The gerontological nurse is identifying interventions based upon evidence-based practice. What is the best source of evidence-based practice information for the nurse?
1. Progress notes about methods that were previously effective for that client
2. The nurse's practice and experience with successful client interventions
3. The policy and procedures manual of the healthcare facility
4. A publicly available resource website information database
4. A publicly available resource website information database
Explanation: 1. Methods that were previously effective for a client may or may not be evidence-based practice interventions.
2. Interventions that are effective in the nurse's own experience may or may not be based upon evidence-based practice.
3. Policies and procedures may or may not be based upon evidence-based practice. The nurse finds the best resources and uses them to advocate for policy and procedure change where needed.
4. Sites such as the National Guideline Clearinghouse, supported by the Agency for Healthcare Research and Quality is an excellent place for nurses to obtain evidence-based practices to integrate into their practice. Interventions that support evidence-based practice are those that have been tested and have the best chance of establishing a cause-and-effect relationship between the intervention and the desired outcome of care.
You might also like to view...
The bodily changes that occur during the aging process can affect an older person's body image and self-concept. The nurse can gain insight into the emotional well-being and self-concept of older persons by:
A) Uncovering any unresolved guilt and perceived failures B) Reviewing how they interpret and refine their past experiences C) Examining what roles they accept and what roles they reject D) Determining which work roles they forfeit
The patient is sitting in a chair at the bedside. The nurse is preparing to remove the patient's artificial eye. What should the nurse ask the patient to do to best position him for this procedure?
a. Lean forward and rest the arms on the overbed table. b. Sit back in the chair and tilt the head back. c. Move to the bed and lie down. d. Stand up and lean over the bed.
Multiple severely injured clients have arrived in the emergency department. On rapid assessment, the nurse notes that a leg wound dressing has a 4-cm by 6-cm blood spot that has soaked through the bandage
The client is otherwise stable. What action should the nurse take? 1. Place a tourniquet above the wound. 2. Remove the dressing and place direct pressure on the wound. 3. Add an additional dressing to the wound without removing the original. 4. Remove the dressing and replace it with a new sterile dressing.
A binder is loose and out of position. What should you do?
a. Change the dressing. b. Reapply the binder. c. Apply a new binder. d. Secure it with tape.