C HAPTER 06: T RANSLATING R ESEARCH
INTO P RACTICE
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
MULTIPLE CHOICE
1. Marie is a long-term staff nurse on the rehab floor. Her unit manager has
been eager to adopt evidence -based recommendations related to famil y -
centered care on the unit. Marie ’s response has been that she rarel y has
time to provide care to patients, let alone families, and that there i s no
good reason to do anything different than what she is already doing. An
approach that may gain Marie ’s support of the idea is to:
a. invite Marie to review the studies for herself.
b. suggest that she does not need to provide famil y -centered care.
c. avoid discussion of the idea with her until she initiates it.
d. secure the support of her closest colleagues on the unit.
ANS: D
As a skeptic, Marie, who is a late majority adopter, needs pressure
from colleagues to move her toward support of the recommendations.
The translation of research into practice requires that nurse leaders and
managers understand group dynamics, individual responses to
innovation and change (such as the response of late majorit y adopters),
and the culture of their healthcare organization.
, TOP: AONE competency: Communication and Relationship -
Building
2. You are excited by evidence supporting the use of workstations on wheels
(WOWs) at the bedside to improve documentation and patient outcomes.
You have disseminated the information through discu ssions and e-mails
and are now ready to begin the process of considering implementation on
the unit. To develop positive attitudes toward the use and implementation
of the technology, you would discuss your ideas with (Rogers ’ diffusion
of innovations theo ry):
a. Harvey, RN, a technology guru, who enthusiasticall y tries on all
new software.
b. Berta, RN, who thoughtfull y considers evidence and regularl y uses
it to try new approaches in her practice.
c. Carol, LPN, who is positive about new ideas but looks to her fri ends
for their ideas about whether or not to try something new.
d. Ben, a 10-year veteran of the unit, who wonders why technology
should be used at all. He says that he will use it when there is no
chance of securit y breaks.
ANS: B
Berta is the one with who m you should now have informed
conversations, because she is an earl y adopter who is respected for her
thoughtful acquisition and critique of knowledge and application of
knowledge to practice. Berta, an earl y adopter (Rogers ’ characteristics
of innovation adopters), is more effective in this stage than Harvey, an
innovator who may be seen as open to all new ideas regardless of
merit.
, TOP: AONE competency: Communication and Relationship -
Building
3. The implementation of saline flushes for capped angiocathete rs across all
areas of practice in the facilit y is an example of:
a. how multilevel and interprofessional application of a procedure can
slow adoption of EBP.
b. how competition among disciplines can lead to negative patient
outcomes.
c. the reluctance of hospital administrators to act on recommendations
from EBP.
d. how a safe, well -known practice outweighs the benefits of adopting
a newer practice.
ANS: A
The translation of research into practice operates at four levels: The
individual healthcare professional, heal thcare groups or teams,
organizations, and the larger healthcare system or environment. The
adoption of saline flushes illustrates the challenges of communicating
EBP to other disciplines and organizations and of the involvement of
different levels. This p articular innovation needed endorsement by
nurses, physicians, and pharmacists, as well as by administrators who
needed evidence of lost savings to support adoption.
TOP: AONE competency: Leadership
4. Which of the following would be most effective for the staff nurses in
implementing the findings of a new clinical treatment for problems
associated with bowel motilit y?
INTO P RACTICE
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
MULTIPLE CHOICE
1. Marie is a long-term staff nurse on the rehab floor. Her unit manager has
been eager to adopt evidence -based recommendations related to famil y -
centered care on the unit. Marie ’s response has been that she rarel y has
time to provide care to patients, let alone families, and that there i s no
good reason to do anything different than what she is already doing. An
approach that may gain Marie ’s support of the idea is to:
a. invite Marie to review the studies for herself.
b. suggest that she does not need to provide famil y -centered care.
c. avoid discussion of the idea with her until she initiates it.
d. secure the support of her closest colleagues on the unit.
ANS: D
As a skeptic, Marie, who is a late majority adopter, needs pressure
from colleagues to move her toward support of the recommendations.
The translation of research into practice requires that nurse leaders and
managers understand group dynamics, individual responses to
innovation and change (such as the response of late majorit y adopters),
and the culture of their healthcare organization.
, TOP: AONE competency: Communication and Relationship -
Building
2. You are excited by evidence supporting the use of workstations on wheels
(WOWs) at the bedside to improve documentation and patient outcomes.
You have disseminated the information through discu ssions and e-mails
and are now ready to begin the process of considering implementation on
the unit. To develop positive attitudes toward the use and implementation
of the technology, you would discuss your ideas with (Rogers ’ diffusion
of innovations theo ry):
a. Harvey, RN, a technology guru, who enthusiasticall y tries on all
new software.
b. Berta, RN, who thoughtfull y considers evidence and regularl y uses
it to try new approaches in her practice.
c. Carol, LPN, who is positive about new ideas but looks to her fri ends
for their ideas about whether or not to try something new.
d. Ben, a 10-year veteran of the unit, who wonders why technology
should be used at all. He says that he will use it when there is no
chance of securit y breaks.
ANS: B
Berta is the one with who m you should now have informed
conversations, because she is an earl y adopter who is respected for her
thoughtful acquisition and critique of knowledge and application of
knowledge to practice. Berta, an earl y adopter (Rogers ’ characteristics
of innovation adopters), is more effective in this stage than Harvey, an
innovator who may be seen as open to all new ideas regardless of
merit.
, TOP: AONE competency: Communication and Relationship -
Building
3. The implementation of saline flushes for capped angiocathete rs across all
areas of practice in the facilit y is an example of:
a. how multilevel and interprofessional application of a procedure can
slow adoption of EBP.
b. how competition among disciplines can lead to negative patient
outcomes.
c. the reluctance of hospital administrators to act on recommendations
from EBP.
d. how a safe, well -known practice outweighs the benefits of adopting
a newer practice.
ANS: A
The translation of research into practice operates at four levels: The
individual healthcare professional, heal thcare groups or teams,
organizations, and the larger healthcare system or environment. The
adoption of saline flushes illustrates the challenges of communicating
EBP to other disciplines and organizations and of the involvement of
different levels. This p articular innovation needed endorsement by
nurses, physicians, and pharmacists, as well as by administrators who
needed evidence of lost savings to support adoption.
TOP: AONE competency: Leadership
4. Which of the following would be most effective for the staff nurses in
implementing the findings of a new clinical treatment for problems
associated with bowel motilit y?
