Evidence Based Practice in Nursing
EXAM QUESTIONS WITH CORRECTR
SOLUTIONS||100% GUARANTEED
PASS||A+ GRADED||UPDATED
2026/2027 SYLLABUS||<<RECENT
VERSION>>
Define: Evidence-based practice - ANSWER ✓ Systematic approach to rational
decision making that facilitates achievement of best practices
Disseminate Outcomes of the EBP Decision or Change - ANSWER ✓ - Too often
in healthcare, positive outcomes are not shared with others.
- There are numerous strategies for accomplishing this goal, from personal
communications, conference presentation, and peer reviewed article publication.
Rogers' Theory of Diffusion of Innovations - ANSWER ✓ - Theory for
communicating knowledge developed through research. Includes a five stage
process:
1) Knowledge - knows but lacks info, not inspired to find info.
2) Persuasion - interested, seeks info.
3) Decision - weighs advantages/disadvantages, accepts of rejects.
4) Implementation - determines usefulness, many seek more info.
5) Confirmation - finalizes decision. May be interpersonal (cognitive dissonance)
or interpersonal (good job group!).
Iowa Model - ANSWER ✓ - Ask clinical question.
- Search literature
- Critically appraise literature
- Implement practice change
- Evaluate
- Organizations change practice
Stetler Model - ANSWER ✓ - Preparation
,- Validation of credible evidence
- Comparative evaluation/decision making phase
- Translate or apply the research
- Evaluate outcomes
- Individuals change practice
Other Models of Quality Improvement - ANSWER ✓ - Six Sigma: a disciplined,
data-driven approach and methodology for eliminating defects (driving toward six
standard deviations between the mean and the nearest specification limit) in any
process - from manufacturing to transactional and from product to service.
- Currently in use at UHS.
Other Quality Measurements - ANSWER ✓ - You may hear the following terms
in regard two quality improvement at hospitals:
- HCAPS - Hospital Consumer Assessment of Healthcare Providers and Systems --
> National survey analyzed by centers for medicare and medicaid services (CMS).
- Press Ganey - Private, for profit organization that polls health care consumers to
assess quality of care (HCAPS included in survey).
*Case Study:*
Chris was caring for a 27 year old woman who just delivered her first infant by
emergency Cesarean birth. The mother was upset because she believed she would
have to deliver subsequent children by cesarean birth. She asked Chris about the
risks of birth complications with vaginal birth after cesarean (VBAC). Chris
decided to look for the best possible evidence to answer her question. - ANSWER
✓ - Is Chris engaging in an RU or an EBP effort? - EBP
- Would the trigger be described as problem-focused or knowledge-focused? -
Problem-focused
- Would Chris need to pose a clinical background question or a clinical foreground
question to identify relevant evidence? - Clinical foreground question.
- In searching for evidence, Chris would need to ask a well-worded clinical
question that would include identifying the population. What would be the
population? - Women who have had a cesarean birth.
- Chris's clinical question would identify an intervention or exposure. What would
that be? - Having a vaginal birth.
- Would Chris likely find the answer to a question about future risks of birth
complications from VBAC in a meta-synthesis? - No, the question is not about
meaning or process; it is about the effect of a certain exposure.
, - Would Chris need to assess implementation potential in this effort? - No, this is
an individual EBP effort, not an institutional effort.
*Case Study:*
- A group of nurses working in a community health center were unsure of how to
answer questions from patients about appropriate means of cleansing children's
wounds in home settings.
- Most nurses felt that sterile saline should be recommended to minimize the risk
of infection, but others believed that tap water was adequate fro cleansing acute
wounds.
- The nurses decided to examine the evidence and located a systematic review in
the Cochrane database. Among the studies that had been conducted, the review
concluded that there were no differences in rates of infection or healing with use of
tap water versus sterile saline win the cleansing of wounds.
- However, few of the studies that had been done involved the use of childcare, and
most had been conducted in health-care settings.
- The nurses decided to initiate a new study to gather more focused and
informative evidence about the effects of saline so - ANSWER ✓ - Does this
summary describe an EBP effort? - *Yes, the nurses wanted to determine the best
practices with regard to cleaning of children's wounds.*
- Would the trigger be described as problem-focused or knowledge focused? -
*Problem-focused*
- Did the nurses use pre-appraised evidence? - *Yes, a systematic review from the
Cochrane database is an example of pre-appraised evidence.*
- The nurses decided to initiate a new study because they deemed the evidence
base inadequate.
- Would their new study be a qualitative or quantitative study? - *Quantitative*
Strategies/Role for Nurses in EBP - ANSWER ✓ - Read widely and critically.
- Attend professional conferences.
- Learn to expect evidence that a procedure is effective.
- Become involved in a journal club.
- Pursue and participate in RU/EBP projects.
