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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.
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To help staff nurses prepare for evidence-based practice, which strategy is NOT appropriate for the nurse manager to recommend?
- A. Establishing a journal club.
- B. Encouraging staff to join a professional association.
- C. Instituting mandatory writing assignments discussing a chosen best-practice article.
- D. Creating an incentive program for staff to pursue a specialty certification.
Correct Answer: C
Rationale: The correct answer is C: Instituting mandatory writing assignments discussing a chosen best-practice article. This is not an appropriate strategy for the nurse manager to recommend because mandating writing assignments may create resistance and decrease staff engagement. Instead, fostering a voluntary learning environment through options like journal clubs (A), professional association memberships (B), and incentive programs (D) can motivate staff to engage in evidence-based practice without imposing mandatory tasks. Encouraging autonomy and interest-driven learning is more effective than enforcing obligations.
A family is keeping vigil at a critically ill patient's bedside. The nurse speaks with the family members and asks if they would benefit from a chaplain visit or resources to aid with grief and coping. What role is the nurse assuming through this action?
- A. Follower
- B. Manager
- C. Laissez-faire
- D. Leader
Correct Answer: D
Rationale: The correct answer is D: Leader. By offering resources and support to the family during a difficult time, the nurse is taking on a leadership role. The nurse is demonstrating initiative, empathy, and guidance in providing options for additional assistance. This action shows the nurse's ability to take charge, make decisions, and support the family in coping with the situation.
A: Follower - Incorrect. The nurse is not following anyone's lead but rather taking charge and offering support.
B: Manager - Incorrect. While the nurse is managing care, the specific action of offering resources and support goes beyond typical managerial duties.
C: Laissez-faire - Incorrect. Laissez-faire implies a hands-off approach, which is not the case here as the nurse is actively engaging with the family.
E, F, G: No options provided.
Volunteers in a study are assigned randomly to groups. Some of the volunteers receive an herbal supplement that is reputed to control nausea, and some of the volunteers are assigned to a control group where a placebo is administered. This is an example of a(n):
- A. longitudinal study.
- B. appraisal tool.
- C. meta-analysis.
- D. RCT.
Correct Answer: D
Rationale: The correct answer is D: RCT (Randomized Controlled Trial). In this study design, volunteers are randomly assigned to groups to receive either the herbal supplement or a placebo, allowing for comparison of the effects. This random assignment helps minimize bias and ensures that any observed differences between the groups are likely due to the treatment. A longitudinal study (A) follows subjects over an extended period, which is not described here. An appraisal tool (B) is used to evaluate research quality, not a study design. Meta-analysis (C) involves combining results from multiple studies, not assigning treatments.
A nurse manager of a 20-bed medical unit finds that 80% of the patients are older adults. She is asked to assess and adapt the unit to better meet the unique needs of the older adult patient. Using complexity principles, what would be the best approach to take for implementation of this change?
- A. Involve affected staff in the decision-making process.
- B. Focus the assessment on the unit and do not consider the hospital as a whole.
- C. Create a mandatory policy to force workers to participate in problem-solving solutions.
- D. Select a management approach that does not change.
Correct Answer: A
Rationale: Correct Answer: A
Rationale: In complex systems like a medical unit, involving affected staff in decision-making is crucial as they have valuable insights and frontline experience. This participatory approach fosters ownership, engagement, and innovation. It allows for diverse perspectives to be considered, leading to more effective and sustainable solutions tailored to the specific needs of older adult patients. By involving staff, the nurse manager can leverage collective intelligence and build a culture of collaboration and continuous improvement.
Incorrect Choices Summary:
B: Focusing only on the unit overlooks the interconnectedness of systems within the hospital, potentially missing out on valuable resources and expertise.
C: Implementing a mandatory policy can create resistance, decrease morale, and inhibit creativity, leading to suboptimal outcomes.
D: Maintaining the status quo in a dynamic environment like healthcare is not conducive to adaptation and improvement, hindering the ability to meet the evolving needs of older adult patients.
Which of the following is most accurate regarding evidence-based practice?
- A. Evidence-based practice should focus solely on the advancement of the nursing profession, while prohibiting involvement of other healthcare disciplines.
- B. Evidence-based practice replaces continuous quality improvement.
- C. Evidence-based practice integrates the best research evidence with clinical expertise and the patient's unique values and circumstances in making care decisions.
- D. Evidence-based practice began with medicine and assists in determining which medical models can be applied in nursing practice.
Correct Answer: C
Rationale: The correct answer is C because evidence-based practice involves integrating research evidence, clinical expertise, and patient values to make informed care decisions. This approach ensures that patient care is individualized and based on the best available evidence. Choice A is incorrect as evidence-based practice encourages collaboration across healthcare disciplines. Choice B is incorrect as evidence-based practice complements continuous quality improvement efforts rather than replacing them. Choice D is incorrect as evidence-based practice is a separate entity from medicine and focuses on nursing-specific interventions.