Which one of the following statements is not applicable to using an evidence-base in nursing practice?

Appeared in: AIIMS Nagpur NO- 2020

Explanation

The statement that evaluation is not necessary is incorrect, making it the answer to this 'not applicable' question.
Evidence-Based Practice (EBP) is a continuous, cyclical process that includes evaluating the outcomes of the implemented evidence.
This evaluation or audit step is crucial to determine if the practice change led to improved patient outcomes and to ensure its ongoing effectiveness and relevance (SRC_4254).

Option A: This is a correct statement and a fundamental step in EBP. All evidence must be critically appraised for its quality, validity, and relevance before implementation.
Option B: This is a correct statement. The primary goal of implementing EBP is to improve the quality of patient care and achieve better patient outcomes.
Option D: This is a correct statement. EBP is designed to move clinical decision-making away from tradition and toward the use of the best available scientific evidence.

Clinical Relevance

Nursing practice connection: Knowing Principles of Evidence-Based Practice (EBP) in Nursing helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
Nurses use the EBP cycle to ensure their practice is safe, effective, and current, which directly impacts patient safety and outcomes.
Engaging in EBP is a hallmark of professional accountability and lifelong learning in nursing.
What if? - If a nurse implements a new pressure ulcer prevention protocol based on evidence but never evaluates its impact (the step negated in the correct answer), they might miss that it is ineffective in their specific patient population, leading to continued or even increased rates of skin breakdown.

How to Approach the Question

First, identify the negative framing of the question ('not applicable'). This means you are looking for the false statement among the options.
Recall the core principles and steps of Evidence-Based Practice (EBP), often remembered as a cycle.
Evaluate each option against the EBP framework. Three statements will be true principles of EBP, and one will be false.
The statement that evaluation is not needed (Option C) directly contradicts the cyclical nature of EBP, which always includes an 'evaluate' or 'audit' phase.
Therefore, the false statement is the correct answer to the 'not applicable' question.

Concept Tested & Keywords

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E6 NursingResearch Suresh Sharma 5e Part 1 p. 42-44

Practise the full AIIMS Nagpur NO- 2020

Attempt every question from this paper in a timed mock, then review the full solution for each one.