Barb, a nursing student, is attending a quality assurancemeeting at a local hospital. Her assignment is to identify how thehospital is using nursing research in the patient care setting.Teri, the ICU nurse educator, describes how she read severalresearch articles on the use of arterial lines to measure bloodsugar levels. This method, including the use of a basal bolus witha consistent sliding scale for insulin coverage, resulted in fewercomplications for patients after open-heart surgery. She outlineshow the approach (with a few modifications) could enhance nursingpractice by decreasing the time spent paging physicians for insulinorders while efficiently meeting the patient’s glucose controlneeds. Teri has also identified the physicians in the hospital usedifferent insulin sliding scales, which leads to problems whennurses accidentally administer the wrong insulin dosage. Tericreates a specific implementation plan and presents it to theparticipants. Dr. Moore, the hospital internist and member of theICU quality assurance team, works with Teri on the proposal anddefines the outcomes desired from implementing the plan. A. Is thisan example of research utilization or evidence-based practice? B.What is the nursing practice problem identified by Teri in thisscenario? C. How would Barb describe the steps used by thecommittee members to integrate nursing research into clinicalpractice? D. Create a plan for completing the proposed change bydescribing step 4 (implementing) and step 5 (evaluating) of thisprocess. E. Is this case an example of conducting research becausedata are obtained and evaluated, or is this research utilization?Defend your answer.
