Informatics and Evidence-Based Practice

A group of nurses were discussing evidence-based practice and research. A nurse’s aide overheard their conversation and said, “Excuse me, but what is evidence-based practice?” Which of the following statements best describes evidence-based practice?

A nurse needs to do scholarly work for her doctoral project. Before the research process can begin, what is the first step?

Adoption of Evidence-Based Practice

After learning more about the safety and security of electronic records, a chiropractor decided to switch from paper to electronic records. The administrative staff is resistant because they like the way it has always been done. One assistant admits she "doesn’t like learning new systems, especially computers." What would be the correct response by the chiropractor? Select all that apply.

The Research Process

Nursing research is a disciplined and systematic process. Which of the following is usually the first step in the research process?

Steps in Data Mining

The data analyst has completed the exploration of data. What should the analyst do with the data now?

Evidence

A healthcare organization has a high number of client complaints about their discharge information. They want an evidence-based process for discharging a client. Which source is the strongest evidence?

Barriers to Evidence-Based Practice

What are the main reasons that organizations are slow to adapt to evidence-based practice (EBP)? Select all that apply.

Case Study

After reviewing client surveys, a local hospital recognizes that there is a need for more online client education. They formed a committee to investigate this issue and find an evidence-based solution. The committee consists of medical staff, information technologists, analysts, and administration.

Before starting, the committee needs to review the steps in the research process. Place the following research step in the correct order.

Case Study

After reviewing client surveys, a local hospital recognizes that there is a need for more online client education. They formed a committee to investigate this issue and find an evidence- based solution. The committee consists of medical staff, information technologists, analysts, and administration.

Question 1 / 3

The next step of the plan is to gather information. The committee is interested in all data related to current client education practices as well as client and staff feedback on the education process. They also want to know what is considered “quality online education.” The analysts suggest the process of data mining. Why is this method of data collection appropriate?

Case Study

After reviewing client surveys, a local hospital recognizes that there is a need for more online client education. They formed a committee to investigate this issue and find an evidence- based solution. The committee consists of medical staff, information technologists, analysts, and administration.

Question 2 / 3

The design of this project is a mix between qualitative and quantitative data sources. Place the data sources in the correct categories.

Case Study

After reviewing client surveys, a local hospital recognizes that there is a need for more online client education. They formed a committee to investigate this issue and find an evidence- based solution. The committee consists of medical staff, information technologists, analysts, and administration.

Question 3 / 3

During one of the first meetings after the data mining started, a staff member asked how they knew for sure that the data collected was “quality” evidence? The analyst assured the staff member and committee that it was. How is quality determined?

Case Study

After reviewing client surveys, a local hospital recognizes that there is a need for more online client education. They formed a committee to investigate this issue and find an evidence-based solution. The committee consists of medical staff, information technologists, analysts, and administration.

In examining the data, some committee members asked how strong certain data is. Help the committee by sorting the evidence according to the evidence pyramid.

Case Study

After reviewing client surveys, a local hospital recognizes that there is a need for more online client education. They formed a committee to investigate this issue and find an evidence-based solution. The committee consists of medical staff, information technologists, analysts, and administration.

Question 1 / 3

The data was collected and analyzed. A summary report was presented to the stakeholders. What is the committee’s next step?

Case Study

After reviewing client surveys, a local hospital recognizes that there is a need for more online client education. They formed a committee to investigate this issue and find an evidence-based solution. The committee consists of medical staff, information technologists, analysts, and administration.

Question 2 / 3

The pilot study was successful, and the results were positive. The committee took the results to the stakeholders and the new online education model was approved. What considerations need to be taken at this step in the process? Select all that apply .

Case Study

After reviewing client surveys, a local hospital recognizes that there is a need for more online client education. They formed a committee to investigate this issue and find an evidence-based solution. The committee consists of medical staff, information technologists, analysts, and administration.

Question 3 / 3

The committee discussed the new online educational model with the staff at the hospital. They implemented a new client education procedure for discharges and phone calls that would refer the clients to this educational resource. The staff had complaints, which included not enough staff, more time required, and that it was too complex. How should the committee respond?

Access to MEDLINE

A student is trying to find access to the MEDLINE database. Which server should the student access?

