A nurse manager wants to facilitate incorporation of evidence-based practice (EBP) in the clinical setting. Which of the following would be the best strategy to accomplish this goal?

Correct Answer: C

Rationale: The correct answer is C because encouraging group reflection on the ideals and expectations of nursing care promotes a shared understanding and commitment to EBP. This strategy fosters collaboration, critical thinking, and engagement among staff, leading to a more effective implementation of EBP. A: Eliminating all non-evidence-based protocols may hinder practice improvement and overlook valuable experiences and insights. B: Without a specific action or strategy provided, it lacks a clear direction for promoting EBP. D: Without any information, it is difficult to determine how this strategy directly relates to facilitating EBP in the clinical setting.

Correct Answer: A

Rationale: The correct answer is A: Case reports. Case reports are considered the lowest level of evidence because they are anecdotal and provide information based on individual cases, lacking generalizability. Cohort studies, randomized control trials, and cross-sectional studies provide more robust evidence due to their study designs, larger sample sizes, and ability to establish causal relationships. Cohort studies follow a group over time, RCTs involve randomization and control groups, and cross-sectional studies provide a snapshot of a population at a specific point. Case reports are valuable for generating hypotheses but are not sufficient to establish strong evidence due to their limitations in terms of bias and generalizability.

Correct Answer: C

Rationale: The correct answer is C: Synthesizing the literature. In evidence-based decision-making, after conducting a literature search, the nurse needs to synthesize the information by compiling research findings and identifying trends in the data. This step involves analyzing and integrating the evidence to draw meaningful conclusions. Defining the problem (choice B) is the initial step before conducting a literature search. Appraising the literature (choice D) comes after synthesizing the information, where the nurse evaluates the quality and relevance of the studies.

Correct Answer: D

Rationale: The correct answer is D because obtaining informed consent from each participant in the study is an essential ethical practice in research. This ensures that participants are fully aware of the study's purpose, procedures, risks, and benefits before deciding to participate. It upholds the principles of autonomy, respect for individuals, and beneficence. Requiring all participants to provide informed consent promotes transparency and protects participants' rights. Choices A, B, and C are incorrect because they do not align with the ethical principle of informed consent for all research participants, regardless of their vulnerability, the study's risks, or completion status.

Correct Answer: A

Rationale: The correct answer is A: Qualitative. A qualitative study allows the nurse to explore and understand the experiences, perceptions, and behaviors of the immigrant group in depth. Through methods like interviews and observations, the nurse can gain rich insights into their cultural beliefs and health practices. In contrast, a randomized control study (B) focuses on comparing interventions, not on understanding experiences. Needs assessment (C) involves identifying community needs but may not capture the nuances of immigrant experiences. Quality improvement (D) aims to enhance processes and outcomes, not to explore subjective experiences.