NR 528 EXAM PREP
VERIFIED
Leading and Managing
Evidence-Based Change in
Nursing
COMPLETED
2023/2024
,### Question 1
What are the four steps of the evidence-based practice (EBP) process?
### Answer 1
The four steps of the EBP process are:
- Ask a clinical question in PICO (Population, Intervention, Comparison, Outcome) format.
- Search for the best available evidence from relevant sources.
- Appraise the quality and strength of the evidence using critical appraisal tools.
- Apply the evidence to practice by integrating it with clinical expertise and patient
preferences.
### Question 2
What are some of the leadership attributes that contribute to implementing and sustaining
EBP change?
### Answer 2
Some of the leadership attributes that contribute to implementing and sustaining EBP change
are:
- Establishing a clear project mission and vision
- Being knowledgeable about the EBP being implemented
- Engaging in early planning with staff and continuing communication throughout the change
process
- Providing adequate resources, support and feedback to staff
- Fostering a culture of learning, collaboration and innovation
,### Question 3
What are some of the barriers and facilitators to EBP change in nursing?
### Answer 3
Some of the barriers to EBP change in nursing are:
- Lack of time, knowledge, skills or confidence to access, appraise or apply evidence
- Resistance to change or low motivation among staff or stakeholders
- Inadequate leadership support or organizational culture
- Conflicting or competing priorities or demands
- Limited resources, infrastructure or technology
Some of the facilitators to EBP change in nursing are:
- Having a clear and relevant clinical question or problem
- Accessing high-quality and reliable sources of evidence
- Involving staff and stakeholders in the change process and decision making
- Providing education, training, mentoring or coaching to staff
- Creating a supportive and conducive environment for EBP
### Question 4
What are some of the strategies for leading and managing EBP change in nursing?
### Answer 4
Some of the strategies for leading and managing EBP change in nursing are:
- Using a systematic and structured framework or model for EBP change, such as the Iowa
Model, the Stetler Model or the Johns Hopkins Nursing Evidence-Based Practice Model
- Conducting a situational analysis or needs assessment to identify the gaps, strengths,
weaknesses, opportunities and threats for EBP change
, - Developing a clear and realistic action plan with SMART (Specific, Measurable,
Achievable, Relevant, Time-bound) goals and objectives
- Implementing the plan using appropriate methods, tools and techniques, such as pilot
testing, feedback loops, audits or checklists
- Evaluating the outcomes and impact of the EBP change using quantitative and qualitative
measures, such as patient satisfaction, clinical indicators, cost-effectiveness or staff
retention
### Question 5
What are some of the benefits of leading and managing EBP change in nursing?
### Answer 5
Some of the benefits of leading and managing EBP change in nursing are:
- Improving patient outcomes, safety and quality of care by using the best available evidence
- Enhancing staff performance, competence and satisfaction by fostering professional
development and learning opportunities
- Increasing organizational efficiency, effectiveness and reputation by reducing waste,
variation and errors
- Advancing nursing knowledge, practice and research by generating new evidence and
contributing to the scientific literature
1. The RN team leader, near the end of her shift, notices that a newly hired UAP has not
calculated the intake and output for several clients. Which of the following actions should
the RN take first?
Ask the UAP if assistance is needed to complete the intake and output records
2. An RN witnessed a maintenance worker in a paralyzed and unconscious pediatric
patient’s room inappropriately touching the patient’s genital area. What step of the
disciplinary process is most likely to be taken by the organization against this worker?
VERIFIED
Leading and Managing
Evidence-Based Change in
Nursing
COMPLETED
2023/2024
,### Question 1
What are the four steps of the evidence-based practice (EBP) process?
### Answer 1
The four steps of the EBP process are:
- Ask a clinical question in PICO (Population, Intervention, Comparison, Outcome) format.
- Search for the best available evidence from relevant sources.
- Appraise the quality and strength of the evidence using critical appraisal tools.
- Apply the evidence to practice by integrating it with clinical expertise and patient
preferences.
### Question 2
What are some of the leadership attributes that contribute to implementing and sustaining
EBP change?
### Answer 2
Some of the leadership attributes that contribute to implementing and sustaining EBP change
are:
- Establishing a clear project mission and vision
- Being knowledgeable about the EBP being implemented
- Engaging in early planning with staff and continuing communication throughout the change
process
- Providing adequate resources, support and feedback to staff
- Fostering a culture of learning, collaboration and innovation
,### Question 3
What are some of the barriers and facilitators to EBP change in nursing?
### Answer 3
Some of the barriers to EBP change in nursing are:
- Lack of time, knowledge, skills or confidence to access, appraise or apply evidence
- Resistance to change or low motivation among staff or stakeholders
- Inadequate leadership support or organizational culture
- Conflicting or competing priorities or demands
- Limited resources, infrastructure or technology
Some of the facilitators to EBP change in nursing are:
- Having a clear and relevant clinical question or problem
- Accessing high-quality and reliable sources of evidence
- Involving staff and stakeholders in the change process and decision making
- Providing education, training, mentoring or coaching to staff
- Creating a supportive and conducive environment for EBP
### Question 4
What are some of the strategies for leading and managing EBP change in nursing?
### Answer 4
Some of the strategies for leading and managing EBP change in nursing are:
- Using a systematic and structured framework or model for EBP change, such as the Iowa
Model, the Stetler Model or the Johns Hopkins Nursing Evidence-Based Practice Model
- Conducting a situational analysis or needs assessment to identify the gaps, strengths,
weaknesses, opportunities and threats for EBP change
, - Developing a clear and realistic action plan with SMART (Specific, Measurable,
Achievable, Relevant, Time-bound) goals and objectives
- Implementing the plan using appropriate methods, tools and techniques, such as pilot
testing, feedback loops, audits or checklists
- Evaluating the outcomes and impact of the EBP change using quantitative and qualitative
measures, such as patient satisfaction, clinical indicators, cost-effectiveness or staff
retention
### Question 5
What are some of the benefits of leading and managing EBP change in nursing?
### Answer 5
Some of the benefits of leading and managing EBP change in nursing are:
- Improving patient outcomes, safety and quality of care by using the best available evidence
- Enhancing staff performance, competence and satisfaction by fostering professional
development and learning opportunities
- Increasing organizational efficiency, effectiveness and reputation by reducing waste,
variation and errors
- Advancing nursing knowledge, practice and research by generating new evidence and
contributing to the scientific literature
1. The RN team leader, near the end of her shift, notices that a newly hired UAP has not
calculated the intake and output for several clients. Which of the following actions should
the RN take first?
Ask the UAP if assistance is needed to complete the intake and output records
2. An RN witnessed a maintenance worker in a paralyzed and unconscious pediatric
patient’s room inappropriately touching the patient’s genital area. What step of the
disciplinary process is most likely to be taken by the organization against this worker?
