NUR 370 Exam 3 Study Guide
Chapters 11, 12, 13, 14 & Appendices A, B, and C
CHAPTER 11: EMPLOY EVIDENCE-BASED PRACTICE
Describe the purpose of the Institutional Review Board.
o Organizations review of studies that may be conducted by employees and/or conducted in its organization to
ensure that the study meets the requirements
Requirement examples: participant privacy and confidentially
Purpose: is to protect the rights and welfare of human subjects involved in research activities
o IRBs focus on participant/subject rights
Responsibility of ensuring that a research participants/subjects rights are projected and the study is
planned in an effective manner than meets: 1) scientific standards, 2) particular theory, 3) informed
consent
Explain the purpose of Informed Consent and the nurse’s role in obtaining consent.
o DEFINE: legal requirement to explain or disclose information about a medical problem and treatment or
procedure so that a patient can make an informed choice
o Informed consent implies:
1) nature and reason for surgery
2) who will be present
3) options & risks
o Nurses Role = clarifies facts and ensures that the consent form & nurses is a witness to the signature
Describe Basic vs Applied Research.
o BASIC: broaden the base of knowledge, rather than solve an immediate problem
o APPLIED: results from basic are used to developed in applied
Describe Quantitative vs Qualitative research.
o Qualitative study – use focus groups, diaries, logs, observations, and open-ended questions
o Focuses on feelings & experiences
The analysis of the data does NOT rely on statistics or math
Research is less detached, can interact with participants to obtain the best data researcher’s
involvement
o Quantitative study – the research question focuses on how many or how much
Not all quantitative research studies are experimental studies
Experimental studies must meet three criteria:
o 1) manipulation of intervention
o 2) control
o 3) randomization
Describe Research vs Evidence Based Practice.
o Evidence Based Practice:
PURPOSE: use of EBP in nursing leads to more effective decisions making to guide the use of limited
resources, control costs, and improve quality
o Research Process:
EIGHT STEPS:
dentification of a problem implementation for the study
review of the literature drawing conclusions based on
formulation of the research finding
question/hypothesis discussion/clinical implications
design of the study dissemination of findings
Sources of research problems
Clinical situations
Literature
Theory
Describe the barriers that prevent nursing staff from participating in EBP.
o Lack of knowledge, limited time, nursing shortage, greater need to emphasize both knowledge and practical
approaches, the concern that EBP represents approach to care, lack of knowledge about resources, lack of
resources, Limited recognition
Explain the PICOT process and what the letters represent.
o PICOT questions patient > intervention > comparison > outcome > time
FIVE STEPS:
1) identify a burning clinical issue or question
2) collect the best evidence is relevant to the question
3) critically appraise evidence before it is used
4) integrate the evidence with other parts of the EBP: patient preferences and values, your clinical
experience, assessment information about the patient and the patients history
5) evaluate the practice decision or change
Identify who are considered vulnerable populations.
o Neonates (newborns o Cognitive impairment
o Children o Terminally ill
o Pregnant women o Confided to institutions (prison, long-term
o Mental illness care hospitals)
KNOWLEDGE CHECK QUESTIONS:
By what year will 90% of clinical decisions be support by accurate, timely and up-to-date clinical information?
This study source was downloaded by 100000838234991 from CourseHero.com on 08-22-2022 13:39:33 GMT -05:00
https://www.coursehero.com/file/47617374/NUR-370-Exam-3-Study-Guide-docx/
, o 2020
What is being done to ensure that research is not done solely for research’s sake?
o Increased EBP curricula in nursing education
Research is designed to broaden the base of knowledge?
o Basic
Example of quantitative data?
o Heart rate
Use of NDNQI to facilitate patient safety, quality care, and efficient is one of the key research agenda items suggested by
the ANA. TRUE
The IOM supports EBP in nursing practice TRUE
What is the purpose of EBP?
o To control costs
At the conclusion of an EBP review, there is always sufficient evidence to answer the clinical question. FALSE
Whose strategy supposes the use of evidence-based management?
o AONE (American Organization of Nurse Executives)
Evidence-based management is very different from EBP. FALSE
The PICOT question is important to develop for:
o EBP questions
Implementing a practice change that has been known to be effective in other settings is known as:
o Quality improvement
Term: research, EBP, and quality improvement are interchangeable. FALSE
Questions current practice is an example of how a __ can get involved in EBP?
o Staff nurse
Which of the following is one of the barriers to implementation of EBP into practice?
o Limited time in practice settings
What organizations has incorporated EBP into its appraisal?
o Magnet Recognition Program
Which initiative was designed by the IOM in order to support EBP in nursing?
o Clinical and Translational Science Awards.
As students are assigned patients in the clinical setting, they should:
o Pay attention to the nursing diagnoses
CHAPTER HIGHLIGHTS:
EBP as a core competency is connected to providing patient-centered care, QI, and interprofessional teams.
