Question 1

Which of the following nursing activities are necessary to provide evidence-based nursing care?

Accepted Answer

Providing evidence-based practice involves searching the research literature,critically synthesizing research findings,and applying relevant evidence to practice.The other activities do not explain the activities needed to provide evidence-based nursing care.

Question 2

A nurse is educating a coworker on the similarities between conducting research and research utilization.The nurse judges the teaching to be effective when the coworker states which of the following?

Accepted Answer

Using nursing research in practice is a step-by-step process incorporating critical thinking and decision making to ensure that a change in practice has a sound basis in nursing science.Collecting new data is primarily done in conducting research,and research findings can generate new knowledge.Reviewing published research studies is a component of research utilization.

Question 3

Which statement would indicate a unit nursing staff is entering the preutilization step of research utilization?

Accepted Answer

The first step in using research in nursing practice is the recognition that some aspect of nursing practice could be done in a more efficient,a more beneficial,or simply a different way,so wanting a new approach to containing violence on a psych unit would be an example.Identifying studies about methods for reducing violent behavior would be step 2-assessing.Planning to implement new antiviolence strategies would be step 3 of the process.A summary of evaluation data would be included in the final step (step 5)of the process.

Question 4

A nurse educator is teaching a nurse about research utilization.Which statement by the nurse indicates understanding?

Accepted Answer

Research utilization is the process of systematically integrating the findings of completed nursing research studies into clinical nursing practice.The important aspect is using already existing research data and findings to modify nursing practice.

Question 5

Which step is inconsistent with the nurse's knowledge of research utilization?

Accepted Answer

The steps included in using nursing research in practice are preutilization,assessing,planning,implementing,and evaluation.The nurse does not guess during the research utilization process.

Question 6

A nursing instructor is educating a group of student on research utilization.The teaching has been effective when a student states which of the following?

Accepted Answer

Research utilization is the process of transferring research findings into clinical practice.It is not using results of a single study in nursing practice,the collection of data to answer a research question,or a review of nursing practice.

Question 7

The nurse manager has an adequate understanding of research utilization when stating which of the following?

Accepted Answer

Research utilization involves transferring research findings into practice.Emphasis is based on using existing data.A major component is reviewing completed nursing research studies and is based on critical thinking and decision making.New data are generated during research studies.Reviewing current practice is part of the process.

Question 8

How does evidence-based practice (EBP)differ from research utilization?

Accepted Answer

Evidence-based practice is similar to research utilization in that it is a systematic method of applying research findings to nursing practice that incorporates many additional sources of data (not just nursing and nursing theory)that may contribute to improved nursing care.A brief definition of evidence-based practice that is generally accepted is the integration of the best research evidence with clinical expertise and patient values.EBP implies internal decision making on the nurse's part.The steps in applying
evidence-based practice include defining the problem;identifying,reviewing,and evaluating the data applicable to the problem;designing a practice change based on the data;implementing the change in nursing practice;and evaluating the implementation.All three processes-research utilization,nursing research,and the nursing process-have the same five major steps.However,the specific tasks for each process are different.The collection of data to answer a research question is the research process,not research utilization.

Question 9

Which statement by the nurse demonstrates understanding of a barrier-free practice environment?

Accepted Answer

Consensus building constitutes a second phase of step 1 that is used to identify the specific practice to be changed.In this phase,the incorporation of the principles of change theory will increase the possibility of success.A change will be more acceptable if those affected are included in the decisions related to the change.Clear communication and teamwork are essential elements of this process.Group consensus is crucial for the successful application of research findings.Barriers include those who are resistant to the change,budgetary and personnel constraints,too few research studies related to the practice problem,the lack of replication of the findings,and the time lag from the completion of a research project until the project report is published may make the research findings obsolete.

Question 10

The nurse has an adequate understanding of evidence-based practice when the nurse states which of the following?

Accepted Answer

Evidence-based practice is similar to research utilization,is becoming important in all areas of health care,and incorporates many additional sources of data that may contribute to improved nursing care.It is also accepted as best research evidence and used directly in nursing care.

