinical questions.