Nurses use the new information in their practice. In the process ...

[saliriagwu]

Nurses use the new information in their practice. In the process of implementing EBP, the nurse: (Select all that apply.)
 
  a. develops clinical questions.
  b. creates workshops and in-services.
  c. seek answers to support the clinical decision.
  d. applies finding to patients.
  e. publishes a bulletin.

Question 2

Barriers to the use of evidence-based practice (EBP) include: (Select all that apply.)
 
  a. nurses critiquing research.
  b. difficulty communicating how to conduct EBP.
  c. the copious amount of literature available.
  d. the short time between research and practice.
  e. the reluctance of organizations to fund research.

[mk6555]

Answer to Question 1

ANS: A, C, D
Workshops and in-service or focused training may be necessary if the plan involves a comprehensive change in care or it affects the entire health care agency or community. A bulletin can be provided that lists several safe practice concerns with rationales in the form of a safe practice alert. The fifth phase in the EBP process requires implementation of the change by applying the evidence. Nurses use the new information in their practice. In the process of implementing EBP, the nurse develops a clinical question, seeks answers to verify and support a clinical decision, and ultimately applies the findings to patients.

Answer to Question 2

ANS: B, C, E
To adequately integrate EBP into patient care, nurses must critique research to differentiate between opinion and evidence and must regularly read current professional journals. Some barriers are common to research use and EBP, including the difficulty of communicating how to conduct EBP and the individual nurse's skills in determining the quality of research available for review. Another limitation is the reluctance of organizations to fund research and subsequently make potentially costly practice changes based on the best evidence. Because of the copious amount of literature on a specific topic, it is difficult to analyze the literature in an efficient and effective manner. Health care literature with clinically applicable findings is published at a rate that is impossible for individual health care professionals to keep up with. There are delays of approximately 17 years for implementation of clinical research into practice.

[saliriagwu]

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