The nurse uses a PICOT question to develop an evidence-based change in protocol for a certain nursing procedure
However, to make these changes throughout the entire institution would require more evidence than is available at this time. What is the nurse's best option?
a. Conduct a pilot study to investigate findings.
b. Drop the idea of making the change at this time.
c. Insist that management hire the needed staff to facilitate the change.
d. Seek employment in another institution that may have the staff needed.
ANS: A
When evidence is not strong enough to apply in practice, the next option is to conduct a pilot study to investigate the PICOT question. Dropping the idea would be counterproductive; insisting that management hire staff could be seen as a mandate and could produce negative results. Seeking employment at another institution most likely would not be the answer because most institutions operate under similar established guidelines.
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