A nurse is looking for the best interventions for postoperative pain control. When are the facility's policies and procedures an appropriate source of evidence?
a. When policies are based on high-quality clinical practice guidelines
b. When evidence is derived from a valid and reliable quantitative research study
c. When procedures originated from opinions of the facility's chief surgeon
d. When evidence is founded on recommendations from experienced nurses
ANS: A
Facility policies and procedures can be used as evidence of specific nursing practice in the clinical setting if the policies are based on high-quality evidence. Clinical practice guidelines are based on systematic reviews, which provide the highest level of evidence. Policies based on quantitative research, opinions, and experience should not be used because they are not founded on evidence of the highest quality.
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