A nurse manager seeks to enhance their unit’s use of evidence-based practice. Which of the following is an appropriate strategy for the nurse manager to consider?
Conducting a review of adverse events and incident reports.
Reviewing specialty organization guidelines.
Prohibiting anyone outside the nurse manager’s chosen team from participating in the planning process.
Requesting input from staff members.
The Correct Answer is D
Choice A Reason
Conducting a review of adverse events and incident reports is a valuable strategy for identifying areas of improvement and understanding the root causes of issues within the unit. However, this approach is more focused on quality improvement and risk management rather than directly enhancing the use of evidence-based practice. While it can provide insights into areas needing attention, it does not actively involve the staff in the process of integrating evidence-based practices.
Choice B Reason
Reviewing specialty organization guidelines is an important step in staying updated with the latest standards and recommendations in nursing practice. These guidelines are often based on the best available evidence and can serve as a foundation for implementing evidence-based practices. However, relying solely on guidelines without involving the staff in the decision-making process may not lead to successful implementation. Staff engagement is crucial for the practical application of these guidelines.
Choice C Reason
Prohibiting anyone outside the nurse manager’s chosen team from participating in the planning process is counterproductive. This approach limits the diversity of perspectives and ideas, which are essential for developing comprehensive and effective strategies. Inclusive planning processes that involve a wide range of staff members are more likely to result in successful implementation of evidence-based practices. Excluding others can lead to resistance and lack of buy-in from the broader team.
Choice D Reason
Requesting input from staff members is the most appropriate strategy for enhancing the use of evidence-based practice. Engaging the staff in the planning and implementation process fosters a sense of ownership and commitment to the changes being made. It allows for the incorporation of practical insights and experiences from those who are directly involved in patient care. This collaborative approach increases the likelihood of successful adoption and sustainability of evidence-based practices.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
I believe I am rightly following our agency’s scheduling policies. Could you elaborate on your concerns? This response demonstrates assertiveness by acknowledging the nurse’s concerns and inviting further discussion. It shows that the nurse manager is confident in their actions but is also open to understanding the staff nurse’s perspective. This approach fosters open communication and problem-solving, which are key components of effective leadership.
Choice B Reason:
Why do you think I am being unfair? Your emotions are clouding your judgment. This response is dismissive and confrontational. It invalidates the staff nurse’s feelings and implies that their concerns are not legitimate. Such a response can escalate the conflict and damage the working relationship between the nurse manager and the staff nurse.
Choice C Reason:
You shouldn’t make accusations or imply your own shortcomings too. This response is defensive and accusatory. It shifts the focus from the issue at hand to the staff nurse’s behavior, which is not constructive. Effective communication should address the concerns directly without making personal attacks.
Choice D Reason:
I’m sorry, I will try to be more fair from now on. While this response shows a willingness to change, it lacks assertiveness. It implies that the nurse manager agrees with the accusation of unfairness without seeking to understand the specific concerns. Assertiveness involves standing by one’s decisions while being open to feedback and discussion.
Correct Answer is D
Explanation
Choice A Reason:
Ms. P’s lunch tray is expected to be ready in 30 minutes. Before delivering her meal, please review with her the instructions provided by the diabetes educator earlier this morning and assist her in understanding how to manage her carbohydrate intake. Once you’ve completed this, please report back to me. This scenario involves patient education, which is beyond the scope of practice for unlicensed assistive personnel (UAP). According to the American Nurses Association (ANA), tasks that require specialized knowledge, judgment, and skills should not be delegated to UAP. Therefore, this scenario does not demonstrate appropriate delegation.
Choice B Reason:
Mr. O requires aid to use the restroom. I recognize that you’re new and might feel uneasy about this task, but the most effective way to learn is by giving it a try independently. After you’ve completed the task, please inform me of the outcome. While assisting a patient to use the restroom is within the scope of practice for UAP, the RN’s approach in this scenario lacks proper supervision and support. Effective delegation involves providing clear instructions, ensuring the delegatee is competent, and offering necessary supervision. This scenario does not fully meet these criteria.
Choice C Reason:
Mr. P has just called, reporting dizziness. Please attend to him promptly, assess his pulse, and if you suspect hypoglycemia, provide apple juice and then check his blood sugar. Afterward, please report your findings to me. This scenario involves assessment and clinical judgment, which are responsibilities of licensed nurses. UAP should not be tasked with assessing patients or making clinical decisions, as these require professional nursing knowledge and skills. Therefore, this scenario does not demonstrate appropriate delegation.
Choice D Reason:
Ms. O in Room 17 has completed her shower and requires assistance to return to bed. Please assist her promptly and ensure you bring her cane before you help her walk. After you’ve aided her back to bed, please inform me so I can evaluate her condition. This scenario is the best example of appropriate delegation. Assisting a patient with mobility and ensuring their safety by providing a cane are tasks within the scope of practice for UAP. The RN provides clear instructions and follows up to evaluate the patient’s condition, demonstrating effective delegation.
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