Which activity by the nurse best describes the adoption of evidence-based practice in the delivery of client care?
Postanesthesia, the client's first dose of a narcotic is halved to maintain respiratory effort.
Dependent clients on a medical unit are bathed every other day instead of daily by the staff.
Certain antimicrobials were discarded after being linked to increased nosocomial infection rates.
Vital signs are recorded every shift on stable clients per current hospital-wide policy.
The Correct Answer is C
A. While halving the first dose of a narcotic may be a clinical decision, it does not necessarily reflect the adoption of evidence-based practice unless supported by research or clinical guidelines.
B. Adjusting bathing frequency for dependent clients may be a clinical decision, but it does not necessarily reflect the adoption of evidence-based practice unless supported by research or clinical guidelines.
C. Discarding certain antimicrobials after being linked to increased nosocomial infection rates demonstrates the adoption of evidence-based practice as it involves making clinical decisions based on evidence from research that identified a link between certain antimicrobials and increased infection rates.
D. Recording vital signs every shift on stable clients per hospital-wide policy may be a standard practice, but it does not necessarily reflect the adoption of evidence-based practice unless supported by evidence from research or clinical guidelines.
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Related Questions
Correct Answer is A
Explanation
A. The practice is based on evidence from multi-institutional studies, making it evidence-based.
B. While the process may align with standards, the driving force behind it is evidence.
C. While the process may lead to improved outcomes, the description does not explicitly focus on outcomes.
D. While there may be theoretical underpinnings to the practice, the primary justification provided is evidence from research studies.
Correct Answer is C, B, D, A
Explanation
C. Writing a detailed research proposal is the first step as it outlines the study's objectives, methodology, and significance, providing a clear plan for the research process.
B. Seeking approval from an IRB is essential before any data collection begins, ensuring that the study meets ethical standards and protects participant rights.
D. Once IRB approval is obtained, participants should sign an informed consent form, which informs them of their rights and the nature of the study, ensuring that they agree to participate voluntarily.
A. Finally, administering the questionnaire to the sample is the last step after all the preparatory and ethical considerations have been addressed, allowing for the collection of data.
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