Deck 3: Clinical Scholarship and Evidence-Based Practice

Question 1

Which phrase best describes clinical scholarship?

A)Proficiency in clinical practice
B) Clinical research in practice
C)Rigorous inquiry to improve practice
D)Specialty-focused clinical practice

Answer 1

C

Question 2

Which is a difference between evidence-based practice and nursing scholarship or applied nursing research?

A)Evidence-based practice is practice-driven .
B) Nursing scholarship is often viewed as essential.
C)Evidence-based practice does not require research.
D)Nursing scholarship links research and patient values.

Answer 2

A

Question 3

Which statement reflects a characteristic of nursing scholarship?

A)It is about identifying the best evidence.
B) It is often seen as an add-on, optional activity.
C)It is about integrating and applying evidence.
D)It is seen as evaluation and making changes.

Answer 3

B

Question 4

Assuming all are well-designed, which is the highest level of evidence for practice?

A)Randomized controlled trials
B) Systematic reviews
C)Qualitative studies
D)Cohort studies

Question 5

Which is an appropriate evidence-based outcome indicator of quality improvement?

A)Diabetes management: pain
B) Patient satisfaction: blood pressure control
C)Risk: blood glucose levels
D)Compliance: maintain scheduled visits

Question 6

The published work of clinical scholars has:

A)gone beyond that of researchers.
B) remained steady since its early developments.
C)increased over the past two decades.
D)decreased as evidence-based practice increaseD)

Question 7

Which form of content needs to be integrated into DNP programs to increase scholarly production?

A)Translational science models
B) Randomized controlled trials
C)Mixed methods research
D)Iowa research model

Question 8

Which statement best describes clinical practice guidelines?

A)They reduce differences in practice patterns.
B) They assist in disseminating professional literature.
C)They provide a guideline for evaluating research.
D)They outline practice expectations for nurses.

Question 9

When deciding if a study is applicable in an identified case, which question is most appropriate to ask?

A)Is the problem easily solved with research?
B) How many articles has the author published?
C)Does my own experience match the evidence?
D)Did the researcher protect vulnerable populations?

Question 10

The principles of EBP were an outgrowth of whose work?

A)The Kaiser Family Foundation
B) Dr. Archie Cochrane
C)James Russell Lowell
D)The Carnegie Foundation

Question 11

When evaluating evidence, the domain of expertise should be considered.

Question 12

One of the distinguishing features of DNP preparation includes preparation for leadership.

Question 13

According to Boyer (1990; 1997), scholarship includes discovery.

Question 14

Using qualitative research in EBP is important because it provides objective information as evidence of effectiveness.

Question 15

In quantitative research design, confounding occurs when participants are randomized to either the control or intervention group.

Question 16

The reliability of a study is determined, in part, based on whether the instrument measures what it is supposed to measure.

Question 17

The purpose of the odds ration in a study is to determine the number of people that must be treated over a period of time.

Question 18

Quality improvement is partially focused on safe care.

Question 19

The purpose of the ________ instrument "is to provide a framework for assessing the quality of clinical practice guidelines."

Question 20

Match the term to the description:
-Clinical Scholarship

A)A process that helps cost decrease over time
B) Protocol-driven recommendations for treatment
C)Using evidence to support clinical practice
D)The use of evidence to scrutinize practice
E)Linking current research with patients' values

Question 21

Match the term to the description:
-Evidence-Based Practice

A)A process that helps cost decrease over time
B) Protocol-driven recommendations for treatment
C)Using evidence to support clinical practice
D)The use of evidence to scrutinize practice
E)Linking current research with patients' values

Question 22

Match the term to the description:
-Translating Research in Practice

A)A process that helps cost decrease over time
B) Protocol-driven recommendations for treatment
C)Using evidence to support clinical practice
D)The use of evidence to scrutinize practice
E)Linking current research with patients' values

Question 23

Match the term to the description:
-Quality Improvement

A)A process that helps cost decrease over time
B) Protocol-driven recommendations for treatment
C)Using evidence to support clinical practice
D)The use of evidence to scrutinize practice
E)Linking current research with patients' values

Question 24

Match the term to the description:
-Clinical Practice Guidelines

A)A process that helps cost decrease over time
B) Protocol-driven recommendations for treatment
C)Using evidence to support clinical practice
D)The use of evidence to scrutinize practice
E)Linking current research with patients' values

Question 25

Dr. Melanie Dreher is quoted as saying, "Clinical scholarship is an intellectual process… It includes challenging traditional nursing interventions, testing our ideas, predicting outcomes and explaining both patterns and exceptions." In our role as DNP-prepared nurses, we will be disruptive innovators, challenging many long-held traditions and notions of how things work. What DNP skills might be utilized to challenge traditions in a manner that will gain support for the change and minimize resistance to change in the clinical setting?

Question 26

Reflect on your own scholarly DNP project idea. Think about what quality measures you hope to achieve, the indicators, and how you would go about collecting data that could measure change in a practice or a process. Discuss in groups or on a discussion board and provide peer feedback.

Question 27

Discuss the tools available for identifying gaps in evidence for nursing practice. How might they inform your own DNP project or your practice as a DNP-prepared nurse?

Question 28

Discuss how evidence-based practice and clinical scholarship are different.

Question 29

Consider your DNP project. When preparing your presentation, who is the audience you will target, and what are their needs? How will you get this information to the audience? Discuss this in groups or on a discussion board and get feedback from your peers.

Question 30

A new instrument is used to assess the exercise habits of young adults. Which of the following reliability scores would indicate that the instrument is reliable?

A) 0.01
B) 0.35
C) 0.68
D) 0.81

Question 31

What are the three benchmark domains that must be considered when evaluating evidence?

A) Quality, quantity, and consistency
B) Validity, reliability, and consistency
C) Quality, reliability, and consistency
D) Quality, validity, and reliability

Question 32

Which model is most useful for implementing evidence-based practice in community and hospital settings?

A) AGREE
B) CURN
C) ARRC
D) PARIHS

Question 33

Which of the following would be an example of a compliance outcome?

A) Blood pressure control
B) Hand washing
C) Surgical procedures
D) Fluid restriction

Question 34

In a study examining the correlation between BMI and cancer risk, a researcher finds that as BMI increases, cancer risk also increases. What may the correlation coefficient be?

A) 0
B) 0.7
C) -0.5
D) -1.0

Question 35

A researcher finds that a new instrument that examines physical activity frequency has a reliability score of 0.58. What conclusion can the researcher draw from this finding?

A) The tool is an accurate measure of physical activity frequency.
B) There is consistency between raters.
C) The tool is not an accurate measure of physical activity frequency.
D) The tool will consistently assess physical activity frequency.

Question 36

A study uses smartphones to assess depressive symptoms before visiting with the physician. The physician reviews the results prior to meeting with the patient and uses the information to inform the visit with the patient. What type of evidence is used in this situation?

A) Practice-based
B) Evidence-based
C) Feedback-based
D) Outcome-based

Question 37

In which situation would the use of a descriptive study be warranted?

A) To determine the efficacy of a drug to reduce blood glucose levels
B) To assess attitudes toward a new drug among women of child-bearing age
C) To evaluate the relationship between physical activity and risk for a cardiovascular event
D) To determine whether exposure to a specific toxin causes cancer

Question 38

The first step in designing a practice intervention is to review the evidence.

Question 39

The purpose of benchmarking is to compare performance with an external standard to motivate improvement.