Certified Medical-Surgical Registered Nurse Practice Test

When implementing an evidence-based nursing program to decrease the incidence of pressure ulcers on a medical-surgical unit, which of the following is the most important to ensure its success?

1. Obtaining support from management, administration, and physicians

2. Determining and documenting patient outcomes

3. Identifying a significant problem that needs to be addressed

4. Evaluating research based on its validity and reliability

The correct answer is: Obtaining support from management, administration, and physicians

In implementing an evidence-based nursing program to decrease the incidence of pressure ulcers on a medical-surgical unit, obtaining support from management, administration, and physicians is the most important factor to ensure its success. Support from key stakeholders such as management, administration, and physicians is crucial to provide necessary resources, create a culture of implementation, and garner overall buy-in for the program. Option B, determining and documenting patient outcomes, is an important aspect of the program but can only be effectively achieved with the support of management, administration, and physicians. Option C, identifying a significant problem that needs to be addressed, is a crucial initial step in the process of implementing an evidence-based program, but without support from key stakeholders, it may be challenging to effectively address the identified problem. Option D, evaluating research based on its validity and reliability, is essential in the development of an evidence-based program, but again, without the necessary support from management, administration, and physicians, it can be difficult to translate that research into practice successfully.