Test Bank for Evidence Based Practice for Nursing and Healthcare Quality Improvement 1st Edition by LoBion

Participation in and contribution to EBP is essential for many professionals to plan, provide, and evaluate optimal care. The application of evidence to improve quality of care and patient outcomes is central to health care improvement. The national agenda for EBP is clearly in the forefront of health care. When considering members of the EBP team, consideration should be given to including lay-persons who have experience with the selected topic. Involving consumers may increase their understanding of why certain EBPs are used in what circumstances and why they are important. EBP and translation science are not interchangeable terms. Translational science is a dynamic continuum from basic research through application of research findings in practice, communities, and public health settings to improve health and health outcomes, progresses across five phases.

 7. Leaders of health care systems have an opportunity to promote an organizational culture that makes evidence-informed leadership decisions, and creates evidence-based practice environments to promote high quality, safe patient care by doing which of the following?

a.        Creating and enacting an organizational mission, vision, and strategic plan that incorporates evidence-based practice

b.        Developing and implementing performance expectations for all staff that include evidence-based practice work

c.        Integrating the work of evidence-based practice into the governance structure of the health system

d.        All of the above

ANS: D

Evidence is now available for a variety of topics to inform leadership and administrative decision-making (e.g., staff turnover, staff performance, optimizing staffing patterns). Therefore, the leaders of your health care system have an accountability to promote an organizational culture that makes evidence-informed leadership decisions, and creates evidence-based practice environments to promote high quality, safe patient care. This includes: creating and enacting an organizational mission, vision, and strategic plan that incorporates EBP; developing and implementing performance expectations for all staff that include EBP work; integrating the work of EBP into the governance of the health system; role modeling the value of EBP through administrative behaviors; and establishing explicit expectations that nurse leaders create microsystems that value and support clinical inquiry.

      8. Expectations of doctoral prepared nurses in the area of evidence-based practice include

a.        development, implementation, and evaluation the effect of EBP programs at the organization and system levels.

b.        design, direct, and evaluate quality improvement methodologies to promote safe, timely, effective, efficient, equitable, and patient-centered care.

c.        explication of the return on investment of EBP.

d.        All of the above

ANS: D

Nurses with doctorates of nursing practice (DNPs) are expected to: be experts in EBP; possess the knowledge and skills of Master’s prepared nurse’s as well as being knowledgeable about the latest evidence for their patient populations; developing, implementing, and evaluating the effect of EBP programs at the organization, and system level; designing, directing, and evaluating quality improvement methodologies to promote safe, timely, effective, efficient, equitable, and patient-centered care; explicate the return on investment of EBP; negotiate systems changes that foster practice climates for EPB; negotiate systems changes that foster practice climates for EBP; and role model knowledge and skills of EBP.