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. Avoiding: Avoiding conflict would involve not addressing the issue or avoiding the conversation, which is not the case here.
B. Compromising: Compromising involves making mutual concessions to reach a solution that is acceptable to both parties, which is demonstrated by the charge nurse agreeing to cover the nurse’s patients in exchange for help with the drug count.
C. Cooperating: Cooperating would involve working together to solve the problem, but without a clear exchange or compromise, which does not fully describe this situation.
D. Competing: Competing involves a win-lose approach, where one party’s needs are met at the expense of the other’s, which does not apply here as both parties are making concessions.
Correct Answer is A
Explanation
A. Involve affected staff in the decision-making process: Involving staff in decision-making aligns with complexity principles, which emphasize collaboration and the consideration of multiple perspectives to address complex issues effectively.
B. Focus the assessment on the unit and do not consider the hospital as a whole: Ignoring broader organizational factors may limit the effectiveness of adaptations and does not fully consider the complexity of the hospital environment.
C. Create a mandatory policy to force workers to participate in problem-solving solutions: Mandating participation without engagement may lead to resistance and does not align with complexity principles that value collaboration and buy-in.
D. Select a management approach that does not change: Maintaining the status quo may fail to address the unique needs of older adults and does not reflect the adaptive nature of complexity principles.
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