Question 1

When completing Step 1 of Melnyk and Fineout-Overholt's evidence-based practice (EBP) process, which action does the NP student implement?

Accepted Answer

Formulating a clinical question is the first step in Melnyk and Fineout-Overholt's evidence-based practice (EBP) process.

Question 2

When searching for the best research evidence, which step does the nurse practitioner (NP) student complete first?

Accepted Answer

The first step in searching for the best research evidence is to establish inclusion and exclusion criteria to ensure that the search results are relevant and focused on the specific research question.

Question 3

Based on the American Association of Critical Care Nurses (AACN) evidence-leveling system, which type of evidence demonstrates the greatest strength?

Accepted Answer

Meta-analysis of multiple controlled trials is considered the highest level of evidence because it combines data from several studies, increasing the overall power and reliability of the findings.

Question 4

The nurse practitioner (NP) student is seeking to learn more about palliative care patients' perceptions of the meaning of quality of life. Based on the Oxford Centre for Evidence-Based Medicine (OCEB) 2011 Levels of Evidence, which type of evidence will be most useful to the NP student's search?

Accepted Answer

A meta-synthesis of descriptive studies is most useful for understanding patients' perceptions and experiences, as it synthesizes qualitative research, which is appropriate for exploring subjective concepts like quality of life.

Question 5

During critical appraisal of the credibility of a research study, the nurse practitioner (NP) student considers which information?

Accepted Answer

The answer of During critical appraisal of the credibility of...

Question 6

Describe the evolution of the definition of evidence-based medicine (EBM) to include patient values and preferences.

Accepted Answer

The answer of Describe the evolution of the definition of...

Question 7

Summarize the four key assumptions of evidence-based practice (EBP) in nursing.

Accepted Answer

The answer of Summarize the four key assumptions of evidence-based...

Question 8

Explain the purpose of the PICOT method.

Accepted Answer

The answer of Explain the purpose of the PICOT method....

Question 9

Discuss the primary components of a PICOT question.

Accepted Answer

The answer of Discuss the primary components of a PICOT...

Question 10

Discuss three categories of barriers to implementation of evidence-based practice (EBP) in nursing.

Accepted Answer

The answer of Discuss three categories of barriers to implementation...

Question 11

Write a clinical question in PICOT format for each template type for common practice problems encountered by NPs. Swap answers with a peer and provide feedback.

Accepted Answer

The answer of Write a clinical question in PICOT format...

Question 12

Sign up for clinical practice alerts from the TRIP database in your specialty area.

Accepted Answer

The answer of Sign up for clinical practice alerts from...

Question 13

Think about a patient problem you have had in the clinical setting and answer the following:
a. What formal structures were in place to help you address the problem?
b. How did you use evidence to investigate the problem?
c. Did you have time to search for evidence? If no, what were the barriers?
d. What databases did you access for evidence and why?
e. Did you use a health sciences librarian to help with your search? Explain why or why not.

Accepted Answer

The answer of Think about a patient problem you have...

Question 14

Go to http://www.guideline.gov and search for chronic pain management clinical practice guidelines. Compare and contrast two guidelines.

Accepted Answer

The answer of Go to http://www.guideline.gov and search for chronic...

Question 15

Find a clinical practice guideline from National Guideline Clearinghouse. Use the AGREE II Plus software to critically appraise the guideline with two or more peers.

Accepted Answer

The answer of Find a clinical practice guideline from National...

Question 16

Find a recent randomized control trial on a topic of interest. Critically appraise the study using a tool from this chapter. Using an evidence hierarchy from this chapter identify the level of evidence. Enter the relevant data into an evidence summary table. Rate the quality of evidence using the JHNEBP quality rating. Summarize clinical significance using NNT and effective size.

Accepted Answer

The answer of Find a recent randomized control trial on...

Question 17

Using the databases described in this chapter find two or more of the following evidence types (research study, QI study, EBP project, or program evaluation). Describe the search process used. After reading the articles, compare and contrast the different methodologies. Did the authors provide support for the selected methodology? Give examples to support your answer.

Accepted Answer

The answer of Using the databases described in this chapter...

Question 18

Identify areas where SDM can be used in your practice. Go to https://decisionaid.ohri.ca/ and browse the decision aids by topic. Select a decision aid and write a plan for how it can be incorporated into your practice setting.

Accepted Answer

The answer of Identify areas where SDM can be used...

Quiz 20: Evidence-Based Practice