Nokea
A strategic goal for nursing in the facility developed by the chief nursing officer is to implement an evidence-based practice program. What is an appropriate strategy that can be used by a nurse manager who is beginning to implement an evidence-based practice program on the unit?
- A. Identifying patients with extended lengths of stay.
- B. Reviewing specialty organization guidelines.
- C. Conducting a review of adverse events and incident reports.
- D. Soliciting input from staff members.
Correct Answer: B
Rationale: The correct answer is B: Reviewing specialty organization guidelines. This strategy is appropriate because specialty organization guidelines provide evidence-based practices that are tailored to specific areas of nursing. By reviewing these guidelines, the nurse manager can ensure that the practices being implemented on the unit are evidence-based and aligned with industry standards.
A: Identifying patients with extended lengths of stay is not directly related to implementing an evidence-based practice program.
C: Conducting a review of adverse events and incident reports is important for quality improvement but may not directly contribute to implementing an evidence-based practice program.
D: Soliciting input from staff members is valuable for engagement and buy-in, but it alone may not ensure that evidence-based practices are being implemented on the unit.
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The chief nursing officer at a local hospital seeking Magnet® status creates staff development classes concerning translation of research into practice (TRIP). What best describes TRIP?
- A. Searching the literature for a systematic review.
- B. Applying strategies that aid in adoption of research in practice.
- C. Providing the results of research studies to practitioners.
- D. Conducting an integrative review of the literature.
Correct Answer: B
Rationale: The correct answer is B: Applying strategies that aid in adoption of research in practice. This best describes TRIP because it involves implementing evidence-based research findings into clinical practice. It focuses on bridging the gap between research and practice by promoting the utilization of research findings to improve patient outcomes.
A: Searching the literature for a systematic review is a step in the research process but not specifically related to TRIP.
C: Providing the results of research studies to practitioners is important but does not encompass the full process of translating research into practice.
D: Conducting an integrative review of the literature is a research method but not directly related to implementing research into practice.
A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?
- A. Review the events leading up to each medication administration error.
- B. Require staff nurses to demonstrate competency by passing a medication administration examination.
- C. Develop a quality improvement program for nurses involved in medication administration errors.
- D. Provide an inservice on medication administration to all the nurses.
Correct Answer: A
Rationale: The correct answer is A: Review the events leading up to each medication administration error. This is the first strategy the committee should initiate because it helps identify root causes of errors. By conducting a thorough review of the events leading up to each error, the committee can identify systemic issues, communication breakdowns, and other factors contributing to errors. This information is crucial for developing targeted interventions to prevent future errors.
Choice B is incorrect because competency testing alone may not address underlying system issues leading to errors. Choice C is incorrect because focusing solely on nurses involved in errors may overlook broader system issues. Choice D, providing an inservice, is also not as effective as reviewing events leading to errors, as it may not address specific causes of errors.
A nurse manager has recently become aware of a conflict between the pharmacy and the staff nurses regarding sending and receiving medications. Which of the following actions should the nurse take first to resolve the conflict?
- A. Evaluate the results.
- B. Identify the problem.
- C. Brainstorm solutions.
- D. Implement a resolution.
Correct Answer: B
Rationale: The correct answer is B: Identify the problem. The first step in resolving any conflict is to understand the root cause. By identifying the problem between the pharmacy and staff nurses, the nurse manager can gain insight into the specific issues causing the conflict. This step allows for a targeted and strategic approach to finding solutions. Evaluating results (A) comes after implementing a resolution, brainstorming solutions (C) is premature without a clear understanding of the problem, and implementing a resolution (D) should only occur once the problem has been fully identified and a plan developed.
Mary is a newly-hired, new graduate nurse. Mary adapts her practice to imitate her co-workers on the unit. She is demonstrating:
- A. cultural awareness.
- B. cultural sensitivity.
- C. acculturation.
- D. cultural marginality.
Correct Answer: C
Rationale: Mary is demonstrating acculturation by adapting her practice to imitate her co-workers. Acculturation involves adopting the cultural norms and behaviors of a dominant group. In this scenario, Mary is assimilating into the culture of her workplace. Cultural awareness (A) is about understanding and respecting different cultures. Cultural sensitivity (B) is being aware of and respectful towards different cultures. Cultural marginality (D) refers to feeling disconnected from one's own culture and the dominant culture. In this case, Mary is actively assimilating, not feeling disconnected. Therefore, the correct answer is C.
Which of the following is an effective approach in the appraisal of research studies?
- A. Evaluate the quality of the research against the standards for that type of research.
- B. Select only studies with a sample size of at least 100 people.
- C. Discard systematic reviews and meta-analyses since they are the weakest form of evidence.
- D. Accept only studies that use a randomized controlled trial design.
Correct Answer: A
Rationale: The correct answer is A: Evaluate the quality of the research against the standards for that type of research. This approach is effective because it considers the specific criteria and guidelines relevant to the particular type of research being appraised. By assessing the research against established standards, one can determine the rigor, validity, and reliability of the study. This method ensures that the evaluation process is objective and systematic, leading to a more accurate assessment of the research's quality.
Summary:
B: Selecting studies based solely on sample size is not a comprehensive approach as other factors also influence research quality.
C: Discarding systematic reviews and meta-analyses is incorrect as they provide valuable synthesized evidence.
D: Accepting only randomized controlled trials may limit the scope of research appraisal, excluding other valid study designs.