A patient has not responded to an intervention with the desired outcome. Which nursing action is the best example of using evidence-based practice to solve this problem?
1. Apply the intervention again.
2. Find a research study about the intervention and apply the study's finding.
3. Evaluate what went wrong with the intervention.
4. Find research, quality improvement study outcomes, and information from experts to change the intervention.
4
Rationale 1: The nurse should not apply the intervention again as it is not producing the desired outcome.
Rationale 2: Finding a research study about the intervention and applying the findings would be research utilization. Research utilization is part of evidence-based practice but is not the most complete option.
Rationale 3: The nurse should have evaluated what happened before deciding the intervention was not working.
Rationale 4: Evidence-based practice stresses the use of research findings, quality improvement data, and the consensus of experts to substantiate practice.
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