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A nurse working in a home health agency is asked to participate on a committee that is looking to incorporate evidence-based nursing care. What should be the committee's first step in implementing evidence-based practice (EBP)?

A) Compile a list of questions.
B) Research evidence-based practices that can be implemented.
C) Evaluate the results of different research projects.
D) Suggest that individual staff members try new means of delivering care.

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Final answer:

To implement evidence-based practice, the committee should start by compiling a list of questions, which is the foundation for gathering and critically appraising research materials. This step is fundamental for ensuring the credibility and relevance of evidence used to guide practice changes in the healthcare setting.

Step-by-step explanation:

The committee's first step in implementing evidence-based practice (EBP) should be to compile a list of questions. This aligns with the research process, which advises beginning with articulating general inquiries and then sharpening them as more knowledge is gained. Additionally, it affirms the importance of evaluating research materials for various characteristics, such as credibility and bias, to ensure the evidence utilized is reliable and valid. Once a solid base of questions is developed, next steps can include researching evidence-based practices that can be implemented, evaluating the results of different research projects, and eventually suggesting that staff try new methods of care delivery based on strong evidence.

As the process is multidimensional, it is also essential to engage stakeholders effectively, using a Community-Based Participatory Research (CBPR) approach or similar methods that focus on trust-building and collaboration. Composing reports and integrating evidence from sources is part of developing and refining the ideas that lead to EBP implementation. Continuous feedback and revision, such as in a peer review, are key to enhancing practice based on evidence.

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