Chapter 20- Ethical Considerations for Evidence Implementation and Evidence Generation

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

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Chapter 20- Ethical Considerations for Evidence Implementation and Evidence Generation

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1. The leadership of a large, tertiary care hospital is under pressure from various sources to implement both evidence-based practice (EBP) and quality improvement (QI). Which of the following statements most accurately conveys an aspect of these philosophies?
  A) EBP integrates patient preferences into clinical care decisions.
  B) QI allows for the expertise of clinicians to be taken into account.
  C) QI does not account for effects on patients who will be excluded from care.
  D) EBP is linked to better patient outcomes than QI.

 

 

2. Which of the following factors differentiates evidence-based practice (EBP) implementation from clinical research?
  A) Clinical research has more stringent ethical standards than EBP implementation.
  B) EBP implementation is often less generalizable than clinical research.
  C) The implementation of EBP creates new knowledge while clinical research confirms or disputes existing knowledge.
  D) EBP implementation takes place on a larger scale than clinical research.

 

 

3. A leadership team is planning an evidence-based practice (EBP) initiative that will address the policies and protocols around wound care. Which of the following developments in the implementation may be construed as unethical?
  A) Evidence-based treatments may be a benefit to some patients’ healing but exacerbate others.
  B) The implementation of evidence-based wound care may be impractical from a staffing perspective.
  C) The clinical practice guidelines that form the basis of the practice change may have been developed at a different site.
  D) Clinicians may find that existing routines around wound care are difficult to change.

 

 

4. Which of the following activities would most likely be categorized as evidence-based practice (EBP) implementation rather than clinical research?
  A) Testing the effectiveness of new composite dressing in promoting wound healing
  B) Assessing whether a school-based antismoking initiative reduces smoking rates among teenagers
  C) Determining the efficacy of an innovative antihypertensive medication in patients who do not respond to standard therapy
  D) Examining whether the introduction of a clinical practice guideline around falls prevention results in a reduction in falls

 

Answer Key

 

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

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