Question 1

The public health nurse has noted a decrease in individuals with tuberculosis keeping their scheduled follow-up appointments, with some saying they did not think it was necessary. Which option should the nurse prioritize to develop a plan to encourage the individuals' compliance?

A)Search for EBP options that have been successful for others.
B)Formulate a research project to find an answer.
C)Follow the facilities' quality improvement guidelines.
D)Offer incentives for showing up for scheduled appointments.

Search for EBP options that have been successful for others.

Accepted Answer

Searching for an EBP option would be the most appropriate in this situation. The EBP method is a systematic approach to examining a clinical practice issue in a particular setting, comparing it to available evidence on effective strategies, and making a decision about piloting and evaluating a change in practice. A research project aims to generate new knowledge, advance the scientific foundations of healthcare, and disseminate new knowledge broadly. The primary goal of QI is to improve processes and outcomes in a local setting. System change, efficiencies, and elimination of waste are stressed in this approach. Offering an incentive might help some but would not be the priority option.

Question 2

One of the PhD nursing professors at the local university is preparing to conduct a research project with students. Which should be a primary focus in this process for all involved?&#10;A)Accuracy of data&#10;B)Quantity of participants&#10;C)Ensuring timeline is followed&#10;D)Ensuring informed consents are obtained

Accepted Answer

The priority will be the accuracy of the data collected. It will determine if the project is successful. It is important for the lead investigators to support those collecting the data and help them realize the importance of accurate information. The other choices can also influence the outcome; however, accuracy is the priority.

Question 3

An ambulatory care nurse has recently changed positions and is now providing care with a different healthcare organization. Which action should the nurse prioritize during this time of change?&#10;A)Learning the new organization's EHR program&#10;B)Incorporating the new procedures in care&#10;C)Ensuring all certifications are updated&#10;D)Completing a training course in telehealth

Accepted Answer

The odds are high that the new organization has a different EHR software program than what the nurse used at the previous organization. Although efforts are in place to encourage all EHRs to communicate and share individual information, it is still a process that has not completely been accomplished. EHR vendors are still being encouraged to reduce system propriety to allow sharing across institutions for fast, safe, and appropriate individual care. The other actions may or may not need to be addressed depending on the situation.

Question 4

A small team of APRNs is starting to advocate for the use of EBP within the ambulatory care facility. Which of the following can the nurses share to best encourage more staff and administration to join them? Select all that apply.

A)Leadership in guiding others
B)Education to ensure they understand
C)Time set aside to work on projects
D)Incentives given for joining
E)Advantages of completing the project

Accepted Answer

Some of the challenges facing ambulatory environments include time, lack of knowledge/confidence, lack of leadership support, and organizational culture. To help address these issues, the nurses should step up and provide the necessary leadership, education, and encourage time away from direct nursing care to conduct the research. The other actions might be taken in specific situations in addition to the correct choices, but are not priorities.

Question 5

The ambulatory care nurse is concerned that a proposed EBP project will not be successful due to its broad focus. Which factor should EBP projects prioritize?&#10;A)The individual's outcome&#10;B)A specific disease process&#10;C)Health challenges experienced by the individual&#10;D)Amount of data available

Accepted Answer

The EBP project should address the individual's outcomes, rather than research focused on a specific disease or health challenge. The total amount of data will not be known until after the research is completed.

Deck 5: Research, Evidence-Based Practice, and Quality Improvement