Application of EBP has increased because of the recognition of the large translation gap between bench (scientific)
research and its impact (that is, its use in practice).
Research is a systematic investigation of a specific problem.
The relationship between research and EBP centers on the fact that the best evidence comes from research findings.
Basic research is designed to broaden the base of knowledge rather than to solve an immediate problem.
Applied research is designed to find a solution to a practical problem.
Nursing research is inextricably linked to the profession’s mandate to protect the public and promote the best
possible patient outcomes.
The NINR was established in 1985, providing nursing with representation at the NIH.
The research process, like the nursing process, is based on problem solving.
Research can be either quantitative or qualitative design; some studies include both. In quantitative studies, the
research question(s) focus on how many or how much; in the qualitative design, the research question(s) focus on
feelings or experiences.
IRBs focus on participant/subject rights. The IRB is charged with the responsibility of ensuring that a research
participant/subject’s rights are protected and that the study is planned in an effective manner that meets scientific
standards, particularly theory and informed consent.
EBP uses evidence from research results, patient assessment and other sources, clinical expertise, and information
about patient preferences and values.
The key component of EBP literature is systematic reviews.
The involvement of staff nurses in the EBP process is critical to its eventual integration in a healthcare organization’s
culture of care delivery.
EBM is critical for effective management of care in all types of settings.
Research, EBP, and QI are not the same. Research focuses on the scientific method to deduce answers to questions;
EBP focuses on the use of supporting data to support interventions; and QI focuses on a system or process to
measure and systematically examine quality of care at a macro (or system) level or a micro (or patient) level.
Nursing education has begun to shift from pure research content with additive information on EBP to a focus on EBP
while teaching how research underlies much of EBP.
Government initiatives such as PCORI support research and EBP. Students need to apply EBP in their clinical
experiences.
PRACTICE QUESTIONS:
1. Which statement is actually described the evidence based practice (EBP)
a. EBP considers research results, clinical experience, information about patient values and preferences, and
patient assessment
2. Which term refers to the process of inspecting and evaluating processes, systems, and other integrative elements to
look for areas of strength and weakness and define items that must be strengthened?
a. Continuous quality improvement
3. Which PICOT question is most appropriately formulated?
a. ICU patients diagnosed with VAP will have fewer days (LOS = length of stay) replace don’t early mobility
protocols than those patients on standard protocols
This study source was downloaded by 100000838234991 from CourseHero.com on 08-22-2022 13:39:33 GMT -05:00
https://www.coursehero.com/file/47617374/NUR-370-Exam-3-Study-Guide-docx/
Chapters 11, 12, 13, 14 & Appendices A, B, and C
CHAPTER 11: EMPLOY EVIDENCE-BASED PRACTICE
Describe the purpose of the Institutional Review Board.
o Organizations review of studies that may be conducted by employees and/or conducted in its organization to
ensure that the study meets the requirements
Requirement examples: participant privacy and confidentially
Purpose: is to protect the rights and welfare of human subjects involved in research activities
o IRBs focus on participant/subject rights
Responsibility of ensuring that a research participants/subjects rights are projected and the study is
planned in an effective manner than meets: 1) scientific standards, 2) particular theory, 3) informed
consent
Explain the purpose of Informed Consent and the nurse’s role in obtaining consent.
o DEFINE: legal requirement to explain or disclose information about a medical problem and treatment or
procedure so that a patient can make an informed choice
o Informed consent implies:
1) nature and reason for surgery
2) who will be present
3) options & risks
o Nurses Role = clarifies facts and ensures that the consent form & nurses is a witness to the signature
Describe Basic vs Applied Research.
o BASIC: broaden the base of knowledge, rather than solve an immediate problem
o APPLIED: results from basic are used to developed in applied
Describe Quantitative vs Qualitative research.
o Qualitative study – use focus groups, diaries, logs, observations, and open-ended questions
o Focuses on feelings & experiences
The analysis of the data does NOT rely on statistics or math
Research is less detached, can interact with participants to obtain the best data researcher’s
involvement
o Quantitative study – the research question focuses on how many or how much
Not all quantitative research studies are experimental studies
Experimental studies must meet three criteria:
o 1) manipulation of intervention
o 2) control
o 3) randomization
Describe Research vs Evidence Based Practice.
o Evidence Based Practice:
PURPOSE: use of EBP in nursing leads to more effective decisions making to guide the use of limited
resources, control costs, and improve quality
o Research Process:
EIGHT STEPS:
dentification of a problem implementation for the study
review of the literature drawing conclusions based on
formulation of the research finding
question/hypothesis discussion/clinical implications
design of the study dissemination of findings
Sources of research problems
Clinical situations
Literature
Theory
Describe the barriers that prevent nursing staff from participating in EBP.
o Lack of knowledge, limited time, nursing shortage, greater need to emphasize both knowledge and practical
approaches, the concern that EBP represents approach to care, lack of knowledge about resources, lack of
resources, Limited recognition
Explain the PICOT process and what the letters represent.
o PICOT questions patient > intervention > comparison > outcome > time
FIVE STEPS:
1) identify a burning clinical issue or question
2) collect the best evidence is relevant to the question
3) critically appraise evidence before it is used
4) integrate the evidence with other parts of the EBP: patient preferences and values, your clinical
experience, assessment information about the patient and the patients history
5) evaluate the practice decision or change
Identify who are considered vulnerable populations.
o Neonates (newborns o Cognitive impairment
o Children o Terminally ill
o Pregnant women o Confided to institutions (prison, long-term
o Mental illness care hospitals)
KNOWLEDGE CHECK QUESTIONS:
By what year will 90% of clinical decisions be support by accurate, timely and up-to-date clinical information?
