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Call to action: How to implement evidence-based nursing practice

doi: 10.1097/01.NURSE.0000515479.01058.98
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INSTRUCTIONS Call to action: How to implement evidence-based nursing practice

TEST INSTRUCTIONS

  • To take the test online, go to our secure website at www.nursingcenter.com/ce/nursing.
  • On the print form, record your answers in the test answer section of the CE enrollment form on page 44. Each question has only one correct answer. You may make copies of these forms.
  • Complete the registration information and course evaluation. Mail the completed form and registration fee of $12.95 to: Lippincott Williams & Wilkins, CE Group, 74 Brick Blvd., Bldg. 4, Suite 206, Brick, NJ 08723. We will mail your certificate in 4 to 6 weeks. For faster service, include a fax number and we will fax your certificate within 2 business days of receiving your enrollment form.
  • You will receive your CE certificate of earned contact hours and an answer key to review your results.
  • Registration deadline is April 30, 2019.
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  • Send two or more tests in any nursing journal published by Lippincott Williams & Wilkins together by mail, and deduct $0.95 from the price of each test.
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PROVIDER ACCREDITATION

Lippincott Williams & Wilkins, publisher of Nursing2017 journal, will award 1.0 contact hour for this continuing nursing education activity.

Lippincott Williams & Wilkins is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

Lippincott Williams & Wilkins is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida CE Broker #50-1223. This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 1.0 contact hour.

Your certificate is valid in all states.

Call to action: How to implement evidence-based nursing practice

PURPOSE: To provide information about integrating evidence-based practice (EBP) into daily nursing practice. LEARNING OBJECTIVES/OUTCOMES: After completing this continuing-education activity, you should be able to: 1. Identify the current state of EBP in nursing. 2. Describe various sources of evidence. 3. Describe a stepwise process for implementing EBP into nursing practice.

  1. When was EBP fully incorporated into nursing curricula?
    1. 1997
    2. 2003
    3. 2012
  2. In decision-making, self-assessment mainly draws on
    1. instruction.
    2. tradition.
    3. reflection.
  3. Which of the following is a recommended source of evidence?
    1. traditions
    2. scientific databases
    3. rituals
  4. Incorporating the steps of the EBP process as a component of daily practice helps nurses meet the professional obligation identified in Provision 7.3 of the
    1. CMS rules and regulations.
    2. Joint Commission Patient Safety Goals.
    3. ANA Code of Ethics for Nurses.
  5. Which of the following is considered a major barrier to EBP use in daily nursing practice?
    1. time constraints
    2. poor communication
    3. inability to link EBP with profits
  6. Empirical evidence is gathered from
    1. knowledge of patient values.
    2. scientific research.
    3. individual experiences.
  7. Ethical evidence is gathered from
    1. knowledge of patient values.
    2. scientific research.
    3. individual experiences.
  8. Personal evidence is gathered from
    1. knowledge of patient values.
    2. scientific research.
    3. individual patient-care experiences.
  9. Which statement about aesthetic evidence is not accurate?
    1. It's based on the nurse's intuition.
    2. It comprises the science of nursing component.
    3. It addresses the nurse's perception of the patient's life circumstances.
  10. Which is the first step in the EBP process according to Sackett et al.?
    1. gather
    2. ask
    3. appraise
  11. Melnyk et recommend adding which of the following as Step 0 in the EBP process?
    1. create a supportive environment for questioning current practice
    2. disseminate research findings
    3. initiate weekly reminders of approaching deadlines
  12. When best outcomes aren't being achieved, which is the most effective clinical inquiry question to ask?
    1. What have we always done?
    2. What has my preceptor taught me?
    3. What else can be done?
  13. QI methods may be most useful in which step of the EBP process?
    1. ask
    2. act
    3. disseminate
  14. Which type of information may be the most difficult for nurses to understand and incorporate into everyday practice?
    1. ethical
    2. aesthetic
    3. empirical
  15. The PICO acronym is used during which phase of EBP?
    1. ask
    2. gather
    3. appraise
  16. In the act phase of the EBP process, which of the following may take place?
    1. Review all sources of information identified to understand the current body of knowledge.
    2. Compare outcomes of a QI project with the outcome identified in the PICO question.
    3. Explain to coworkers that current practice has been verified to support good outcomes.
  17. For evaluation of a QI or research project, it is best to
    1. create an instrument to evaluate results.
    2. use previously published reliable instruments.
    3. use both newly created and verified instruments.
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