Knowledge of the levels of evidence in healthcare research is important to nurses, because this can ultimately lead to an improvement in the quality of care. Which source of information is most likely to be based on high levels of evidence?
Sources such as PubMed
Recommended readings from physicians
Comprehensive searches on Google and other search engines
Magazine and newspaper articles
The Correct Answer is A
A. Sources such as PubMed. – PubMed is a database of peer-reviewed medical literature, providing access to high-quality research and systematic reviews, often with high levels of evidence.
B. Recommended readings from physicians. – Physician recommendations may vary in quality and are not guaranteed to be based on the highest level of evidence or peer-reviewed sources.
C. Comprehensive searches on Google and other search engines. – These searches yield mixed sources of varying quality and do not necessarily prioritize high-level evidence-based research.
D. Magazine and newspaper articles. – These are typically not peer-reviewed or scientifically rigorous, often intended for the general public rather than professionals, and may not rely on high levels of evidence.
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Correct Answer is B
Explanation
A. Require a two-factor authentication method when accessing protected health records. – While two-factor authentication improves security, it doesn’t prevent unauthorized browsing of patient records.
B. Require the healthcare provider to document a reason for access prior to granting them entry to a patient's records. – Requiring a documented reason for access would help track and control patient data access, reducing unnecessary or unauthorized views.
C. Implement timed computer screen locks. – Timed locks secure unattended screens but don’t address unauthorized access when logged in.
D. Block Oliver from accessing the electronic health record system. – Blocking Oliver entirely is too restrictive, as he may need access for work-related tasks. Documenting a reason for access is a more balanced approach.
Correct Answer is D
Explanation
A. Robotics – Robotics can assist in procedures and some clinical tasks, but they do not directly provide evidence-based data for assessments.
B. Artificial intelligence – AI could support radiologists by analyzing imaging data and assisting in interpretations, but AI alone may not provide the structured, evidence-based clinical guidance needed.
C. Evidence-based practice (EBP) – EBP provides structured approaches to applying clinical research to patient care. However, it doesn't directly deliver automated, real-time support to the new radiologists.
D. Clinical decision support – Clinical decision support (CDS) provides real-time guidance based on evidence-based data, assisting radiologists in making accurate assessments by offering relevant clinical information.