CASE STUDY: Barb, a nursing student, is attending a quality assurance meeting at a local hospital. Teri, the ICU nurse educator, describes how she...
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. CASE STUDY: Barb, a nursing student, is attending a quality assurance

meeting at a local hospital. Her assignment is to identify how the hospital is using nursing research in the patient care setting. Teri, the ICU nurse educator, describes how she read several research articles on the use of arterial lines to measure blood sugar levels. This method, including the use of a basal bolus with a consistent sliding scale for insulin coverage, resulted in fewer complications for patients after open-heart surgery. She outlines how the approach (with a few modifications) could enhance nursing practice by decreasing the time spent paging physicians for insulin orders while efficiently meeting the patient's glucose control needs. Teri has also identified that the physicians in the hospital use different insulin sliding scales, which leads to problems when nurses accidentally administer the wrong insulin dosage. Teri creates a specific implementation plan and presents it to the participants. Dr. Moore, the hospital internist and member of the ICU quality assurance team, works with Teri on the proposal and defines the outcomes desired from implementing the plan.


A.           Is this an example of research utilization or evidence-based practice?
B.           What is the nursing practice problem identified by Teri in this scenario?
C.           How would Barb describe the steps used by the committee members to integrate nursing research into clinical practice?
D.           Create a plan for completing the proposed change by describing step 4 (implementing) and step 5 (evaluating) of this process.
E.           Is this case an example of conducting research because data are obtained and evaluated, or is this research utilization? Defend your answer.
F.           How could this scenario become an example of evidence-based practice?
G.          What are the characteristics of the practice context in this case that might affect research utilization? (Consider the type of patient in this scenario as well as the ICU environment.)

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