Deck 17: Developing an Evidence-Based Practice

Question 1

The nurse researcher wants to determine the guiding steps involved in actualizing EBP.The researcher should expect to study the Iowa Model of Evidence-Based Practice to Promote Quality Care in conjunction with:

A) Evidence-based Medicine Reviews
B) Cochrane Database of Systematic Reviews
C) Rogers' Diffusion of Innovation Model
D) The Agency for Healthcare Research and Quality (AHRQ)'s National Guideline Clearinghouse

Answer 1

Rogers' Diffusion of Innovation Model

Question 2

What should the nurse researcher plan to include in a research study that is focused on EBP?

A) Interaction with direct care practitioners
B) Dissemination of findings via professional journals
C) Determining applicability of findings for practice
D) Use of randomized controlled trials

Answer 2

Use of randomized controlled trials

Question 3

How should the nurse researcher view EBP?

A) The integration of best research evidence with clinical expertise and patient values
B) The promotion of the publication of research findings among practicing nurses
C) The process of using research findings to improve patient care
D) The collection of data from subjects using measurement devices

Answer 3

The integration of best research evidence with clinical expertise and patient values

Question 4

What should a nurse researcher use to guide the analysis of data collected from subjects who meet study inclusion and exclusion criteria for the purpose of answering specific research questions that test specified hypotheses?

A) Dissemination of research
B) Metasynthesis of research
C) Utilization of research
D) Conduct of research

Question 5

Rogers' Diffusion of Innovation Model discusses the uptake of knowledge as:

A) Linear
B) Logical
C) Dynamic
D) Inductive

Question 6

The EBP team is attempting to formulate an EBP question.What should the team focus on when defining the question?

A) Objectives to be accomplished
B) Interventions or exposures
C) Implementations to be accomplished
D) Evaluation of the problem

Question 7

What is a question that a nurse researcher should consider in identifying key stakeholders?

A) When will system changes be needed?
B) How will uncooperative stakeholders be handled?
C) What is the step-by-step process of decision-making in implementing EBP?
D) Who can influence the decision to proceed with implementation of an EBP?

Question 8

A nurse researcher is selecting a topic for an EBP project.What type of topic would be most appropriate if the researcher is interested in developing an idea from a knowledge-focused trigger?

A) One identified through the benchmarking of data
B) One identified through risk surveillance
C) One identified through financial data
D) One identified through staff reading research

Question 9

What is an electronic database for clinical problems and evidence-based research?

A) Health and Psychosocial Instruments File
B) Cochrane
C) National Clearinghouse
D) Cumulative Index to Nursing and Allied Health Index

Question 10

A nurse researcher is selecting a topic for an EBP project.What type of topic would be most appropriate if the researcher is interested in developing an idea from a problem-focused trigger?

A) Treatment of heart failure
B) Increased incidence of deep venous thrombosis in trauma patients
C) Prevention of nosocomial pressure ulcers
D) Community-acquired pneumonia

Question 11

The conceptually driven form of using research evidence in practice influences providers':

A) Action
B) Critique
C) Thinking
D) Evaluation

Question 12

A nurse researcher writes an article for a professional journal based on his previously conducted research on variables that predict obesity in children.This research activity is described as research:

A) Dissemination
B) Recruitment
C) Evaluation
D) Analysis

Question 13

What should the nurse researcher who is involved in conduct of research plan to accomplish?

A) Active interchange with active care practitioners
B) Dissemination of findings via research reports
C) Determining applicability of findings for practice
D) Use of randomized controlled trials

Question 14

How can a nurse researcher use research findings to go beyond dissemination of evidence-based guidelines and promote adoption of evidence-based practice (EBP)guidelines?

A) Through dissemination activities
B) Through translating research into practice (TRIP)
C) Through research utilization
D) Through critiquing findings

Question 15

What types of support are important for a nurse researcher to achieve success in accomplishing an EBP intervention?

A) Organizational and administrative
B) Staff nurse and nurse manager
C) Researcher and physician
D) Patient and coordinator

Question 16

What is a useful approach to evaluate an EBP standard after providers have it written?

A) Nursing staff meeting
B) Focus group
C) Patient safety committee
D) Quality improvement committee

Question 17

The nurse researcher is reading theoretical and clinical articles to have a broad view of the topic and related concepts before reviewing existing EBP guidelines.How should the nurse researcher complete the process of reading the articles?

A) Read evidence-based guidelines and evidence reports
B) Read systematic review articles and synthesis reports
C) Read theory articles to understand theoretical perspectives in critiquing studies
D) Read research articles including meta-analyses

Question 18

The nurse researcher is using a conceptually driven form of using research evidence in practice.What should the researcher expect to result from use of this form of using evidence in practice?

