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