The nurse is aware of the growing development of evidence-based care. The nurse would recognize that an issue driving this development is:

Question

a. increased variability in implementation of practice and variance analysis.
b. requirement of evidence-based standards of care by PEW.
c. decreased numbers of well-designed RCTs.
d. growth of advanced practice roles.

Answer 1

D
Issues driving the development of evidence-based practice are growth of advanced practice roles;
increased numbers of well-designed RCTs; need for decreased variability in implementation of
practice and variance analysis; demand of the PEW Health Professions Commission Report for
evidence-based, clinically competent care; increased experience in clinical pathways, standards,
protocols, and algorithms; increase in integrated systematic reviews of research studies found in the
nursing, medical, and health care literature; need for outcome data to guide patient care; explosion in
information technology; improved knowledge base facilitating research capable of supporting
evidence-based care models; need to collaborate in complex decision making with patients and other
members of the health care team; and requirement for evidence-based standards of care by the Joint
Commission.