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QUESTION
1. Think about a time when you were unsure about what to do in a certain clinical situation. What could be on your mental checklist to help you formulate a question that enables to you isolate the main questions and locate evidence?
2. Consider this scenario: You are searching for new employment as a bedside nurse. You are passionate about using evidence in your nursing practice. You want to determine if the organization is an environment that would enable you to use evidence in your everyday practice. What are some questions that you would ask during your interview with the human resources representative, the nursing leader of the unit you are considering, and a staff nurse who currently works on the unit?
3. Think about routine nursing practice. How do you know that the practice is right? Have you questioned a nursing procedure or intervention in the past? Have you noticed any clinical reminders, prompts, or cues in your practice setting? How well have they worked? Did they represent an evidence-based practice? Does the effect of these strategies change over time?
4. Consider this situation: You are a staff nurse caring for a patient in a critical care unit. The unit policy limits visitors to 10 minutes on the even hours. You find yourself needing to frequently bend the rules because some families and their critically ill loved ones want to spend more time together and they want more flexibility to visit. How might you investigate whether this practice reflects the best available evidence? How might patients’ and families’ wishes be better incorporated to change the practice?
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