Fundamentals of Nursing Q 588
To initiate an intervention the nurse must be competent in three areas, which include:
A. Knowledge, function, and specific skills.
B. Experience, advanced education, and skills.
C. Skills, finances, and leadership.
D. Leadership, autonomy, and skills.
Correct Answer: A. Knowledge, function, and specific skills
Critical thinking and reflection are essential skills because they can enhance nurses’ ability to solve problems and make sound decisions. Critical thinking skills enable nurses to identify multiple possibilities in clinical situations and alternatives to interventions; weigh the consequences of alternate actions; and determine the right judgment and decisions. To provide safe and effective care to the clients, nurses must integrate knowledge, skills, and attitudes to make sound judgment and decisions.
Option B: Due to the increasing internal and external expectations of higher quality nursing, it is no longer acceptable for nurses to deliver nursing care only on experience and textbook knowledge. Clinical nurses are expected to systematically gather the best research evidence, draw from nursing experience, and consider patient’s preferences when they are making professional decisions
Option C: Some research findings showed that changing the attitude and enhancing the knowledge of nurses are the first step in EBP. McCleary and Brown conducted a study on 528 graduate nurses working in educational pediatric hospitals of Canada and reported that the nurses’ knowledge of EBP and their positive attitude towards it will contribute to its implementation in the healthcare system.
Option D: Melnyk et al. stated that acquiring knowledge about research methods and having the skill to evaluate research reports critically may enable overcoming the obstacles hindering the application of research findings and thus will lead to improvement of healthcare quality. Hence, the EBP attitude, knowledge, and skills of nurses are so important.