Author Question: As a nurse who identifies a need for improvement in patient care, what would you do first to ... (Read 21 times)

809779 · **on:** Jul 8, 2018

As a nurse who identifies a need for improvement in patient care, what would you do first to establish a new evidence-based guideline for practice?

a. Conduct a thorough literature review.
b. Enlist the support of affiliating physicians.
c. Institute a research use project.
d. Write the National Guideline Clearinghouse for information.

Question 2

Which of the following would new BSN graduates do if they wanted to develop an evidence-based practice?

a. Review literature related to the types of patients they see each day.
b. Subscribe to a specialty nursing journal that describes theoretical-based clinical concepts.
c. Submit a grant proposal to try a new method of wound dressing.
d. Write a report in which practices are evidence based on their unit.

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

Answer to Question 1

ANS: A
Completing a literature review on the topic will provide information on possible guidelines already established and a broad baseline of previous scientific work on the topic.
Support from all health care personnel involved will be important, but is not a first step.
Without a literature review, it would be hard to implement a research use project.
It would be useful to go to the National Guideline Clearinghouse web site, but premature to write them.

Answer to Question 2

ANS: A
BSN graduates are prepared to become informed consumers of nursing research and evidence-based practice, so reviewing literature related to the types of patients they see each day is a prime method to assist BSN-prepared nurses to develop an evidence-based practice.
Subscribing to journals that describe relevant evidence-based research issues is a prime method to assist BSN-prepared nurses to develop an evidence-based practice.
Submitting grant proposals is the role of nurses with more education and experience.
Writing a report does not in and of itself demonstrate an evidence-based practice.