Question 1

What should a nurse do after identifying search terms using a patient, intervention, control, observation, and time (PICOT) question?&#10;A) Read the studies.&#10;B) Conduct the search.&#10;C) Develop a search strategy.&#10;D) Identify databases to search.

Accepted Answer

After using the PICOT question to identify relevant search terms, the next step is to identify databases to search. Reading the studies occurs later. Conducting the search occurs after the search strategy is developed.

Question 2

Which of the following resources would a nurse use to develop the patient, intervention, control, observation, and time (PICOT) question?&#10;A) Research Evidence Appraisal Tool&#10;B) Individual Evidence Summary Tool&#10;C) Evidence Synthesis and Recommendation Tool&#10;D) Searching Tips and Useful Web Resources Handout

Accepted Answer

The Searching Tips and Useful Web Resources Handout includes a PICOT question development tool. The Research Evidence Appraisal Tool, Individual Evidence Summary Tool, and Evidence Synthesis and Recommendation Tool are all used to appraise the evidence after the search is completed.

Question 3

Why would a nurse avoid using evidence that is rated as Level VII?&#10;A) It uses cohort studies.&#10;B) It is based on opinions.&#10;C) It is a single descriptive study.&#10;D) It includes nonrandomized trials.

Accepted Answer

Level VII evidence is based on opinions. Level IV evidence uses cohort studies. Level VI evidence is a single descriptive study. Level III evidence includes nonrandomized trials.

Question 4

Why would a nurse use evidence that has a U.S. Preventive Services Task Force (USPSTF) grade of B?&#10;A) It has a moderate certainty of benefit.&#10;B) It has a high certainty of substantial benefit.&#10;C) It has a moderate to high certainty of no benefit.&#10;D) It has a high certainty of moderate to substantial benefit.

Accepted Answer

Evidence with a USPSTF grade of B has a high certainty of moderate to substantial benefit. Evidence with a USPSTF grade of C has a moderate certainty of benefit. Evidence with a USPSTF grade of A has a high certainty of substantial benefit. Evidence with a USPSTF grade of D has a moderate to high certainty of no benefit.

Question 5

Which of the following is a characteristic of the Johns Hopkins Nursing Evidence-Based Practice model?&#10;A) It uses mentors to assist point-of-care clinicians.&#10;B) It begins with an organization assessment of the current culture.&#10;C) It has been found to improve job satisfaction and reduce turnover.&#10;D) It follows the process of practice question, evidence, and translation.

Accepted Answer

The Johns Hopkins Nursing Evidence-Based Practice model follows the process of practice question, evidence, and translation. The ARCC model uses mentors to assist point-of-care clinicians, begins with an organization assessment of the current culture, and has been found to improve job satisfaction and reduce turnover.

Question 6

Which of the following is a characteristic of the ACE Star model?&#10;A) It is circular.&#10;B) It has four steps.&#10;C) It eliminates redundancy.&#10;D) It begins with an organization assessment.

Accepted Answer

The ACE Star model has five steps and is circular. The SQUIRES guidelines eliminates redundancy. The ARCC model begins with an organization assessment.

Question 7

Which of the following is a step in the Rosswurm and Larrabee model?&#10;A) Form a team.&#10;B) Identify trigger issues.&#10;C) Design and pilot practice change.&#10;D) Link problem interventions and outcomes.

Accepted Answer

Linking problem interventions and outcomes is the second step in the Rosswurm and Larrabee model. Form a team, identify trigger issues, and design and pilot practice change are steps in the IOWA model.

Question 8

Which of the following questions is asked when using the SQUIRES guidelines?&#10;A) &#34;Who will do it?&#34;&#10;B) &#34;Why did you start?&#34;&#10;C) &#34;When will it be done?&#34;&#10;D) &#34;What is your interest?&#34;

Accepted Answer

One question to ask when using the SQUIRES guidelines is, "Why did you start?" "Who will do it?" "When will it be done?" and "What is your interest?" are not questions used in the SQUIRES guidelines.

Question 9

Which of the following is a premise of the PRECEDE-PROCEED model?&#10;A) The target population receives an intervention.&#10;B) The problem interventions and outcomes are linked.&#10;C) Stakeholders need to be included in the process at the beginning.&#10;D) It was originally developed as a framework to report research results.

Accepted Answer

In the PRECEDE-PROCEED model, the premise is that stakeholders must be included in the process at the beginning. The target population receiving an intervention is an action in the RE-AIM framework. Linking the problem intervention and outcomes is a step in the Rosswurm and Larrabee model. The RE-AIM framework was originally developed as a way to report research results.

Question 10

Who is a stakeholder in evidence-based practice?&#10;A) Nurses&#10;B) Patients&#10;C) Partners&#10;D) Researchers

Accepted Answer

Partners are stakeholders in evidence-based practice. Nurses, patients, and researchers are not identified as stakeholders in evidence-based practice.

Deck 23: Synthesizing the Evidence and Using It in Health Promotion Practice