On a busy postsurgical care unit, many patients have undergone bowel surgery and are faced with the prospect of caring for a new permanent or temporary ostomy.
Traditionally, preoperative and predischarge teaching has been minimal and sporadic, with high levels of patient anxiety evident. An initiative for implementing evidence-based practice around patient education ideally should originate with which of the following people or groups?
A) The nurses who provide care on the postsurgical unit
B) The medical team who perform colectomies and bowel resections
C) The leadership who oversee the care and organization of the hospital's surgical program
D) Patient and family groups who have experienced bowel surgery in the past
Question 2
A nurse has recognized the need to change the practice on an obstetrical unit so that more women choose to breastfeed their babies after discharge.
Which of the following factors is most important in determining the success or failure of the subsequent evidence-based practice change?
A) The positive effects of breastfeeding in neonatal health and development
B) The strength and specificity of the nurse's vision for change
C) The depth and breadth of the nurse's experience base
D) The credibility that the nurse holds on the unit
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