Author Question: Evidence-based practice is based on three things. On what would a nurse base practice in a new area ... (Read 120 times)

jayhills49 · **on:** Jul 8, 2018

Evidence-based practice is based on three things. On what would a nurse base practice in a new area of nursing if there is yet no research evidence? (Select all that apply.)

a. Nursing theory
b. The nurse's own clinical expertise
c. Client values and needs
d. Evidence in parallel, related fields
e. Past documentation in the medical record

Question 2

Which of the following statements about the Stetler model of research utilization are true? (Select all that apply.)

a. Its goal is to assure that research it utilized.
b. It is a framework.
c. It facilitates synthesis of research knowledge.
d. It is used to update hospital policies.
e. In its validation phase, scientific soundness is assessed.
f. It provides a step-by-step way to assess and evaluate research findings.

FergA · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

ANS: B, C, D
Evidence-based practice is the conscientious integration of best research evidence with clinical expertise and patient values and needs in the delivery of quality, cost-effective health care. Best research evidence is produced by the conduct and synthesis of a number of high-quality studies in a selected health-related area.

Answer to Question 2

ANS: B, C, D, E, F
The Stetler (2001) model provides a comprehensive framework to enhance the use of research findings by nurses to facilitate an evidence-based practice. The use of research findings can be at the institutional or individual level. The five stages of the Stetler model are preparation, validation, comparative evaluation/decision making, translation/application, and evaluation. It is used to synthesize research knowledge, but it does this in a step-by-step way, evaluating each study on its own merits. Ultimately, its use is practice-based.