The nurse manager wants to use evidence-based recommendations to prevent ventilator-associated pneumonia. After developing a spirit of inquiry and identifying a problem, what is the next step to effectively gather evidence for guiding practice (i.e., evidence-based inquiry)?
Integrate available evidence with unit expertise.
Develop the clinical question.
Appraise the evidence.
Identify the databases to be used.
The Correct Answer is B
A. Integrate available evidence with unit expertise: This step comes after gathering evidence and assessing its quality. It involves applying evidence in conjunction with clinical expertise.
B. Develop the clinical question: Formulating a clear, focused clinical question is crucial for guiding the search for relevant evidence and ensuring that the inquiry addresses specific aspects of the problem.
C. Appraise the evidence: This step is performed after collecting evidence to evaluate its quality and relevance, ensuring that the findings are reliable and applicable.
D. Identify the databases to be used: Identifying databases is part of the search process, but it follows the development of a clinical question to guide the search for relevant evidence.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","E"]
Explanation
A. Referring all errors in nursing judgment to state disciplinary boards: Nurse managers are responsible for addressing nursing errors appropriately within their organization and may involve disciplinary boards when necessary, but not all errors require such referral.
B. Verifying that attending physicians are properly licensed to provide care on patient care units: This responsibility typically falls under the purview of medical credentialing departments, not nurse managers.
C. Practicing within legal guidelines established under state law and nurse practice acts: Nurse managers must ensure their practice and that of their staff adheres to state laws and nurse practice acts to maintain legal and professional standards.
D. Creating an environment of severe consequences for nursing errors to ensure quality practice: A punitive approach can create a blame culture, which is counterproductive. A focus on education and system improvement is more effective.
E. Ensuring that nursing staff under their supervision are currently licensed to practice: Nurse managers are responsible for verifying that all nursing staff hold valid and current licenses to practice, ensuring compliance with regulatory requirements.
Correct Answer is A
Explanation
A. Depersonalization: Depersonalization involves feeling detached from one’s work and treating patients as objects rather than individuals, which matches Rama's behavior of ignoring patient requests and being rude.
B. Role ambiguity: Role ambiguity occurs when there is a lack of clarity about job responsibilities and expectations, which does not align with the described behaviors.
C. Depression: Depression involves persistent sadness and loss of interest in activities, which may not directly explain the specific behaviors of ignoring and being rude to patients.
D. Hardiness: Hardiness is a personality trait that involves resilience and the ability to endure stressful situations, which contrasts with Rama's negative behaviors.
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