Deck 20: Developing an Evidence-Based Practice

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

Answer 1

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

Answer 2

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

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

Answer 3

Considered by associates as technically competent
Viewed as a respected source of influence
Trusted to evaluate new information in the context of group norms
Full and dedicated member of the local group

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

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

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

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

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

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

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.

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

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

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

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?

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

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

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

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

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

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

Question 21

COMPLETION
Number the steps of evaluation for evidence-based projects in the order that they occur.
___ determine methods and frequency of data collection

Question 22

COMPLETION
Number the steps of evaluation for evidence-based projects in the order that they occur.
___ provide "on-site" feedback to staff regarding the progress in achieving the practice change

Question 23

Steps of Evaluation for Evidence-Based Projects

Question 24

COMPLETION
Number the steps of evaluation for evidence-based projects in the order that they occur.
___ assess interrater reliability of data collectors

Question 25

COMPLETION
Number the steps of evaluation for evidence-based projects in the order that they occur.
___ determine baseline and follow-up sample sizes

Question 26

COMPLETION
Number the steps of evaluation for evidence-based projects in the order that they occur.
___ identify process and outcome variables of interest

Question 27

COMPLETION
Number the steps of evaluation for evidence-based projects in the order that they occur.
___ use data to assist staff in modifying or integrating the evidence-based practice change

Question 28

COMPLETION
Number the steps of evaluation for evidence-based projects in the order that they occur.
___ provide feedback of analyzed data to staff

Question 29

COMPLETION
Number the steps of evaluation for evidence-based projects in the order that they occur.
___ establish content validity of data collection forms

Question 30

COMPLETION
Number the steps of evaluation for evidence-based projects in the order that they occur.
___ design data collection forms

Question 31

Components of a receptive context for EBP include what? (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 32

COMPLETION
Number the steps of evaluation for evidence-based projects in the order that they occur.
___ train data collectors

Question 33

COMPLETION
Number the steps of evaluation for evidence-based projects in the order that they occur.
___ collect data at specified intervals