Question 1

A nurse researcher is selecting a topic for an EBP project. Which 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

Accepted Answer

A problem-focused trigger typically involves an issue or problem that needs to be addressed or solved. Of the options given, "Increased incidence of deep venous thrombosis in trauma patients" fits this criteria the most. The topic raises a specific problem that needs to be addressed and can be explored using evidence-based practice (EBP).
The other options are more general and not specifically focused on a problem that needs to be solved. While they may still be appropriate topics for an EBP project, they do not fit the criteria of a problem-focused trigger as closely as the issue of increased incidence of deep venous thrombosis in trauma patients.

Question 2

A nurse researcher should view EBP as what?
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

Accepted Answer

Evidence-based practice (EBP) is an approach to healthcare that involves using the best available evidence from research, clinical expertise, and patient values to make decisions about patient care. As a nurse researcher, it is important to view EBP as a way to integrate the latest research findings with clinical expertise and the unique values and needs of individual patients. By doing so, nurses can provide the best possible care and improve patient outcomes. While data collection and research dissemination are important components of EBP, they are not the primary focus. The primary focus is on using the best available evidence to make informed decisions about patient care.

Question 3

The characteristics of an opinion leader from the local peer group include what? (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

Accepted Answer

A, B, D, E

Question 4

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. The nurse researcher begins the process of reading the articles by doing what?
A) Reading evidence-based guidelines and evidence reports
B) Reading systematic review articles and synthesis reports
C) Reading theory articles to understand theoretical perspectives in critiquing studies
D) Reading research articles including meta-analyses

Accepted Answer

The answer of The nurse researcher is reading theoretical and...

Question 5

The nurse researcher is synthesizing the findings from research critiques and is creating a summary table. Essential information to include consists of what?
A) Stakeholders involved
B) Objectives of the study
C) Type of research design
D) Evaluation of study findings' usefulness

Accepted Answer

The answer of The nurse researcher is synthesizing the findings...

Question 6

The nurse researcher who is involved in conduct of research should plan to accomplish what?
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

Accepted Answer

The answer of The nurse researcher who is involved in...

Question 7

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

Accepted Answer

The answer of What should the nurse researcher plan to...

Question 8

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. The nurse researcher begins the process of reading the articles by doing what?
A) Reading evidence-based guidelines and evidence reports
B) Reading clinical articles to understand the state of the practice
C) Reading theory articles to understand theoretical perspectives in critiquing studies
D) Reading systematic review articles to understand the state of the science

Accepted Answer

The nurse researcher should start the process of reading articles by first reading clinical articles to understand the current state of practice related to the topic of interest. This will help the nurse researcher to identify gaps in knowledge and areas where more research is needed. Reading evidence-based guidelines and systematic review articles can be helpful, but it is important to first have a broad understanding of the topic through clinical articles. Reading theory articles can be helpful in critiquing studies, but they may not provide the same practical understanding of the topic as clinical articles. Therefore, option B is the best choice.

Question 9

When considering the decision to change practice, criteria to be considered include what? (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

Accepted Answer

The answer of When considering the decision to change practice,...

Question 10

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.

Accepted Answer

The answer of How is PICO [Patient/population/problem; Intervention/treatment; Comparison/intervention/treatment; Outcome(s)]...

Question 11

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 what?
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

Accepted Answer

The Iowa Model of Evidence-Based Practice (EBP) to Promote Quality Care is a widely used framework for implementing EBP in healthcare settings. It is a six-step model that provides a systematic approach for moving evidence into practice. One of the key components of the model is the consideration of factors that influence the adoption of EBP within a specific organization or setting.
Rogers' Diffusion of Innovation Model is a well-established theory that explains how new ideas or innovations are adopted by individuals or groups. This model is often used in conjunction with the Iowa Model of EBP to understand the factors that influence the adoption of evidence-based practices in healthcare settings. The Diffusion of Innovation Model identifies five categories of adopters: innovators, early adopters, early majority, late majority, and laggards. Understanding where individuals or groups fall within these categories can help healthcare organizations tailor their approach to implementing EBP.
While Evidence-Based Medicine Reviews, the Cochrane Database of Systematic Reviews, and the National Guideline Clearinghouse are all useful resources for identifying and synthesizing evidence, they are not directly related to the implementation of EBP within a healthcare organization. Therefore, the best choice for a framework to use in conjunction with the Iowa Model of EBP is Rogers' Diffusion of Innovation Model.

