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Author Question: A nurse is trying to decrease the rate of falls on the unit. After reviewing the literature, a ... (Read 51 times)

go.lag

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on: Jul 22, 2018
A nurse is trying to decrease the rate of falls on the unit. After reviewing the literature, a strategy is implemented on the unit. After 3 months, the nurse finds that the falls have decreased. Which process did the nurse institute?
 
  a. Performance improvement
  b. Peer-reviewed project
  c. Generalizability study
  d. Qualitative research

Question 2

After reviewing the literature, the evidence-based practice committee institutes a practice change that bedrails should be left in the down position and hourly nursing rounds should be conducted.
 
  The results indicate over a 40 reduction in falls. What is the committee's next step?
  a. Evaluate the changes in 1 month.
  b. Implement the changes as a pilot study.
  c. Wait a month before implementing the changes.
  d. Communicate to staff the results of this project.


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pratush dev

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Reply #1 on: Jul 22, 2018
Answer to Question 1

ANS: A
Performance improvement focuses on performance issues like falls or pressure ulcer incidence. A peer-reviewed article is reviewed for accuracy, validity, and rigor and approved for publication by experts before it is published. Generalizability is not a study/research; it is if the results of a study can be compared to other patients with similar experiences. This is a quantitative study, not a qualitative study.

Answer to Question 2

ANS: D
The last step of evidence-based practice (EBP) is to share the outcomes of EBP changes with others. Changes must be evaluated before the outcomes are shared. Once communicated, changes should be put in place as the committee deems reasonable (i.e., either hospital wide or as a pilot study). Waiting should not be an option unless the results are not to the committee's liking.


go.lag

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Reply #2 on: Jul 22, 2018
Both answers were spot on, thank you once again


pratush dev

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Reply #3 on: Jul 22, 2018
Great! Please up vote :D


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