This study source was downloaded by 100000838234991 from CourseHero.com on 08-22-2022 13:39:33 GMT -05:00
https://www.coursehero.com/file/47617374/NUR-370-Exam-3-Study-Guide-docx/
, o 2020
What is being done to ensure that research is not done solely for research’s sake?
o Increased EBP curricula in nursing education
Research is designed to broaden the base of knowledge?
o Basic
Example of quantitative data?
o Heart rate
Use of NDNQI to facilitate patient safety, quality care, and efficient is one of the key research agenda items suggested by
the ANA. TRUE
The IOM supports EBP in nursing practice TRUE
What is the purpose of EBP?
o To control costs
At the conclusion of an EBP review, there is always sufficient evidence to answer the clinical question. FALSE
Whose strategy supposes the use of evidence-based management?
o AONE (American Organization of Nurse Executives)
Evidence-based management is very different from EBP. FALSE
The PICOT question is important to develop for:
o EBP questions
Implementing a practice change that has been known to be effective in other settings is known as:
o Quality improvement
Term: research, EBP, and quality improvement are interchangeable. FALSE
Questions current practice is an example of how a __ can get involved in EBP?
o Staff nurse
Which of the following is one of the barriers to implementation of EBP into practice?
o Limited time in practice settings
What organizations has incorporated EBP into its appraisal?
o Magnet Recognition Program
Which initiative was designed by the IOM in order to support EBP in nursing?
o Clinical and Translational Science Awards.
As students are assigned patients in the clinical setting, they should:
o Pay attention to the nursing diagnoses
CHAPTER HIGHLIGHTS:
EBP as a core competency is connected to providing patient-centered care, QI, and interprofessional teams.
Application of EBP has increased because of the recognition of the large translation gap between bench (scientific)
research and its impact (that is, its use in practice).
Research is a systematic investigation of a specific problem.
The relationship between research and EBP centers on the fact that the best evidence comes from research findings.
Basic research is designed to broaden the base of knowledge rather than to solve an immediate problem.
Applied research is designed to find a solution to a practical problem.
Nursing research is inextricably linked to the profession’s mandate to protect the public and promote the best
possible patient outcomes.
The NINR was established in 1985, providing nursing with representation at the NIH.
The research process, like the nursing process, is based on problem solving.
Research can be either quantitative or qualitative design; some studies include both. In quantitative studies, the
research question(s) focus on how many or how much; in the qualitative design, the research question(s) focus on
feelings or experiences.
IRBs focus on participant/subject rights. The IRB is charged with the responsibility of ensuring that a research
participant/subject’s rights are protected and that the study is planned in an effective manner that meets scientific
standards, particularly theory and informed consent.
EBP uses evidence from research results, patient assessment and other sources, clinical expertise, and information
about patient preferences and values.
The key component of EBP literature is systematic reviews.
The involvement of staff nurses in the EBP process is critical to its eventual integration in a healthcare organization’s
culture of care delivery.
EBM is critical for effective management of care in all types of settings.
Research, EBP, and QI are not the same. Research focuses on the scientific method to deduce answers to questions;
EBP focuses on the use of supporting data to support interventions; and QI focuses on a system or process to
measure and systematically examine quality of care at a macro (or system) level or a micro (or patient) level.
Nursing education has begun to shift from pure research content with additive information on EBP to a focus on EBP
while teaching how research underlies much of EBP.
Government initiatives such as PCORI support research and EBP. Students need to apply EBP in their clinical
experiences.
PRACTICE QUESTIONS:
1. Which statement is actually described the evidence based practice (EBP)
a. EBP considers research results, clinical experience, information about patient values and preferences, and
patient assessment
2. Which term refers to the process of inspecting and evaluating processes, systems, and other integrative elements to
look for areas of strength and weakness and define items that must be strengthened?
a. Continuous quality improvement
3. Which PICOT question is most appropriately formulated?
a. ICU patients diagnosed with VAP will have fewer days (LOS = length of stay) replace don’t early mobility
protocols than those patients on standard protocols
This study source was downloaded by 100000838234991 from CourseHero.com on 08-22-2022 13:39:33 GMT -05:00
https://www.coursehero.com/file/47617374/NUR-370-Exam-3-Study-Guide-docx/
