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Original Question
Case Study You are the nurse educator on the labor and delivery floor in your large, urban hospital. Standard practice in your unit is that birthing parents are not allowed to eat or drink once they are in active labor. The staff on the labor and delivery unit wonder whether there is evidence to support this practice. You decide you are going to engage in an EBP project to search for the answer. Your hospital has been engaged in evidence-based practice for the past 5 years, creating a culture that believes EBP is the way to quality and safety, and has created an infrastructure to support EBP. They have developed a cadre of EBP mentors throughout the organization and are working on creating dedicated time to engage in EBP initiatives. They have an EBP council made up mostly of very experienced nurses (10+ years in practice) and have just invited two people outside of nursing to join the EBP council. Proposed changes must move through the Policy and Procedures Council, whose chair and vice-chair are experienced physicians who are skeptical of EBP. The Director of the Anesthesia Department sits on the guideline committee for the American Society of Anesthesiologists (ASA), so she holds guidelines put out by the ASA in very high regard. Even in an environment and culture that supports EBP integration, with organizational structures that support implementing and sustaining evidence-based initiatives, changing practice is hard. After creating PICOT questions, searching, appraising, and synthesizing the body of evidence, you discover the evidence does not support keeping patients
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