Chapter 16 – Case Study Questions
This activity contains 3 questions.
Do We Need Evidence to Improve Care?
One of two pediatric units in an acute care hospital has not demonstrated that it is
applying evidence-based practice. The chief nurse executive of the hospital is meeting
with the nurse manager of the unit, the director of the pediatric nursing division, and the
pediatric medical director. They review the information about the unit and conclude there
is a problem. The chief nurse executive requests that the unit improve in applying EBP
and asks the nurse manager to lead the effort with assistance from the two directors. All
agree with this direction. The nurse manager leaves the meeting stressed and sits down to
think through what he needs to do.
1.
Why is it important for EBP to be effectively applied in all units?
2.
If other units are applying EBP more effectively, how might this be helpful to you in your
planning?
3.
What steps will you take, and whom will you involve?
Finkelman, Leadership and Management for Nurses: Core Competencies for Quality Care, 3e
Chapter 16 – ANSWER KEY Case Study Questions
1.
EBP emphasizes the importance of the knowledge worker, which relates to content in
Chapter 1 about knowledge and leadership. There is need for nurses to see themselves as
knowledge workers. The goal is for nurses to make clinically sound and autonomous
2.
EBP has to be incorporated into all aspects of the organization structure, culture, and
systems. Examples that are given to implement these four factors are:
• Integrate EBP in all staff education.
3.
The nurse manager needs to ensure not only that documents describing care are evidence-
based but also that they are applied. This requires monitoring, and this is part of quality
Finkelman, Leadership and Management for Nurses: Core Competencies for Quality Care, 3e