Deck 4: Evidence-Based Practice: Practical Challenges in the Implementation Process

Question 1

The nurse educator is explaining the concept of evidence-based practice to a group of nurses. Which information is included?

A) Evidence-based practice formulates clinical problems into general questions.
B) Evidence-based practice was created to resolve issues at the staff level.
C) Evidence-based practice locates and accesses trending research to resolve problems.
D) Evidence-based practice involves detailed critiquing of evidence materials.

Answer 1

D
Explanation: Evidence-based practice occurs at all levels and aims to seek out the best, and most effective means of practice. The search for evidence-based practice involves a detailed critique of evidence materials.

Question 2

What implementations can the nurse educator take to encourage a sense of shared ownership of evidence-based practice?

A) Encourage each participant to perform individual research.
B) Instruct all nurses to report when others do not follow protocol.
C) Ask all staff members to disregard their previous understandings of evidence-based practice.
D) Ask each team member to state what evidence-based practice means to them.

Answer 2

D
Explanation: In order to create a sense of shared ownership, the nurse could encourage staff members to state what evidence-based practice means to them.

Question 3

What action should the nurse educator take to encourage the evidence-based practice team to stay motivated and committed?

A) Identify deficits and needs early on.
B) Discourage low performing staff from joining the group.
C) Encourage independent research at home.
D) Encourage staff to work through burnout.

Answer 3

A
Explanation: Identifying deficits and needs early on, allows the nurse educator to provide resources and education, before the group is affected negatively.

Question 4

What potential risk in clinical practice does the nurse educator prepare for when presenting evidence-based practice?

A) Resistance to change.
B) A change in the evidence-based practice.
C) Failure of the delivery of education.
D) Staff burnout due to change.

Question 5

How can the nurse educator implement change in order to prevent staff frustration?

A) Implement slow, sporadic change.
B) Refrain from implementing change more than a few times a year.
C) Implement change that staff is comfortable with.
D) Limit staff input on what change is needed.

Question 6

What key items should the nurse consider during planning, implementation, and evaluation of evidence-based practice?

A) Selection of a general population group.
B) Create a rough vision of the outcome.
C) Put a set plan into place.
D) Carefully consider achievability of the outcomes.

Question 7

The nurse educator is using the Stetler Model. Which action would the educator take in the preparation phase?

A) Critiquing the material.
B) Providing a synopsis of the material.
C) An in-depth literature search.
D) Comparative evaluation of the literature.

Question 8

The nurse is implementing the Iowa Model. What does the nurse implement?

A) Questioning general aspects of practice.
B) Use of clinical-focused prompts.
C) Recommendations are compared to current practice.
D) Change related to the findings, for a short period of time.

Question 9

What action does the nurse take in phase four of the Stetler model?

A) Interpretation of the findings.
B) Initiation of research.
C) Assessment of the implementation process.
D) Synthesis of findings.

Question 10

What action does the nurse take during phase two of the Stetler Model?

A) Discuss options for research.
B) Translate findings.
C) Create an implementation plan based on finding.
D) Initiate systematic review.