The administrators of a long-term care facility are considered ...

[FButt]

The administrators of a long-term care facility are considered the use of specialized, pressure-reducing mattresses in order to reduce the incidence of pressure ulcers among residents.
 
  They have sought input from the nurses on the unit, all of whom are aware of the
  need to implement the principles of evidence-based practice (EBP) in this decision. Which of
  the following evidence sources should the nurses prioritize?
 
  A) A qualitative study that explores the experience of living with a pressure ulcer
  B) A case study that describes the measures that nurses on a geriatric unit took to reduce
  pressure ulcers among patients
  C) Testimonials from experienced clinicians about the effectiveness of the mattress in question
  D) A randomized controlled trial that compared the pressure-reducing mattress with standard
  mattresses

Question 2

Hospital administrators are applying the principles of evidence-based practice (EBP) in their attempt to ascertain the most efficient and effective way to communicate
 
  between nurses who
  are on different units, a project that will consider many types of evidence. Which of the
  following information sources should the administrators prioritize?
 
  A) A systematic review about communication in nursing contexts
  B) Nurses' ideas about communication methods
  C) The results of a chart review
  D) The hospital's accreditation status

[AaaA]

Answer to Question 1

Ans: D
The most reliable evidence is considered RCTs. Qualitative studies, case studies,
and expert opinion are low on the hierarchy of evidence.

Answer to Question 2

Ans: A
Systematic reviews are assigned a high value in EBP. Reviews would be prioritized
over nurses' ideas or a chart review, though both are potential considerations. The hospital's
accreditation status is not a relevant consideration.