Deck 10: Putting Research Evidence Into Practice

Question 1

The impact of changing the type of linens for a patient care area is being analyzed.In which step of the process will this analysis be done?

A)Integrating evidence
B)Collecting evidence
C)Outcome evaluation
D)Evidence appraisal

Answer 1

Outcome evaluation

Question 2

The nurse is aware of a number of patients who develop post-operative abdominal wound infections.What can the nurse do first with this information?

A)Identify this as a clinical problem.
B)List strategies to treat the post-operative infections.
C)Search for literature that identifies the frequency of post-operative infections.
D)Review evidence-based guidelines to combat post-operative infections.

Answer 2

Identify this as a clinical problem.

Question 3

The nurse has completed an evidence-based practice review to change a patient care intervention.Which avenue would disseminate the outcomes of the review to the most nurses in the organization?

A)A review of the outcomes is provided during the Quality Improvement committee meeting.
B)The nurse creates a poster presentation and an article for the organization's newsletter.
C)The nurse manager provides a review of the outcomes during the managers' meeting.
D)The nurse documents the outcomes of the review in the care area's staff meeting minutes.

Answer 3

The nurse creates a poster presentation and an article for the organization's newsletter.

Question 4

The nurse is planning to appraise the evidence for a clinical problem and wants to focus on Level 2 evidence.What will the nurse review for this level of evidence?

A)Systematic literature reviews
B)Qualitative research studies
C)Expert opinion reports
D)Clinical guidelines

Question 5

The nurse has written the following problem statement: "In adult patients who experience aphasia after having a stroke,what is the effect of using a flip chart with pictures instead of an erasable white board in the room on the patients' ability to communicate care needs?" When using the PICOT format,what has the nurse identified as the comparison intervention?

A)Patients recovering from a stroke
B)Communicate care needs
C)Flip chart with pictures
D)Erasable white board

Question 6

Why would the nurse be concerned that an intervention for a patient care problem that has been analyzed with a body evidence appraisal has transferability?

A)To determine if the populations in the studies are similar to those with the clinical problem
B)To identify if the staff has the skills to implement the intervention
C)To determine if there is institutional support for the intervention
D)To identify if the intervention adds to the staff's work load

Question 7

The nurse is integrating evidence prior to implementing an intervention for a patient care problem.What will the nurse include when conducting a body of evidence appraisal?
Standard Text: Select all that apply.

A)Explanation of the intervention
B)Costs associated with implementation
C)Resources needed for implementation
D)Quality of the evidence studied about the intervention
E)Reliability of the evidence studied about the intervention

Question 8

The nurse wants to analyze the effects of early ambulation instead of 24 hours of bed rest after surgery on the return of bowel sounds in patients recovering from spinal surgery.If using the PICOT format,what is the nurse proposing as the intervention in this statement?

A)Early ambulation
B)24 hours of bed rest
C)Return of bowel sounds
D)Patients with spinal surgery

Question 9

The nurse is planning to appraise the evidence collected about a patient care problem.Why would the nurse review clinical practice guidelines first?

A)Clinical guidelines are written in narrative format.
B)Clinical guidelines are the strongest level of clinical evidence.
C)Clinical guidelines provide information about patient experiences.
D)Clinical guidelines provide evidence about non-experimental studies.

Question 10

A literature search on the impact of using a bedside incentive spirometer after surgery to prevent hospital-acquired pneumonia in the patient recovering from orthopedic surgery resulted in 150 articles.What will the nurse do first after receiving the list?

A)Read the abstracts of each article for applicability.
B)Read the titles of each article for applicability.
C)Read the references at the end of each article.
D)Read the complete articles for applicability.

Question 11

The nurse is ensuring that research articles for a patient problem are Level 5 evidence.What will the nurse focus on when reviewing these articles?
Standard Text: Select all that apply.

A)Qualitative study
B)Use of questionnaires
C)Single non-experiment study
D)Use of interviews or observation
E)Random assignment of control groups

Question 12

A search for literature to address the clinical problem of bruising after providing a Z-track injection is being planned.Which key words would provide the most applicable results?

A)Bruising or injection
B)Bruising and injections
C)Bruising or Z-track injection
D)Bruising and Z-track injection

Question 13

The nurse is planning to search the literature for help with the clinical problem of infiltrated intravenous sites associated with needleless intravenous systems.What would the nurse identify as a key concept for this problem?

A)Intravenous infusion fluids
B)Intravenous site infiltrations
C)Infiltration of needleless intravenous systems
D)Treatment of infiltrations caused by needleless intravenous systems

Question 14

When conducting a body of evidence appraisal for an intervention,what purpose will identifying barriers and facilitators serve?

A)It provides a mechanism for transferability.
B)It explains the safety of the intervention.
C)It adds to the quality of evidence.
D)It helps identify feasibility.

Question 15

The nurse wants to review literature on non-experimental studies to address a patient care problem.On which level of evidence is the nurse going to focus this review?

A)Level 1
B)Level 2
C)Level 3
D)Level 4