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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Related Questions
Correct Answer is B
Explanation
A. Allow LPNs and CNAs to perform tasks beyond their scope of practice: This approach can lead to legal and ethical issues, compromising patient safety and putting staff at risk for disciplinary action.
B. Establish a rewards program to recognize achievements of the staff: Implementing a rewards program acknowledges and values the hard work of the staff, boosting morale and job satisfaction, which can lead to decreased turnover rates.
C. Hire additional staff so individual workloads are lessened: While this can reduce stress and burnout, it might not directly address the need for recognition and motivation, which are crucial for job satisfaction.
D. Improve the working conditions of the unit by investing in ergonomic chairs: Enhancing physical work conditions is beneficial, but it does not address the core issues of motivation and recognition that significantly impact job satisfaction.
Correct Answer is A
Explanation
A. Evaluate the quality of the research against the standards for that type of research: Assessing research quality based on established standards ensures that the study's design, methodology, and findings are reliable and valid for its particular research type.
B. Select only studies with a sample size of at least 100 people: While sample size is important, it is not the sole determinant of a study's quality. Other factors like study design, methodology, and relevance also play crucial roles.
C. Discard systematic reviews and meta-analyses since they are the weakest form of evidence: Systematic reviews and meta-analyses are actually considered high levels of evidence as they synthesize data from multiple studies, providing comprehensive insights.
D. Accept only studies that use a randomized controlled trial design: While RCTs are a gold standard for certain types of research, other study designs are also valuable and appropriate depending on the research question and context.
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