Author Question: A public health nurse (PHN) would like to incorporate evidence-based practice into the clinical ... (Read 46 times)

Pea0909berry · **on:** Jul 8, 2018

A public health nurse (PHN) would like to incorporate evidence-based practice into the clinical practice at the health department. According to Melnyk and Fineout-Overholt et al., which of the following steps should the nurse take first?

a. Integrating the evidence with clinical ex-pertise
b. Cultivating a spirit of inquiry
c. Asking clinical questions
d. Searching for the best evidence

Question 2

A nurse providing care in the 1970s follows a process when making clinical decisions. Which of the following processes would have been used?

a. Evidence-based nursing practice
b. The science of medicine
c. Evidence-based medicine
d. Research utilization

jgranad15 · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

ANS: B
According to Melnyk and Fineout-Overholt et al., the first step is step 0: Cultivating a spirit of inquiry. Integrating evidence with clinical expertise is step 4. Asking clinical questions is step 1. Searching for the best evidence is step 2.

Answer to Question 2

ANS: D
Research utilization projects in the 1970s provided a guide to clinical practice. The term evi-dence-based was not used until 1992, and was first applied to medicine before it was used in nursing. There was a growing consensus in the 1970s among nursing leaders that scientific knowledge should be used as a basis for nursing practice, so there was a shift away from the practice of medicine.