A busy school health nurse concerned over the rising incidence of obesity wants to implement evidence-based practice (EBP) but faces barriers because of time constraints. Which of the following actions should the nurse take first?

Correct Answer: C

Rationale: The correct answer is C because the first step in implementing evidence-based practice (EBP) is to evaluate best practices to determine the most effective strategies for weight control in children. This involves researching and analyzing existing evidence to identify interventions with proven success rates. This step is crucial to ensure that the interventions chosen are based on solid evidence and are likely to yield positive outcomes. Choice A is incorrect as it jumps straight to monitoring without first identifying effective interventions. Choice D is incorrect as scheduling physician appointments is not the initial step in implementing EBP. Choice B is incomplete and does not provide a specific action to address the rising incidence of obesity.

Correct Answer: A

Rationale: The correct answer is A: Administrators. Administrators are the group that typically sets policies, guidelines, and expectations within healthcare settings, including the adoption of evidence-based practice (EBP) to improve patient outcomes and quality of care. They have the authority to enforce compliance and allocate resources for EBP implementation. Nurses (C) and physicians (D) may be encouraged to use EBP, but administrators have more influence in driving its adoption. Insurance companies (B) may incentivize EBP through reimbursement policies, but they do not have direct control over clinicians' practice decisions like administrators do.

Correct Answer: B

Rationale: The correct answer is B: Current research findings. Research findings are essential for evidence-based practice (EBP) as they provide the most up-to-date and reliable information on managing type 2 diabetes mellitus. They are based on rigorous scientific methods and can guide healthcare providers in making informed decisions. Published protocols (A) may be outdated or not based on the latest evidence. Opinions of colleagues (C) vary and may not always be evidence-based. Nursing journals (D) may contain research findings, but the most direct and reliable source for current evidence is from recent research studies.

Correct Answer: A

Rationale: The correct answer is A: Reminding clients via telephone, e-mail, or mail. This option directly addresses the issue of increasing attendance by actively reminding individuals of their screening appointments, which can significantly improve compliance rates. By proactively reaching out through various communication channels, it increases the likelihood of individuals showing up for their appointments. Other choices are incorrect because: B: Emphasizing long life and happy family may not directly address the issue of attendance and may not be a strong motivator for everyone. C: Pointing out cost and convenience is important but may not be sufficient to motivate individuals to attend their appointments. D: Stressing dangerousness of the condition can induce fear, but fear-based messaging may not always be effective in influencing behavior positively.

Correct Answer: A

Rationale: Correct Answer: A Rationale: 1. Colleagues lacking skills in searching literature or critiquing research can hinder the nurse's efforts to increase evidence-based practice. 2. Lack of research skills can lead to difficulty in finding and evaluating relevant evidence. 3. This barrier directly impacts the nurse's ability to enhance the evidence base of practice in the agency. Summary: B: Dedication to history and tradition does not necessarily impede evidence-based practice; in fact, it can be complementary. C: While a lack of research in the clinical area is a challenge, it is not a barrier that prevents the nurse from actively seeking evidence. D: Inconsistent meta-analyses can present challenges, but they do not directly impede the nurse's efforts to increase the evidence base through literature review and critique.