The neuroscience nursing unit has developed a set of step-by-step directions of what should occur if a nursing assessment reveals that the patient may be exhibiting clinical manifestations of a cerebrovascular accident (CVA)
Which of the following statements about clinical practice guidelines are accurate? Select all that apply.
A)
Step-by-step guidelines are usually developed and based primarily on "how it has always been done before."
B)
The development of evidence-based practice guidelines requires a research review from different studies to develop the most accurate diagnostic method to implement.
C)
Once developed, practice guidelines only need to be reviewed if a national committee sends out an update on new research.
D)
When developing a CVA set of step-by-step directions, the nursing unit should ask for assistance from experts in the neuroscience field. The potential users of the guidelines should pilot test it for further feedback.
E)
A meta-analysis could be utilized to combine evidence from different studies to produce a more accurate diagnostic method.
Ans:
B, D, E
Feedback:
Clinical practice guidelines are systematically developed and intended to inform practitioners in making decisions about health care for CVA patients. They should be developed using research and review by experts in the clinical content. Potential uses should also participate and provide feedback prior to implementation. The purpose of the guidelines is to review EBP articles and develop new practice guidelines rather than continuing practicing primarily on "how it has always been done before."Once developed, the guidelines must be continually reviewed and changed to keep pace with new research findings. A meta-analysis could be utilized to combine evidence from different studies to produce a more accurate diagnostic method or the effects of an intervention method.
You might also like to view...
In which situation should the nurse be most concerned that communication was distorted?
1. The nurse obtains an admission history from the parents of an adopted child. 2. The nurse gives discharge instructions to a couple in their early 80s. 3. The nurse manager hires a new nurse originally from the Philippines. 4. The emergency nurse receives a client who was transferred via ambulance for confusion.
When a baby is born into a family, the change that occurs in family role is termed
a. role overload c. role conflict b. situational role tran-sition d. role competence
The client is admitted to the Emergency Department with the chief complaint of "My heart is racing." Upon initiated cardiac monitoring, the nurse discovers that the client has a sustained heart rate of 170 beats per minute
The nurse then assesses the client for which of the following? A) Increased preload B) Decreased cardiac output C) Increased cardiac output D) Decreased afterload
During an eye examination, a nurse notes that the client has mydriasis when:
a. The lens of each of the client's eyes is opaque. b. There is involuntary rhythmical, horizontal movement of the client's eyes. c. There is a white opaque ring encircling the client's limbus. d. The client's pupils are 7 mm and do not constrict.