Selecting Databases

A nursing student is looking for a reference for a paper on client safety in nursing. Which database would be the most helpful?

Using Mobile Applications in Clinical Settings

A nursing student would like to use a smartphone as reference tool on an acute care unit. What barriers could the student face using apps on the unit? Select all that apply.

Continuing Education

A nurse tells a co-worker that she needs 2 credits for continuing education in disaster preparedness. Her face-to-face class was cancelled so she needed to find one online.

• Which of the following statements from the nurse would need further education?
• Which of the following are characteristics of an intranet? Select all that apply.

Consequences of Social Media Misuse

A co-worker of Emily saw her post that violated client privacy and reported her to their nurse manager. Because it was an obvious breach of confidentiality and a Health Insurance Portability and Accountability Act (HIPAA) violation, the incident was reported then to the board of nursing. What consequences can Emily face? Select all that apply.

Finding CINAHL

A nursing student is trying to find CINAHL in the Chamberlain library. Which server is CINAHL in?

Mobile Applications and Learning Content

A nursing student is struggling in Pharmacology and downloaded a bunch of mobile applications (apps). Which app should be removed since it will not assist the student with learning the content?

the note-taking app

Professional Use of Mobile Applications

The local hospital furnishes smartphones for professional use by providers and nurses. The phones are preloaded with mobile applications (apps). If you were the nursing informatics specialist, which app categories should be preloaded into the phones to assist the staff? Select all that apply.

Online Continuing Education Courses

Carlos, a nurse in a long-term care facility, is looking for an online continuing education course on fall prevention. Where should he look for a reputable course? Select all that apply.

Electronic Sources

A nurse receives an order for tracheostomy suctioning. He has not performed this skill since nursing school and would like to review the correct steps. What should he do?

Use of Workplace Computers

A nurse manager needs to discuss the use of electronic media at work. Which of the following actions by staff during work time could result in consequences?

Sources of Information

A nurse needs to administer a medication she is not familiar with. She has access to workplace computers and a hospital issued smartphone with mobile applications (apps). Which source would be the least reliable?

smartphone app for drug information

Electronic Resources and Health/Information Literacy

Health Literacy

Which of the following clients is demonstrating health literacy?

Written Materials

When giving clients written materials, what grade level should the materials be written at?

Site Credibility

Which sites are the most credible for health information? Select all that apply.

Low Health Literacy

The following are clients that are new to the clinic you work at. Based on research, which client is most likely to have a low literacy level?

Website Design

A group of seniors were looking up information on healthcare insurance. Which site designs aspects would make them think it is a quality site?

Self-Diagnosing

Sara has been very ill. She decided to use the internet to self-diagnose. Which symptom is appropriate to use the internet for?

Recommending Websites

A nurse recommends The Centers for Disease Control and Prevention website to a client wanting information on COVID-19. Why is this a recommended site? Select all that apply.

Low Health Literacy and Client Education

A nurse notices on a client’s chart that the client has a low level of health literacy. The nurse needs to complete medication education with the client. How should the nurse adapt her teaching to the client?

Low Health Literacy and the New Client

A client was diagnosed in the emergency room with angina. The nurse is told to explain nitroglycerin to the client and discharge her. The nurse explains how nitroglycerin dilates the coronary arteries, thus improving symptoms of angina. To make sure the client understands the teaching, the nurse asks a few

questions. She notes that the client is struggling with pronouncing certain English words and seems confused about the teaching. What should the nurse do? Select all that apply.

Information About a Healthcare System

Maria is a 46-year-old female who was diagnosed with cancer a week ago. She wants to find out more information today about the treatment facility that her provider suggested. How can the nurse assist her over the phone?

Technology and Clients

A hospital in the area launched a public website four years ago and now a new college has been built nearby. Which of the following efforts would help expand their online presence specifically for young clients? Select all that apply.

Self-Diagnosing

Arriving to the emergency room, a client is convinced that he has a tumor that requires immediate surgery. He tells the provider that he looked his symptoms up on the internet and that is why he came in. What should be the provider’s response?

Different Websites

A client complains to a nurse that when he looked up information on digoxin, he couldn’t understand any of it. He said he was on Drugs.com and it had information on chemicals in the drug. This concerned him. What is the best response by the nurse?