Question 11

What is the correct sequence of activities in the research utilization process?

Accepted Answer

The proper sequence in the research utilization process must begin with the identification of a practice problem (preutilization),which in turn sets the stage for the step-by-step
approach incorporating critical thinking and decision making,including evaluation of published research (assessing),planning,implementing,and evaluating.

Question 12

A nursing professor has just joined the National Institute of Nursing Research (NINR).Which activities should the professor anticipate being a part of?

Accepted Answer

One function of the NINR is to establish the National Nursing Research Agenda,which is composed of priority topics for nursing research.These topics may be related to a
national health need,or they may be in an area that requires research for the development of nursing science.The NINR is a major source of federal funding for nursing research.The NINR also supports education in research methods,research career development,and excellence in nursing science.It does not arrange nursing research traineeships or publish information on the success of research utilization projects.

Question 13

Which statement by the nursing professor shows understanding of the major function of the National Institute of Nursing Research?

Accepted Answer

Federal grants fund nursing research and also support education in research methods,research career development,and excellence in nursing science.The other options are inaccurate.

Question 14

The nurse understands the function of the National Institute of Nursing Research (NINR)when stating which of the following? (Select all that apply.)

Accepted Answer

The NINR has several functions,including acting as a major source of federal funding for nursing research,supporting education in research methods and research career development,and establishing the National Nursing Research Agenda.Funding local hospitals is not a function of the NINR.

Question 15

Which steps can the nurse take to apply evidence-based research into nursing practice?

Accepted Answer

The nurse should begin by defining the problem.Next,the nurse should identify,review,and evaluate the data applicable to the problem.The next steps are to design a practice change based on the data and implement the change in nursing practice.The nurse should not continue to work around the problem.

Question 16

How can nurses being to define their practice context?

Accepted Answer

To define their practice context,nurses should do the following: identify characteristics that are specific to the group of people who will receive nursing care,specify the type of practice setting that the care will occur in,and determine characteristics of the setting that contribute to or inhibit nursing care.

Question 17

A nursing professor is educating students on barriers to incorporating nursing research into practice.The nurse professor judges the teaching to effective when a student states which of the following?

Accepted Answer

The teaching has been effective when the student lists the following as a barrier to incorporating nursing research into practice: Time lag from completion of research until the project report is published,resistance of individuals,and budget and personnel constraints.

Question 18

A student asks the nurse manager,"When I was reading an article about research utilization,I ran across the phrase 'practice context.' What does that mean?" What is the best response?

Accepted Answer

Practice context determines to what degree you can use the findings from nursing research.It is a blending of all those factors and systems that contribute to the delivery of nursing care.This blend includes the health,social,and cultural characteristics of the patient population served;the type of practice setting;the economic resources of the setting;the type of health care delivery system;the existing policies and procedures;the staffing pattern;and the administrative structure.Each factor or system can be either enabling or inhibiting,but it is the practice context as a whole that is evaluated to determine the applicability of nursing research findings.The other options are components or part of the practice text.The answer includes all of the factors,not just the specific ones listed in the distracters.

Question 19

Which action can the nurse expect in the preutilization step in nursing research utilization?

Accepted Answer

The action that the nurse can expect in the preutilization step is the recognition that some aspect of nursing care could be done in a different way.This step is not meant to create shortcuts for nurses to manage their workload.Critical evaluation of published research and using electronic databases to search current literature occurs in the second step,
assessing.

Question 20

What does research utilization on an inpatient unit require?

Accepted Answer

In order to be valid and useful in the clinical setting,new protocols need to be congruent with the nursing care framework in the specific practice context.What works for one nursing unit may be totally unsuitable for another.A framework for research utilization is not required.Many different staff members may need to participate in implementation.Using a nursing theoretical framework,such as Orem's,may assist in guiding nursing care delivery.

Quiz 24: Using Evidence-Based Practice and Nursing Research