2. The Association of PeriOperative Registered Nurses’ (AORN) Standards of Perioperative Nursing describes nursing interactions, interventions, and
... [Show More] activities with patients. This is based on which standards category?
a. Evidence-based
b. Process
c. Outcome
d. Structural
ANS: B
Process standards relate to nursing activities, interventions, and interactions. They are used to explicate clinical, professional, and quality objectives in perioperative nursing.
3. Which order best describes the process used to implement evidence-based professional nursing?
a. Literature search, theory review, data analysis, policy development
b. Regional survey, literature search, meta-analysis, practice change
c. Identify problem, scientific evidence, develop policy, evaluate outcome
d. Identify issue, analyze scientific evidence, implement change, evaluate process
ANS: D
Evidence-based practice is a systematic, thorough process by which to identify an issue, to collect and evaluate the best evidence to design and implement a practice change, and to evaluate the process.
4. The ambulatory surgery unit is planning to develop a standardized skin preparation practice for their unit. The best process to gather scientific information is to:
a. conduct a survey of skin prep policies at the next AORN chapter meeting.
b. review their surgical site infection data from the last 6 months.
c. conduct a literature search on antimicrobial agents and infection prevention.
d. review the scientific literature from the leading manufacturers of prep solutions.
ANS: C
Perioperative nurses have an ethical responsibility to review practices and to modify them based on the best available scientific evidence. Using research to guide practice is called evidence-based practice (EBP).
5. The cardiac team is developing a standardized sterile back table setup and is unable to find sufficient research evidence for their project. Where might they look for information on best practices?
a. Survey regional surgical technology programs for their back table models
b. Review case studies and expert opinions on sterile back table setups
c. Review AORN’s Guidelines for Perioperative Practice on sterilization and disinfection
d. Consult with facility instrument vendor representatives for their advice
ANS: B
When there is not enough evidence to guide practice, perioperative nurses should consider gathering information from varied trusted sources that reflect best practices. [Show Less]