Answer to Question 1
Correct Answer: 3, 2, 4, 1
Research on the process of adoption of research-based innovations has used the theory of diffusion of innovation devised by Everett Rogers (2003). According to this theory, a nurse passes through four stages before adopting research-based ideas or practices: 1. Knowledge stage, when a nurse learns about an innovation; 2. Persuasion stage, when a nurse develops a positive or negative attitude about the innovation; 3. Decision stage, when a nurse determines whether to adopt or reject the innovation; and 4. Implementation stage, when the nurse uses the innovation regularly.
Answer to Question 2
Correct Answer: 1, 2, 4, 5
Always events is a relatively new term describing a positive behavior that helps to facilitate improved patient safety and better outcomes; it represents a positive approach toward patient safety. Examples include mandatory reading back of all verbal orders, posting actions to take when preparing medications, notifying health care providers of critical morning laboratory values by a specific time, and using a checklist to ensure critical information is shared during change of shift report. Identifying punitive steps in the event of client errors supports a culture of blame.