A) Application of scientific knowledge as part of a new practice
B) Endorsement of current practice based on review of studies applicable to that practice
C) Critical decision to change practice based on critique of applicable studies
D) Generation of new hypotheses

Question 19

The nurse researcher is reading theoretical and clinical articles to have a broad view of the topic and related concepts before reviewing existing EBP guidelines.How should the nurse researcher begin the process of reading the articles?

A) Begin reading evidence-based guidelines and evidence reports
B) Begin reading clinical articles to understand the state of the practice
C) Begin reading theory articles to understand theoretical perspectives in critiquing studies
D) Begin reading systematic review articles to understand the state of the science

Question 20

How is PICO [Patient/population/problem; Intervention/treatment; Comparison/intervention/treatment; Outcome(s)] used in EBP?

A) It is used to formulate the practice question.
B) It is used in evidence retrieval.
C) It is used to grade the evidence.
D) It is used to critique practice guidelines.

Question 21

Which nurse would be most likely to have as part of his or her EBP criteria "creates a microsystem that fosters critical thinking"?

A) Advanced practice nurse
B) Nurse manager
C) Associate director for clinical services
D) Chief nurse executive

Question 22

What would be an appropriate EBP performance criterion for an associate director for clinical services?

A) Uses performance criteria about EBP in evaluation of staff
B) Challenges staff to seek out evidence to resolve clinical issues and improve care
C) Provides learning environment for EBP
D) Uses evidence to guide operations and management decisions

Question 23

The nurse researcher is synthesizing the findings from research critiques and is creating a summary table.Essential information to include in such a summary includes:

A) Stakeholders involved
B) Objectives of the study
C) Type of research design
D) Evaluation of study findings' usefulness

Question 24

Which nurse would be most likely to have as part of his or her EBP criteria "provides resources for EBP"?

A) Advanced practice nurse
B) Nurse manager
C) Associate director for clinical services
D) Chief nurse executive

Question 25

What is a useful approach that a nurse researcher can use to evaluate an EBP standard after providers have it written?

A) Nursing staff meeting
B) Focus group
C) Patient safety committee
D) Quality improvement committee

Question 26

What should be the characteristics of an opinion leader from the local peer group? (Select all that apply.)

A) Considered by associates as technically competent
B) Viewed as a respected source of influence
C) Narrow but clearly defined sphere of influence
D) Trusted to evaluate new information in the context of group norms
E) Full and dedicated member of the local group

Question 27

What would be an appropriate EBP performance criterion for an advanced practice nurse?

A) Sets strategic directions for EBP
B) Serves as coach and mentor in EBP
C) Provides resources for EBP
D) Integrates EBP processes into division-service line governance

Question 28

What are the components of a receptive context for EBP? (Select all that apply.)

A) Strong leadership
B) Clear strategic vision
C) Effective data-capture systems
D) Organizational skills
E) Good managerial relations
F) Visionary staff in key positions
G) Ability to prioritize
H) Climate conducive to experimentation and risk taking

Question 29

What would be an appropriate EBP performance criterion for a nurse manager?

A) Creates a microsystem that fosters critical thinking
B) Suggests resolutions for clinical issues based on evidence
C) Participates in quality improvement initiatives
D) Questions current practices

Question 30

When considering the decision to change practice,what criteria should be considered? (Select all that apply.)

A) A significant number of studies and EBP guidelines
B) The risk-benefit ratio for the patient
C) A thorough review of the literature
D) Feasibility for a practice application
E) Preference of stakeholders

Question 31

What sources of relevant research and related literature are needed for evidence retrieval? (Select all that apply.)

A) Hospital policies
B) Meta-analyses
C) Integrative literature review
D) Anecdotal reports

Question 32

Which nurse would be most likely to have as part of his or her EBP criteria "sets strategic directions for EBP"?

A) Advanced practice nurse
B) Nurse manager
C) Associate director for clinical services
D) Chief nurse executive

Question 33

What would be an appropriate EBP performance criterion for a chief nurse executive?

A) Creates a microsystem that fosters critical thinking
B) Challenges staff to seek out evidence to resolve clinical issues and improve care
C) Role models EBP
D) Assigns accountability for EBP

Question 34

What would be an appropriate EBP performance criterion for a staff nurse?

A) Role models EBP in administrative decision-making
B) Assigns accountability for EBP
C) Provides resources to support EBPs by direct care providers
D) Suggests resolutions for clinical issues based on evidence

Question 35

Which nurse would be most likely to have as part of his or her EBP criteria "articulates value of EBP to CEO and governing board"?

A) Advanced practice nurse
B) Nurse manager
C) Associate director for clinical services
D) Chief nurse executive

Question 36

Which nurse would be most likely to have as part of his or her EBP criteria "role models EBP in administrative decision-making"?

A) Advanced practice purse
B) Nurse manager
C) Associate director for clinical services
D) Chief nurse executive

Question 37

For an EBP project to succeed in improving practice,what type of team is warranted? (Select all that apply.)

A) Physician
B) Stakeholder
C) Interdisciplinary team
D) Psychologist