Strategies for building a strong organizational context of evidence-based practice include (select all that apply):
a. linking quality improvement and patient safety.
b. clear articulation of the benefits of evi-dence-based practice.
c. formal recognition from high-level orga-nizational leaders for successes.
d. incorporating education about the evi-dence-based practice in orientation for new hires.
e. incorporating evidence-based practice into organizational policies and procedures.
B, C, D, E
When working to sustain evidence-based practice, strategies are needed to hardwire the work into the organizational system. One strategy to promote integration of an evidence-based practice is to incorporate the evidence-based practice into organizational policies and procedures. Linking quality improvement and evidence-based practice is another strategy for building a strong orga-nizational context. Successes need to be rewarded along the way. Celebrations help build a cul-ture that supports and expects the use of evidence in practice. Rewards should include formal recognition from high-level organizational leaders, visibility for the team and project champions, accessibility to practitioners within the organization, and a clear articulation of the benefits of evidence-based practice.
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Which statement would be inappropriate for a manager to write on an employee's performance appraisal?
1. "The nurse's attitude positively affects coworkers." 2. "The nurse seeks learning experiences." 3. "The nurse is frequently tardy." 4. "The nurse is shy and quiet."
While volunteering at a local senior citizen center, a nurse is attempting to implement a tai chi program
The nurse is initially met by resistance from the participants, who ask, "How on earth will this help me?" Which of the following responses by the nurse will best address this response? A) "Studies have been shown that tai chi is beneficial to cardiorespiratory function, mental control, flexibility, and the immune system." B) "Studies have shown that tai chi will help reduce the levels of IgG and IgM in your circulatory system." C) "There is no research to show that tai chi has benefits for you, but just getting out and moving will help you." D) "Tai chi is the only type of exercise that will benefit the immune response in older people."
An important aspect of professionalism is collegiality. Which of the following demonstrates collegiality? (Select all that apply.)
a. Assisting a nurse researcher with data collection related to measuring stress levels in hospitalized children b. Reporting a nursing assistant to the nurse manager when heart rate was not recorded in a patient c. Participating in weekly patient care conferences with physicians, social workers, and other therapists d. Sharing with another nurse that you heard the nurse manager is dating the new physical therapist on the unit e. Serving as a preceptor to a nurse completing a refresher course to reactivate her nursing license.
The nurse notes that the QRS duration of a patient with a biventricular pacemaker is widening? What does this most likely indicate?
1. Worsening of the patient's underlying cardiomyopathy 2. Loss of ventricular capture 3. Loss of ventricular synchronization 4. Battery failure