Evidence-Based Practice

A public health nurse is facing challenges with the local public health team while implementing evidence-based interventions in an immunization program. Which of the following statements by team members should the nurse identify as knowledge-related barriers to implementation of evidence-based practice? (Select all that apply.)

"I do not really know how to use the computer for anything other than checking email and updating the spreadsheets" is correct. The nurse identifies that limited information technology skills are knowledge deficits that are common barriers to implementation of evidence-based practice. "I took a statistics course in college, but I have not really used any of it since then" is correct. The nurse identifies that lack of experience in evaluating statistics is a common barrier related to knowledge deficits. "I am not really sure where to look for new evidence" is correct. The nurse identifies that insufficient understanding of how to search for evidence is a common barrier related to knowledge deficits.

A population health nurse is researching evidence-based strategies for decreasing pollution caused by industrial waste. Which of the following does the nurse identify as a reason to use a Cochrane review as a resource to obtain information?

cochran contains systematic reviews if the synthesized evidence

A school nurse is developing a program for nutritional needs for school-aged children. Which of the following will the nurse include as an evidence-based objective of Healthy People 2030?

eliminate very low food security among children in US house holds

A county public health nurse is planning to implement evidence-based practice interventions for a communicable airborne disease. Which of the following statements by the nurse indicates understanding of the appropriate uses of the Intervention Wheel developed by the Minnesota Department of Health? (Select all that apply.)

"We can use the Intervention Wheel as a resource for implementing guidelines for screening and testing" is correct. The nurse should identify that screening is one of the 17 specific intervention topics in the Intervention Wheel developed by the Minnesota Department of Health. "We can use the Intervention Wheel as a resource for implementing an outreach program to educate the public about where to obtain masks" is correct. The nurse should identify that outreach is one of the 17 specific intervention topics in the Intervention Wheel developed by the Minnesota Department of Health. "We can use the Intervention Wheel as a resource for collaborating with other health professionals in the county" is correct. The nurse should identify that collaboration is one of the 17 specific intervention topics in the Intervention Wheel developed by the Minnesota Department of Health.

A nurse at a state public health department is preparing for an upcoming accreditation. Which of the following should they identify as a benefit of accreditation for their public health department

Accreditation allows public health nurses to base decisions care and processes on national standards

A nurse at a state public health department is preparing for an upcoming accreditation. Which of the following should they identify as a benefit of accreditation for their public health department?

Accreditation allows public health nurses to base decisions, care, and processes on national standards.

A nurse at a public health department is presenting information about Healthy People 2030 to a group of community health the following categories will the nurse discuss specific, evidence-based interventions of Healthy People 2030? A- Mission B- Objectives C- Goals D- Vision

B- Objectives

A nurse is part of a team at a public health department that is preparing for accreditation. Which resource should the nurse suggest that the team use for guidance about accreditation criteria?

CDC The nurse identifies that the CDC provides information about accredited health departments, connections to support accreditation, benefits of accreditation, how to prepare, and the CDC's role.

A team of home health nurses is searching for data about pressure injury protocols for use in the home setting. Which of the following resources should they use to find pressure injury protocols? Robert Wood Johnson Foundation Cochrane National Institutes of Health (NIH) Office of Disease Prevention (ODP) Healthy People 2030

Cochrane The nurses should identify that Cochrane is an international organization that researches evidence to provide systematic reviews and recommendations for practice.

A nurse in a public health department is searching Healthy People 2030 for objectives with evidence-based interventions related to social determinants of health. Which of the following is a type of Healthy People objective that includes reliable baseline data and evidence-based interventions? Policy Developmental Research Core

Core The nurse should identify that a Healthy People core objective includes reliable baseline data and evidence-based interventions to guide practice.

A school nurse is developing a program for nutritional needs for school-aged children. Which of the following is a resource provided by Healthy People 2030 that includes evidence-based guidelines the nurse can use?

Core objectives The nurse should use the core objectives within Healthy People 2030. Core objectives have evidence-based interventions as resources that guide practice.

A nurse at a county public health department is developing a breast cancer screening program for a population of homeless individuals in the county. Which of the following resources should they use to find evidence-based information from government sources? (Select all that apply.) a- NIH ODP B- robert wood johnson foundation C- cochrane D- CDC E- PICOT

National Institutes of Health (NIH) Office of Disease Prevention (ODP) is correct.The nurse should identify that the NIH Office of Disease Prevention is a federal government agency with a large focus on prevention research. The CDC is correct. The nurse should identify that the CDC is a federal government agency that addresses many public health issues.

A nurse at a public health department is presenting information about Healthy People 2030 to a group of community health workers. In which of the following categories will the nurse discuss specific, evidence-based interventions of Healthy People 2030? Mission Objectives Goals Vision

Objectives The nurse should discuss evidence-based interventions with Healthy People 2030 objectives.

A school nurse has identified a need for improved playground safety. Using a quality improvement process that mirrors the steps of evidence-based practice, which of the following steps should the nurse take before selecting changes aimed at improving playground safety? (Select all that apply.)

Organizing an effort to work on improvement is correct. The nurse should identify that in the steps of the PDSA framework, organizing an effort to work on improvement occurs before selecting changes aimed at performance improvement. Planning the change is correct. The nurse should identify that in the steps of the PDSA framework, planning the change occurs after selecting changes aimed at performance improvement. Clarifying current knowledge of the process is correct. The nurse should identify that in steps of the PDSA framework, clarifying current knowledge of the process occurs before selecting changes aimed at performance improvement.

A community health nurse is preparing an educational program about Healthy People 2030 that will be presented at a local community center. What coals should the nurse include as part of a presentation about Healthy People 2030: (select all that apply) A-Give government the responsibility of designing policies to improve the health of the public B-Eliminate all chronic health conditions C-Promote healthy development and behaviors across all life stages D-Achieve health equity and attain health literacy to improve health and well-being

Promote healthy development and behaviors across all life stages is correct. The nurse should identify that a goal of Healthy People 2030 is to promote healthy development, healthy behaviors, and well-being across all life stages. Achieve health equity and attain health literacy to improve health and well-being is correct. The nurse should identify that a goal of Healthy People 2030 is to eliminate health disparities, achieve healthy equity, and attain health literacy to improve the health and well-being of all.

The nurse should identify that a systematic review of all randomized controlled trials is the highest level of evidence, followed by controlled trials without randomization, then case control and cohort studies, then expert opinions and expert committee reports. Residents conduct door-to-door surveys. Residents attend informational sessions about the nurse's plan for data collection. Local businesses report extra inventory that could be used in an emergency. A group of residents begins to develop questions for a survey. A community center offers a meeting room for data collectors.

Residents conduct door-to-door surveys is correct. The nurse should identify that the community is acting in a leader role when residents engage in conducting surveys. A group of residents begins to develop questions for a survey is correct. The nurse should identify that the community is acting in a leader role when residents develop questions for a survey.

A community health nurse is reporting their findings from research conducted about the need for primary care clinics in a community. According to Wilder's community-engagement research model, which of the following activities would the nurse report if the community was engaged in the research in the collaborator role? (Select all that apply.)

Residents filled out questionnaires on the survey tool is correct. The nurse should report that the community acted in a collaborator role by answering surveys. Residents volunteered to count the number of completed surveys returned each day is correct. The nurse should report that the community acted in a collaborator role by volunteering to count the completed surveys. Residents donated the data collection supplies is correct. The nurse should report that community residents acted in a collaborator role by donating data collection supplies.

The nurse educator for the county public health department is planning a course about building community partnerships for local community health nurses. Which of the following does the nurse educator recognize as a benefit of including information about evidence-based practice? (Select all that apply.) Strengthened standards of care Increased job satisfaction of the nurse Increased efficiency with which nurses locate objective evidence Increased use of ritualistic care Increased health care quality

Strengthened standards of care is correct. The nurse should recognize that strengthened standards of care is a benefit of implementing evidence-based practice. Increased job satisfaction of the nurse is correct. The nurse should recognize that increased job satisfaction among practitioners is a benefit of implementing evidence-based practice. Increased efficiency with which nurses locate objective evidence is correct. The nurse should recognize that efficiency in how clinicians search for and locate objective evidence to guide practice is a benefit of implementing evidence-based practice. Increased health care quality is correct. The nurse should recognize that the implementation of evidence basedevidence-based practice will increase the quality of health care.

A community health nurse is involved in community-engaged research about employer-provided health benefits in a small, rural community. Which of the following are potential ethical concerns related to recruitment of participants or confidentiality of information? (Select all that apply.) The leader of the data collection team recruits their family members for the research. The mayor offers use of a conference room in city hall for informational sessions. A member of the data collection team volunteers to collect data from their family-owned restaurant employees. A local primary care provider offers to supply information about residents during the data collection process. The owner of a factory offers bonuses to employees who participate in the research.

The leader of the data collection team recruits their family members for the research is correct. The nurse should identify that this is a potential ethical issue involving recruitment of individuals that would not usually participate in research. A member of the data collection team volunteers to collect data from their family-owned restaurant employees is correct. The nurse should identify that this is a potential ethical issue involving confidentiality of information of individuals employed by the business. A local primary care provider offers to supply information about residents during the data collection process is correct. The nurse should identify that this is a potential ethical issue involving confidentiality of information of residents who may be clients of the provider. The owner of a factory offers bonuses to employees who participate in the research is correct. The nurse should identify that this is a potential ethical issue involving recruitment of individuals that would not usually participate in research.

A community health nurse is involved in community-engaged research about physical activity levels of families who attend local schools. Using the nursing process, which of the following activities of the nurse represents the evaluation phase of the research?

The nurse and community residents present the findings at a school board meeting.

A school nurse is researching information about the effects of homelessness on immunization rates in school-age children. In what order will the nurse examine each item, from most robust type of evidence to least robust? (Move the steps into the box on the right, placing them in the order of strength of evidence. Use all the steps.)

The nurse should identify that a systematic review of all randomized controlled trials is the highest level of evidence, followed by a randomized controlled trial, then observational cohort studies, then an expert opinion.

A nurse educator is presenting information to a group of community health nurses about using evidence-based practice sources when planning care for a community. In what order will the nurse discuss types of evidence, from most robust to least robust? (Move the steps into the box on the right, placing them in the order of strength of evidence. Use all the steps.)

The nurse should identify that a systematic review of all randomized controlled trials is the highest level of evidence, followed by controlled trials without randomization, then case control and cohort studies, then expert opinions and expert committee reports.

A team of public health nurses wants to implement a practice change related to use of surgical masks by nurses during community immunization clinics from September to January. When searching for scientific evidence about the use of effects of surgical masks on the incidence of influenza among nurses, in what order will the nurses format their PICOT question? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

The nurses should identify that their research question in the PICOT format is: In nurses who administer immunizations during community events (P), how does the use of surgical masks (I) compared to no use of masks (C) affect the incidence of influenza (O) from September to January (T)? A PICOT question is a focused way to ask a clinical question that allows for a clear delineation of keywords so the best scientific evidence can be searched and located to answer a clinical question. Another benefit of using the PICOT statement is that it simplifies a possibly complex question about a needed component of nursing care. Within the PICOT statement: the "P" stands for Patient or Population, the "I" stands for Intervention or Indicator, the "C" stands for Compare or Control, the "O" stand for Outcome, the "T" stands for Time or Type of study or question.

A team of community health nurses is in the planning phase for community-engaged research. Which of the following describes a role the nurses should take during the planning phase using the nursing process?

Writing grants for funding of community-engaged research The nurses should identify that writing grants for funding is part of the nurse's role in community-engaged research.

A team of community health nurses has been formed to address the low immunization rate of the adult population in a rural community. Using a quality improvement process that mirrors the steps of evidence-based practice, in what order will the following steps be included in the nurses' process as they implement a program to increase immunization rates in this population? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

The nurse should identify that the order of the steps is: find a process to improve, clarify current knowledge, select changes aimed at performance improvement, do it; execute the plan, study new data and check results.