As a nurse who identifies a need for improvement in patient care, what would you do first to establish a new evidence-based guideline for practice?
a. Conduct a thorough literature review.
b. Enlist the support of affiliating physicians.
c. Institute a research use project.
d. Write the National Guideline Clearinghouse for information.
ANS: A
Completing a literature review on the topic will provide information on possible guidelines already established and a broad baseline of previous scientific work on the topic.
Support from all health care personnel involved will be important, but is not a first step.
Without a literature review, it would be hard to implement a research use project.
It would be useful to go to the National Guideline Clearinghouse web site, but premature to write them.
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