Chapter 11- Models to Guide Implementation of Evidence-Based Practice

Evidence Based Practice in Nursing & Healthcare A Guide to Best Practice 2nd Edition By  Bernadette Mazurek Melnyk

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Chapter 11- Models to Guide Implementation of Evidence-Based Practice

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

 

1. A nurse has praised the recent efforts on a medical unit to utilize research in an effort to improve the quality of nursing care of patients with dyspnea. The nurse educator on the unit, however, has characterized the initiative as an example of evidence-based practice rather than research utilization. This distinction suggests that
  A) the change was based on expert opinion rather than journal articles and textbooks.
  B) the effects of the practice change will be evaluated formally and the change will be revisited if outcomes are unsatisfactory.
  C) internal evidence was considered during the practice change.
  D) there was multidisciplinary input during the planning and implementation of the change.

 

 

2. Implementation of a new evidence-based practice guideline aimed at reducing urinary incontinence among hospitalized elders has proven difficult because of increased demands on nursing staff. Nurses on the unit state that the guideline requires them to spend more time and effort assessing for precursors to incontinence and toileting patients. Implementation of the practice guideline is being challenged by which of the following factors?
  A) Patient preferences and actions
  B) Patients’ clinical states
  C) Clinical expertise
  D) Healthcare resources

 

 

3. The nurses who provide care on an obstetrical unit of a busy, urban hospital have resolved to amend their practice around the facilitation of breastfeeding for preterm infants. The nurses will be utilizing the Stetler model and will, consequently, conduct a review of relevant studies they have located in which of the following phases of the model?
  A) Translation
  B) Preparation
  C) Validation
  D) Comparative evaluation

 

 

4. A nurse who is utilizing the Stetler model for the implementation of evidence-based practice would recognize that the model provides a method for conducting which of the following processes?
  A) Critical thinking
  B) Evaluation of individual research studies
  C) Dissemination of findings
  D) Interpreting clinical experiences

 

Answer Key

 

1. C
2. D
3. C
4. A

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