ATI 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." - "I barely have time to get everything done, because my caseload has grown by 50 percent this year." - "The supervisor said that the way we do things has worked for years, and there is no reason to change." - "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." - "The last time we tried to present new evidence, the director discouraged it."

- "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 implementing a process for our nurses to obtain professional certifications in public/community health nursing." - "We can use the Intervention Wheel as a resource for collecting data about quality of life, health behaviors, social and economic factors in this county." - "We can use the Intervention Wheel as a resource for collaborating with other health professionals in the county."

- "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) - Robert Wood Johnson Foundation - Cochrane - The CDC - PICOT

- National Institutes of Health (NIH) Office of Disease Prevention (ODP) - The CDC

A team of public health nurses want 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? - September to January - Incidence of Influenza - No use of masks - Use of surgical masks - Nurses who administer immunizations during community events

- Nurses who administer immunizations during community events - Use of surgical masks - No use of masks - Incidence of Influenza - September to January

A school nurse had 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 - Planning the change - Doing it; executing the plan - Studying and analyzing new data and checking results - Clarifying current knowledge of the process

- Organizing an effort to work on improvement - Planning the change - Clarifying current knowledge of the process

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.) - Give government the responsibility of designing policies to improve the health of the public. - Eliminate all chronic health conditions. - Promote healthy development and behaviors across all life stages. - Achieve health equity and attain health literacy to improve health and well-being. - Attain healthy lives free of preventable disease.

- Promote healthy development and behaviors across all life stages. - Achieve health equity and attain health literacy to improve health and well-being.

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. - 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. - 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. - Residents attended information sessions presented by the nurse during the research process. - Residents suggested the questions that should be included on the survey tool. - Residents volunteered to count the number of completed surveys returned each day. - Residents developed informational brochures for the community before the research process began. - Residents donated the data collection supplies.

- Residents filled out questionnaires on the survey tool. - Residents volunteered to count the number of completed surveys returned each day. - Residents donated the data collection supplies.

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. - 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 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? - Find a process to improve - Select changes aimed at performance improvement - Do it; execute the plan - Clarify current knowledge - Study new data and check results

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 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.) - A randomized controlled trial about the effects of homelessness on immunization rates on one state's population of school-age children - Systematic reviews of all randomized controlled trials published within the last 5 years about the effects of homelessness on immunization rates in children - An expert opinion presented in a conference in the current year from a pediatric immunologist - Observational cohort studies about immunization rates performed with a population of homeless school-age children during the last 3 years

1. Systematic 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 state'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 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.) - Controlled trials without randomization - Systematic reviews of all randomized, controlled trials - Case control and cohort studies - Expert opinion and expert committee reports

1. Systematic reviews of all randomized, controlled trials 2. Controlled trials without randomization 3. Case control and cohort studies 4. Expert opinion and expert committee reports

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? a. Accreditation allows public health nurses to base decisions, care, and processes on national standards. b. Accreditation allows public health nurses to use FOCUS-PDSA to improve processes. c. It provides public health nurses with knowledge, attitudes, and skills for quality improvement. d. It provides public health nurses with professional nursing certifications.

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

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? a. Cochrane b. PICOT c. Healthy People 2030 d. Robert Wood Johnson Foundation

a. Cochrane

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? a. Writing grants for funding of community-engaged research b. Deciding on the research topic for the community c. Identifying gaps in the health of the community d. Disseminating results of the research

a. Writing grants for funding of community-engaged research

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? a. Robert Wood Johnson Foundation b. Cochrane c. National Institutes of Health (NIH) Office of Disease Prevention (ODP) d. Healthy People 2030

b. Cochrane

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? 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? a. Cochrane b. PICOT c. CDC d. Healthy People 2030

c. CDC

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? a. Eliminate health disparities, achieve health equity, and attain health literacy to improve the health and well-being of all. b. Develop a society in which all people can achieve their full potential for health and well-being. c. Eliminate very low food security among children in U.S. households. d. Promote, strengthen, and evaluate the nation's efforts to improve health and well-being of all people.

c. Eliminate very low food security among children in U.S. households.

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? a. Cochrane is administered by the CDC. b. Cochrane addresses the nation's security level. c. Cochrane uses 17 specific intervention topics to guide practice. d. Cochrane contains systematic reviews of synthesized evidence.

d. 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? a. Policy b. Developmental c. Research d. Core

d. Core

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? a. The nurse and community residents define the borders of the community. b. The nurse and community residents identify outdoor recreational areas that are available to families. c. The nurse and community residents hold fundraising events for new recreational equipment in parks. d. The nurse and community residents present the findings at a school board meeting.

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

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.) - Reduce blood lead levels in children ages 1 to 5 years - Increase the proportion of adolescents who receive treatment for their depression - 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. - Increase the proportion of children and adolescents who play sports.

- Create social, physical, and economic environments that promote attaining the full potential for health and well-being for 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. - Eliminate health disparities, achieve health equity, and attain health literacy to improve the health and well-being of all.

A school nurse is implementing a quality improvement process for medication adherence in adolescent children who have asthma. Using a quality improvement process that mirrors the steps of evidence-based practice, in what order will the following steps be included in the nurse's process as they implement a program to increase medication adherence in this population? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) - Clarify current knowledge about medication adherence in adolescent children who have asthma. - Organize an effort to work on increasing medication adherence in adolescent children who have asthma. - Select changes aimed at increasing medication adherence in adolescent children who have asthma. - Plan the change for increasing medication adherence in adolescent children who have asthma. - Act to sustain the gains that increase medication adherence in adolescent children who have asthma. - Do the change; execute the plan for increasing medication adherence in adolescent children who have asthma.

- Organize an effort to work on increasing medication adherence in adolescent children who have asthma. - Clarify current knowledge about medication adherence in adolescent children who have asthma. - Select changes aimed at increasing medication adherence in adolescent children who have asthma. - Plan the change for increasing medication adherence in adolescent children who have asthma. - Do the change; execute the plan for increasing medication adherence in adolescent children who have asthma. - Act to sustain the gains that increase medication adherence in adolescent children who have asthma.

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 - Increased job satisfaction of the nurse - Increased efficiency with which nurses locate objective evidence - Increased health care quality