In developing an evidence-based practice, who should the nurse ...

[urbanoutfitters]

In developing an evidence-based practice, who should the nurse include in any plans to implement a new guideline?
 
  a. CEO of the facility because support from the top is always needed for change to be successful
  b. Patients because they must live with the treatment
  c. Physicians who may admit patients to the unit where the new practice will be instituted
  d. Researchers who provide the evidence

Question 2

Developing evidence-based guidelines involves which of the following?
 
  a. Meta-analyses of a topic of interest
  b. Panels of experts sharing their opinions on best practices
  c. Quasi-experimental studies
  d. Rigorous experimental studies

[sokh]

Answer to Question 1

ANS: C
Without physician endorsement, changes in protocol are difficult to implement.
Although support of higher administration is necessary, it is not the CEO who becomes involved in each patient care policy decision.
Patients may be involved in planning for their own care, but are not involved in a change of routine. Without physician endorsement, changes in protocol are difficult to implement.
The original researchers do not need to become involved in each instance of implementation.

Answer to Question 2

ANS: A
The strongest research evidence is synthesized to develop recommendations for practice. Often consultants, other researchers, and additional expert clinicians are asked to review the guidelines as well.
Although panels of experts may be asked to review the guidelines, the use of meta-analyses provides the strongest research evidence.
Quasi-experimental studies, along with other studies, are included in meta-analyses to provide the strongest research evidence.
Rigorous experimental studies are analyzed together in meta-analyses to provide the strongest research evidence.

[urbanoutfitters]

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[sokh]

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