Efforts to increase nurses' use of evidence-based practice (EBP) ...

[geoffrey]

Efforts to increase nurses' use of evidence-based practice (EBP) to improve client care in the hospital have failed.
 
  Which answers are nurses likely to give when asked why this is occurring? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. I'm not interested in this program.
  2. I don't have time to finish everything I already have to do each shift.
  3. I don't want to practice nursing just like everyone else.
  4. The library at our hospital doesn't have many journals.
  5. If administration wanted us to use EBP, they would get us some more nurses to share the work.

Question 2

A decision-making process using a series of steps to make logical choices that maximizes the achievement of the objective is the:
 
  1. Political decision-making model.
  2. Experimentation process.
  3. Normative decision-making model.
  4. Trial-and-error method.

[JYan]

Answer to Question 1

2,3,4,5
Rationale 1: Lack of interest on the part of nurses is not a reason EBP is not used.
Rationale 2: Lack of time is a barrier to using EBP that is consistent across settings.
Rationale 3: The need for autonomy over the nurse's own practice can be a barrier to using EBP.
Rationale 4: Inability to find and assess evidence is a barrier to using EBP.
Rationale 5: Lack of support from administration is a barrier to using EBP.
Global Rationale:

Answer to Question 2

3
Explanation: 1. The normative decision-making model is a series of steps that managers take to make logical,
rational choices that maximize the achievement of successful outcomes. The premise of the
political decision-making model is that the power for decision making is held by individuals
who assume positions of power or authority. Experimentation involves the use of a pilot
project to test the effectiveness of a solution. The trial-and-error method is used by
inexperienced managers and involves the application of one solution after another to improve
a problem.