A patient has not responded to a long-standing intervention by producing a desired outcome. Which of the following should the nurse do if implementing evidence-based practice?
1. Find research, quality improvement study outcomes, and information from experts to change the intervention.
2. Apply the intervention again.
3. Find a research study about the intervention and apply the study's finding.
4. Evaluate what went wrong with the intervention.
Find research, quality improvement study outcomes, and information from experts to change the intervention.
Rationale: Evidence-based practice stresses the use of research findings, quality improvement data, and consensus of experts to substantiate practice. The nurse should find research, quality improvement study outcomes, and information from experts to change the intervention. The nurse should not apply the intervention again. The nurse has already evaluated what went wrong with the intervention. Finding a research study about the intervention and applying the study's finding would be research utilization and not evidence-based practice.
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