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Should Carey have moved forward with implementing a volunteer program despite limited literature?

  1. No, there was no evidence volunteers would be beneficial

  2. No, she should have waited until there were data on this topic

  3. Yes, if there is no literature on a topic, data should be collected to evaluate the change

  4. Yes, it is always good to try something new

The correct answer is: Yes, if there is no literature on a topic, data should be collected to evaluate the change

The rationale for supporting the decision to implement a volunteer program despite limited literature lies in the concept of evidence-based practice. In nursing and healthcare, while existing literature is essential for guiding decisions, there are many scenarios where innovative solutions may not yet be documented thoroughly. The lack of literature does not automatically indicate that an initiative would be ineffective or unnecessary; rather, it may suggest an opportunity to explore uncharted territory. By moving forward with the volunteer program, Carey acknowledges the potential benefits that such a program could bring, even if they are not backed by extensive published studies. Implementing the program allows for data collection in real-time, which enables assessment and analysis of its outcomes. Gathering this information can contribute to the body of knowledge around volunteer programs and provide insights for future initiatives. This approach aligns well with a clinical nurse leader's role, which includes promoting quality improvement and patient outcomes through innovative practices and solutions. Additionally, trialing new approaches fosters a culture of learning and adaptation within healthcare environments. If data are collected and analyzed after implementation, it would become possible to either validate the effectiveness of the volunteer program or identify areas for modification based on firsthand evidence. This proactive stance supports continuous improvement in care, which is a fundamental principle in nursing practice.