Deck 20: Developing an Evidence-Informed Practice

Question 1

Which of the following conditions should be used to promote the decision to change practice based on evidence?

A) The researchers providing the majority of the evidence are recognized experts in the field.
B) Research reports on the new intervention demonstrate inconsistent or contradictory results.
C) The intervention was tested in a population with few characteristics in common with the proposed practice population.
D) The intervention is inexpensive and easy to learn, and the outcome can be measured objectively.

Answer 1

The intervention is inexpensive and easy to learn, and the outcome can be measured objectively.

Question 2

The use of research findings to promote the adoption of evidence-informed practice guidelines can be described as:

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

Answer 2

translating research into practice (TRIP).

Question 3

Which of the following types of teams is warranted for an EIP project to succeed in improving practice?

A) Physician
B) Stakeholder
C) External
D) Administrative

Answer 3

Stakeholder

Question 4

A nurse researcher writes an article for the Canadian Journal of Nursing Informatics based on his research (previously published in Computers in Nursing)on the variables that predict the successful implementation of a computerized documentation system.This research activity is described as research:

A) dissemination.
B) recruitment.
C) evaluation.
D) analysis.

Question 5

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

A) action.
B) critique.
C) thinking.
D) evaluation.

Question 6

What is a useful approach to evaluate an EIP standard that has been recorded in writing by the health care providers?

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

Question 7

How do "opinion leaders" influence their peers among the staff to adhere to the specific new EIP standard?

A) Bringing in consulting experts
B) Role-modelling the new practice
C) Evaluating the supporting research data
D) Pressuring the staff to adopt the proposed changes

Question 8

In using the Iowa Model of Evidence-Based Practice,what step should be taken first when nurse clinicians and researchers determine that a sufficient number of scientifically sound studies are not available as a basis for practice?

A) Summarizing case reports
B) Applying scientific principles to the problem
C) Asking an expert in the field whether or not the approach has merit
D) Examining the feasibility of conducting a study on the practice problem

Question 9

What is the purpose of "translational" research?

A) Globalization of nursing research
B) Applying research results to clinical practice
C) Using the results of medical research to direct nursing research
D) Translating the results of nursing research into language common across all health care disciplines

Question 10

Which of the following types of support for a nursing action or intervention is eliminated by EIP?

A) Expert advice
B) Ritual-based practices
C) Case studies
D) Findings from quasiexperimental studies

Question 11

What is the relationship between EIP and research utilization?

A) They are identical concepts.
B) EIP is a subset of research utilization and relates to applying research findings appropriately.
C) Research utilization is a subset of EIP and relates to applying research findings appropriately.
D) Although the concepts are similar in that both are related to practice outcomes, EIP can be measured, whereas research utilization can only be tested.

Question 12

Which of the following is the term for data that are collected to assess patient satisfaction,staff outcomes,or fiscal differences as a result of specific interventions?

A) Process measures
B) Outcome measures
C) Secondary measures
D) Compliance measures

Question 13

What types of support are important for success in accomplishing an evidence-informed practice intervention?

A) Organizational and administrative support
B) Staff nurse and nurse manager
C) Nurse researcher and physician
D) Patient and nurse coordinator

Question 14

Which of the following is the formula of Kitson et al.for facilitating research dissemination?

A) RD = f( EIP )
B) SI = f( E,C,F )
C) EIP = ( RD,E,C )
D) RD = ( CT,F,D )

Question 15

Which of the following strategies has been found to best improve staff adherence to implementation of a new EIP innovation?

A) Developing a graphic decision-making algorithm
B) Making new knowledge available to the staff
C) Including all research citations in the protocol
D) Restricting the implementation responsibility to a selected few individuals

Question 16

Skills needed to consult the literature and answer a clinical question are called:

A) informatics.
B) database searching.
C) information literacy.
D) evidence-informed practice.

Question 17

Which of the following actions or processes is considered to be a component of research utilization?

A) Using the results of a study to improve patient care
B) Examining a specific nursing practice for its outcome
C) Reporting research findings in primary data-based journals
D) Asking what would be the impact of changing a specific nursing procedure

Question 18

Applying study results to individual patients or to a specific patient population and communicating findings to patients in a meaningful way is the hallmark of:

A) the scientific perspective.
B) clinical practice.
C) meta-analysis.
D) evidence-informed practice.

Question 19

Evidence-informed practice (EIP)is defined as:

A) the integration of best research evidence with clinical expertise and patient values.
B) promoting the publication of research findings among practising nurses.
C) the process of using research findings to improve patient care.
D) collecting data from subjects using measurement devices.

Question 20

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

A) linear.
B) logical.
C) dynamic.
D) inductive.