Chapter 14- Teaching Evidence-Based Practice in Clinical Settings

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

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Chapter 14- Teaching Evidence-Based Practice in Clinical Settings

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1. On a busy postsurgical care unit, many patients have undergone bowel surgery and are faced with the prospect of caring for a new permanent or temporary ostomy. Traditionally, preoperative and predischarge teaching has been minimal and sporadic, with high levels of patient anxiety evident. An initiative for implementing evidence-based practice around patient education ideally should originate with which of the following people or groups?
  A) The nurses who provide care on the postsurgical unit
  B) The medical team who perform colectomies and bowel resections
  C) The leadership who oversee the care and organization of the hospital’s surgical program
  D) Patient and family groups who have experienced bowel surgery in the past

 

 

2. A nurse educator who works in a postpartum obstetrical unit wishes to introduce an evidence-based algorithm for the nursing management of breastfeeding challenges. How can the educator best create a desire among nurses for a change in practice?
  A) Create incentives for nurses for complying with a change in practice
  B) Evenly distribute the workload required for implementing the change among the nursing staff
  C) Demonstrate how a similar change has improved outcomes in other hospitals
  D) Link the change to the mandates released by regulatory agencies

 

 

3. Assessment of the characteristics and practices of the nurses at a large, university hospital reveals that numerous barriers to the implementation of evidence-based practice exist. On which of the following barriers should the nurse educators focus their efforts in an attempt to integrate evidence with patient care at the hospital?
  A) The majority of nurses graduated from nursing school more than 10 years ago.
  B) Most nurses cannot demonstrate the ability to search a bibliographic database.
  C) The average age of nurses at the hospital is 49 years.
  D) Nurses must care for an increasing number of patients per shift.

 

 

4. Traditional practice has proven resilient at a county hospital, and efforts to implement the evidence-based practice (EBP) paradigm have been met with significant resistance from nurses. What is the most significant disadvantage of basing nursing practice on tradition?
  A) It denies the individuality of patients.
  B) It is a less efficient use of time and resources than EBP.
  C) It promotes intellectual stagnation on the part of nurses.
  D) It does not guarantee predictable outcomes.

 

Answer Key

 

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

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