Background/Foreground - ANSWER ✓ - When do complications of pneumonia
usually occur? *Background question*
EXAM QUESTIONS WITH CORRECTR
SOLUTIONS||100% GUARANTEED
PASS||A+ GRADED||UPDATED
2026/2027 SYLLABUS||<<RECENT
VERSION>>
Define: Evidence-based practice - ANSWER ✓ Systematic approach to rational
decision making that facilitates achievement of best practices
Disseminate Outcomes of the EBP Decision or Change - ANSWER ✓ - Too often
in healthcare, positive outcomes are not shared with others.
- There are numerous strategies for accomplishing this goal, from personal
communications, conference presentation, and peer reviewed article publication.
Rogers' Theory of Diffusion of Innovations - ANSWER ✓ - Theory for
communicating knowledge developed through research. Includes a five stage
process:
1) Knowledge - knows but lacks info, not inspired to find info.
2) Persuasion - interested, seeks info.
3) Decision - weighs advantages/disadvantages, accepts of rejects.
4) Implementation - determines usefulness, many seek more info.
5) Confirmation - finalizes decision. May be interpersonal (cognitive dissonance)
or interpersonal (good job group!).
Iowa Model - ANSWER ✓ - Ask clinical question.
- Search literature
- Critically appraise literature
- Implement practice change
- Evaluate
- Organizations change practice
Stetler Model - ANSWER ✓ - Preparation
,- Validation of credible evidence
- Comparative evaluation/decision making phase
- Translate or apply the research
- Evaluate outcomes
- Individuals change practice
Other Models of Quality Improvement - ANSWER ✓ - Six Sigma: a disciplined,
data-driven approach and methodology for eliminating defects (driving toward six
standard deviations between the mean and the nearest specification limit) in any
process - from manufacturing to transactional and from product to service.
- Currently in use at UHS.
Other Quality Measurements - ANSWER ✓ - You may hear the following terms
in regard two quality improvement at hospitals:
- HCAPS - Hospital Consumer Assessment of Healthcare Providers and Systems --
> National survey analyzed by centers for medicare and medicaid services (CMS).
- Press Ganey - Private, for profit organization that polls health care consumers to
assess quality of care (HCAPS included in survey).
*Case Study:*
Chris was caring for a 27 year old woman who just delivered her first infant by
emergency Cesarean birth. The mother was upset because she believed she would
have to deliver subsequent children by cesarean birth. She asked Chris about the
risks of birth complications with vaginal birth after cesarean (VBAC). Chris
decided to look for the best possible evidence to answer her question. - ANSWER
✓ - Is Chris engaging in an RU or an EBP effort? - EBP
- Would the trigger be described as problem-focused or knowledge-focused? -
Problem-focused
- Would Chris need to pose a clinical background question or a clinical foreground
question to identify relevant evidence? - Clinical foreground question.
- In searching for evidence, Chris would need to ask a well-worded clinical
question that would include identifying the population. What would be the
population? - Women who have had a cesarean birth.
- Chris's clinical question would identify an intervention or exposure. What would
that be? - Having a vaginal birth.
- Would Chris likely find the answer to a question about future risks of birth
complications from VBAC in a meta-synthesis? - No, the question is not about
meaning or process; it is about the effect of a certain exposure.
, - Would Chris need to assess implementation potential in this effort? - No, this is
an individual EBP effort, not an institutional effort.
*Case Study:*
- A group of nurses working in a community health center were unsure of how to
answer questions from patients about appropriate means of cleansing children's
wounds in home settings.
- Most nurses felt that sterile saline should be recommended to minimize the risk
of infection, but others believed that tap water was adequate fro cleansing acute
wounds.
- The nurses decided to examine the evidence and located a systematic review in
the Cochrane database. Among the studies that had been conducted, the review
concluded that there were no differences in rates of infection or healing with use of
tap water versus sterile saline win the cleansing of wounds.
- However, few of the studies that had been done involved the use of childcare, and
most had been conducted in health-care settings.
- The nurses decided to initiate a new study to gather more focused and
informative evidence about the effects of saline so - ANSWER ✓ - Does this
summary describe an EBP effort? - *Yes, the nurses wanted to determine the best
practices with regard to cleaning of children's wounds.*
- Would the trigger be described as problem-focused or knowledge focused? -
*Problem-focused*
- Did the nurses use pre-appraised evidence? - *Yes, a systematic review from the
Cochrane database is an example of pre-appraised evidence.*
- The nurses decided to initiate a new study because they deemed the evidence
base inadequate.
- Would their new study be a qualitative or quantitative study? - *Quantitative*
Strategies/Role for Nurses in EBP - ANSWER ✓ - Read widely and critically.
- Attend professional conferences.
- Learn to expect evidence that a procedure is effective.
- Become involved in a journal club.
- Pursue and participate in RU/EBP projects.
Background/Foreground - ANSWER ✓ - When do complications of pneumonia
usually occur? *Background question*
