Nurses who work in the emergency department have formed a journal club to discuss research reports relevant to their practice setting. The nurses should anticipate which topics to be discussed? Standard Text: Select all that apply

Question

1. How important is the clinical issue to emergency department practice?
2. Does the emergency department environment limit use of the intervention?
3. What techniques were used to measure the effectiveness of the interventions?
4. Did the study take place in a healthcare organization of the same size?
5. Will nurses outside the journal group agree to use any changes the group suggests?

Answer 1

1, 2, 3
Rationale 1: The group should determine if the clinical issue is important to practice in the emergency department. If not, the information may be enlightening, but does not meet the stated purpose of the group.
Rationale 2: The group must determine if there in anything about the specific environment or culture in their emergency department that would make outcomes different.
Rationale 3: A basic consideration is whether the study results are valid and if the techniques used to measure effectiveness were correctly selected.
Rationale 4: The size of the healthcare organization is not as important as the specifics of the emergency department culture and environment.
Rationale 5: Practice is often changed by a few who eventually convince others that a new intervention has positive outcomes.
Global Rationale: