ATI RN Evidence-Based Practice in Community and Public Health Assessment
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." - "I took a statistics course in college, but I have not really used any of it since then." - "I am not really sure where to look for new evidence."
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." - "We can use the Intervention Wheel as a resource for implementing an outreach program to educate the public about where to obtain masks." - "We can use the Intervention Wheel as a resource for collaborating with other health professionals in the county."
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.)
- National Institutes of Health (NIH) Office of Disease Prevention (ODP) - The CDC
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 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 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
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
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 Rationale: 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 Rationale: 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 Rationale: 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 conducting research about emergency preparedness in a community. According to Wilder's community-engagement research model, which of the following activities indicate to the nurse that the community is engaged in the research in the leader role? (Select all that apply.)
- Residents conduct door-to-door surveys. - A group of residents begins to 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. Rationale: 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. Rationale: 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. Rationale: The nurse should report that community residents acted in a collaborator role by donating data collection supplies. Wrong Answers: LEADERSHIP ROLE - Residents attended information sessions presented by the nurse during the research process - Residents developed informational brochures for the community before the research process began.
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.)
1. Find a process to improve 2. Clarify current knowledge 3. Select changes aimed at performance improvement. 4. Do it; execute the plan 5. Study new data and check results
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.)
1. Nurses who administer Immunizations during community events 2. Use of surgical masks 3. No use of surgical masks 4. Incidence of influenza 5. September to January Rationale: PICOT P = Patient or Population I = Intervention or Indicator C = Compare or Control O = Outcome T = Time or Type of study or question
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.)
1. Systematic reviews of all randomized, controlled trials 2. Controlled trials without randomization 3. Case control and cohort studies 4. Expert opinions and expert committee reports
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.)
1. Systemic reviews of all randomized controlled trials published within the last 5 years about the effects of homelessness on immunization rates in children 2. A randomized controlled trial about the effects of homelessness on immunization rates on one stat's population of school=age children 3. Observational cohort studies about immunization rates performed with a population of homeless school-age children during the last 3 years. 4. An expert opinion presented in a conference in the current year from a pediatric immunologist.
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 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
A home health nurse is searching for evidence-based information about the benefits of caregiver support groups. Which of the following sources is the best source for systematic reviews and recommendations about this topic?
Cochrane
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?
Cochrane Rationale: The nurses should identify that Cochrane is an international organization that researches evidence to provide systematic reviews and recommendations for practice.
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?
Cochrane contains systematic reviews of synthesized evidence.
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?
Core Rationale: 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 Rationale: The nurse should use the core objectives within Healthy People 2030. Core objectives have evidence-based interventions as resources that guide practice.
A nurse is conducting a presentation for a group of student nurses related to the goals and objectives of Healthy People 2030. Which of the following does the nurse discuss as overarching goals of Healthy People 2030? (Select all that apply.)
Create social, physical, and economic environments that promote attaining the full potential for health and well-being for all Eliminate health disparities, achieve health equity, and attain health literacy to improve the health and well-being of all Engage leadership, key constituents, and the public across multiple sectors to take action and design policies that improve the health and well-being of all
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?
Objectives Rationale: The nurse should discuss evidence-based interventions with Healthy People 2030 objectives.
A community health nurse is preparing an educational program about Healthy People 2030 that will be presented at a local community center. What goals should the nurse include as part of a presentation about Healthy People 2030? (Select all that apply.)
Promote healthy development and behaviors across all life stages Achieve health equity and attain health literacy to improve health and well-being
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 health care quality
