Author Question: Strategies for building a strong organizational context of evidence-based practice include (select ... (Read 73 times)

cnetterville · **on:** Jul 7, 2018

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 evi-dence-based practice.
c. formal recognition from high-level orga-nizational leaders for successes.
d. incorporating education about the evi-dence-based practice in orientation for new hires.
e. incorporating evidence-based practice into organizational policies and procedures.

Question 2

An elderly client becomes confused after surgery. He is in a room farthest away from the nurse's station. The client has been trying to get out of bed several times during the shift. The nurse documents this very well.

The client falls out of bed and breaks his hip. Who can possibly be held negligent (select all that apply)? a. Client's wife
b. Nurse manager
c. Pharmacist
d. Staff RN

eliasc0401 · **Reply #1 on:** Jul 7, 2018

Answer to Question 1

B, C, D, E
When working to sustain evidence-based practice, strategies are needed to hardwire the work into the organizational system. One strategy to promote integration of an evidence-based practice is to incorporate the evidence-based practice into organizational policies and procedures. Linking quality improvement and evidence-based practice is another strategy for building a strong orga-nizational context. Successes need to be rewarded along the way. Celebrations help build a cul-ture that supports and expects the use of evidence in practice. Rewards should include formal recognition from high-level organizational leaders, visibility for the team and project champions, accessibility to practitioners within the organization, and a clear articulation of the benefits of evidence-based practice.

Answer to Question 2

B, D
It is possible that the nurse and nurse manager could be held negligent. The nurse could be held negligent for not moving the patient closer to the nurse's station, calling the physician or nurse practitioner for medications or change in medications, or obtaining an order for a vest restraint. The nurse manager may be held negligent because of 24-hour accountability for the care of pa-tients on his or her unit and possible lack of supervision.