A nursing manager wants to investigate the best practice research on a specific patient safety issue. The best action by the nursing manager would be to
a. consult with other facilities to see what their related practices are.
b. convene a work group to develop related policies and procedures.
c. read recent issues of a nursing management journal for research.
d. research the literature, paying special attention to synthesis work.
D
The manager should research the relevant literature, using such resources as the Agency for Healthcare Research and Quality (AHRQ). One of the goals of AHRQ is to promote research in everyday practice, and as part of that goal, this agency provides syntheses of current research.
Other facilities may not be using best practice.
It is premature to convene work groups before collecting data. This might be part of an action plan once the research has been done.
Journals of nursing management do carry some research articles and best practice articles but would not be the best location for this information.
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When little is known about a phenomenon or the phenomenon is not clearly identified, the best type of research suited to uncover this is which of the following?
A) Exploration B) Description C) Identification D) Prediction
To prevent multiple organ dysfunction syndrome, nursing management of a patient includes
1. enforcing hand washing before and after touching a patient. 2. using Lactated Ringer's as the flush solution when administering blood products 3. reporting a pulse of 102, respirations of 18, and temperature of 99.9ºF. 4. administering antibiotics through a central line used for total parenteral nutrition.
Myelomeningocele is usually corrected with:
a. Drugs b. Surgery c. Physical therapy d. A shunt
An older adult patient reports ingesting a fat-soluble vitamin every day to boost the endocrine system. For what age-related change does the nurse recognize the patient is addressing by taking this vitamin?
A. Lipase production is increased and results in fat intolerance. B. Indigestion increases with aging due to decreased lipase production. C. Older patients have increased resistance to insulin. D. The ability to absorb fat-soluble vitamins declines with aging.