A healthcare facility has made use of EBP part of their mission. The vice-president in charge of nursing is meeting with nurse managers to discuss ways to offer EBP training for nurses. Which statement reflects best understanding of how to accomplish this task?
1. "We will ask nurses to come into work 30 minutes early once a week for a short educational presentation. This process may take several weeks to complete."
2. "Nurses will be assigned to an education day on a rotating basis. This day will be during the nurse's regular work schedule and coverage will be provided for their patient care assignment."
3. "Ask the nurses to plan on staying 30 minutes after their shifts are completed so that we can start the education process. I think it will take about a week to complete the process."
4. "A presentation will be produced and placed on the hospital intranet. Have nurses plan on watching this and reviewing the written information provided when they have a few minutes during the day. It will also be available for review from home."
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Rationale 1: Having nurses commit to coming in early once a week for several weeks is not the best plan. Nurses may resent this imposition on their personal time which may make them less likely to appreciate the information presented.
Rationale 2: Scheduling education at a time the nurses would have been working and allowing them to concentrate on the presentation by providing shift coverage is the best way to encourage participation by the nurse.
Rationale 3: Scheduling education after a shift ends is problematic. Nurses are tired, may be late attending the session if patient care demands are present, and may have pressing family issues that are time sensitive.
Rationale 4: Asking the nurse to squeeze an educational session into the shift is problematic as the nurse's primary focus is on care of the patient. Nurses may resent being asked to add this session to their already busy day or to look at the presentation on their own time. Nurses who are resentful may discount the importance of the material presented.
Global Rationale:
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An ED nurse is assessing an adult woman for a suspected MI. When planning the assessment, the nurse should be cognizant of what signs and symptoms of MI that are particularly common in female patients? Select all that apply
A) Shortness of breath B) Chest pain C) Anxiety D) Numbness E) Weakness
A patient presents at the walk-in clinic complaining of stomach pain that is relieved by eating. The nurse suspects an ulcer. How would the nurse explain the acid in the stomach to the patient?
A) Hydrochloric acid is secreted by glands in the stomach in response to the presence or anticipated ingestion of food. B) As the stomach digests food it turns part of the digested food into acid. C) Our body makes hydrochloric acid for the digestion of the food we eat. D) Acid is secreted by cells in the first part of the small intestine, and when we eat, the acid flows into the stomach.
A male patient is diagnosed with mitochondrial encephalopathy. The patient's daughter asks, "Since this is a genetic disorder, am I at risk for having it too?" Select the nurse's best response
a. "Your risk is related to exposure to environmental toxins." b. "No, this problem is only passed on by the mother." c. "You must be feeling very worried." d. "Your risk is not predictable."