Question 12

A nurse researcher is selecting a topic for an EBP project. Which 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

Accepted Answer

A knowledge-focused trigger is a type of trigger for evidence-based practice projects that arises from a need to fill a gap in knowledge or address a clinical question or problem. This type of trigger is often driven by a desire to improve patient outcomes or to enhance clinical decision-making.
Of the options given, the most appropriate topic for a nurse researcher interested in developing an idea from a knowledge-focused trigger would be one identified through staff reading research. This is because staff reading research can help identify gaps in knowledge or areas where further research is needed, which can then be used to develop an evidence-based practice project. Benchmarking of data, risk surveillance, and financial data are all important sources of information, but they are not as directly related to developing an evidence-based practice project from a knowledge-focused trigger.

Question 13

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

Accepted Answer

The answer of For an EBP project to succeed in...

Question 14

Which question should a nurse researcher consider in identifying key stakeholders?
A) When will system changes be necessary?
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?

Accepted Answer

In identifying key stakeholders, a nurse researcher should consider who can influence the decision to proceed with the implementation of an evidence-based practice (EBP). This is important because these stakeholders have the potential to affect the success or failure of the EBP implementation. Examples of such stakeholders may include healthcare administrators, clinical leaders, nursing staff, patients, and their families. By involving these stakeholders in the decision-making process, the nurse researcher can gain support for the EBP implementation and address any concerns or issues that may arise. Therefore, option D is the best choice among the given options. Option A is not relevant as it pertains to the timing of system changes rather than identifying stakeholders. Option B is not a proactive approach to addressing stakeholder concerns. Option C is more focused on the process of decision-making rather than identifying key stakeholders.

Question 15

A nurse researcher can use research findings to go beyond dissemination of evidence-based guidelines and promote adoption of evidence-based practice (EBP) guidelines through what?
A) Through dissemination activities
B) Through translating research into practice
C) Through research utilization
D) Through critiquing findings

Accepted Answer

The answer of A nurse researcher can use research findings...

Question 16

The EBP team is attempting to formulate an EBP question. When defining the question, the team should focus on what?
A) Objectives to be accomplished
B) Interventions or exposures
C) Implementations to be accomplished
D) Evaluation of the problem

Accepted Answer

The answer of The EBP team is attempting to formulate...

Question 17

Which approach is useful to evaluate an EBP standard after providers have written it?
A) Nursing staff meeting
B) Focus group
C) Patient safety committee
D) Quality improvement committee

Accepted Answer

The answer of Which approach is useful to evaluate an...

Question 18

Which 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

Accepted Answer

Cochrane is an electronic database that provides systematic reviews and meta-analyses of healthcare interventions, including clinical problems and evidence-based research. It is a highly respected and authoritative source of evidence-based healthcare information, and its reviews are widely used by healthcare professionals, researchers, and policymakers around the world. The other options listed are databases that may be useful for healthcare research, but they are not specifically focused on clinical problems and evidence-based research in the same way that Cochrane is.

Question 19

Sources of relevant research and related literature that are needed for evidence retrieval include what? (Select all that apply.)
A) Hospital policies
B) Meta-analyses
C) Integrative literature review
D) Anecdotal reports

Accepted Answer

Sources of relevant research and related literature that are needed for evidence retrieval should be based on high-quality, peer-reviewed studies that have undergone rigorous scientific scrutiny. Therefore, the best choices for evidence retrieval include meta-analyses, which provide a systematic review and quantitative summary of the available evidence, and integrative literature reviews, which synthesize and critically evaluate a range of studies on a particular topic.
Hospital policies may be useful for understanding current practices and guidelines within a specific healthcare setting, but they are not typically considered high-quality research evidence. Anecdotal reports, which are based on personal experience and may not be reliable or representative, should also be avoided when seeking evidence for healthcare decision-making.

Question 20

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

Accepted Answer

To answer specific research questions and test hypotheses, a nurse researcher should conduct research by collecting and analyzing data from subjects who meet study inclusion and exclusion criteria. The conduct of research includes the collection of data, analysis of data using appropriate statistical methods, and interpretation of results to answer research questions and test hypotheses. Dissemination of research refers to sharing research findings with others, while metasynthesis of research involves combining results from multiple studies to develop new insights. Utilization of research refers to the application of research findings in practice. While these other options may be important in the research process, they are not directly related to the analysis of data collected from study subjects.

Quiz 20: Developing an Evidence-Based Practice

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

A nurse researcher should view EBP as what?

The characteristics of an opinion leader from the local peer group include what? (Select all that apply.)

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. The nurse researcher begins the process of reading the articles by doing what?

The nurse researcher is synthesizing the findings from research critiques and is creating a summary table. Essential information to include consists of what?

The nurse researcher who is involved in conduct of research should plan to accomplish what?

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

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. The nurse researcher begins the process of reading the articles by doing what?

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

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

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 what?

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

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

Which question should a nurse researcher consider in identifying key stakeholders?

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

The EBP team is attempting to formulate an EBP question. When defining the question, the team should focus on what?

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

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

Sources of relevant research and related literature that are needed for evidence retrieval include what? (Select all that apply.)

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?