Revised and Graded Excellent
Research - CORRECT ANSWER ✔️✔️ -Systemic investigation designed to generate or contribute
generalizable new knowledge to healthcare.
The goal is to generate new knowledge about an intervention or assessment technique. (Ch. 10,
slide 6)
Evidence Based Practice (EBP) - CORRECT ANSWER ✔️✔️ -Combines findings from multiple
research studies that focus on the efficacy of a particular intervention or the accuracy of a
specific diagnostic procedure.
It is described as the "study of studies."
The goal is to synthesize existing knowledge generated from multiple research studies. (Ch. 10,
slide 6)
A conscientious, explicit, and judicious use of current best research-based evidence when
making decisions about care of individual patients.
Evolution into dominant approach for clinical decision making and core competency for APRNs.
(Ch. 10, slide 3)
Nursing Research - CORRECT ANSWER ✔️✔️ -Systematic inquiry that generates knowledge
about issues of importance to the nursing profession (Nursing theories) (Ch. 10, slide 3)
,Hypothesis - CORRECT ANSWER ✔️✔️ -First step in the EBP process; a measurable clinical
question. (Ch. 10, slide 10)
May be in response to need to formulate EBPs for prevention of "never events."
May arise from a need for evidence to support role of APNs in specific disease or disorder.
The PICOT model aids in formulating the hypothesis. (Ch. 10, slide 11)
Randomized Controlled Trial (RCT) - CORRECT ANSWER ✔️✔️ -Gold standard research
design for generating evidence; has 3 critical elements:
1. Manipulation of an experimental intervention
2. Comparison of intervention group to control group.
3. Randon allocation of subjects to the intervention or control group. (Ch. 10, slide 8)
RCT provides objective information.
Random Allocation - CORRECT ANSWER ✔️✔️ -Random allocation is an essential part of RCT
because it spreads potentially confounding factors evenly among treatment and control groups.
PICOT - CORRECT ANSWER ✔️✔️ -A model that aids in formulating clinically relevant and
measurable questions.
P- Patient or Population
, I- Intervention to be considered.
C- Comparison (approach used as basis for comparison to the intervention undergoing scrutiny)
O- Outcome of goal or intervention
T- Time; sometimes added to the PICO model.
Steps of The EBP Process - CORRECT ANSWER ✔️✔️ -1. Formulate a measurable clinical
question
2. Search the literature for relevant studies.
3. Critically appraise and extract evidence
4. Implement useful findings in clinical decision making
Evidence Pyramid - CORRECT ANSWER ✔️✔️ -Provides taxonomy for ranking study's potential
contribution to EBP based on its design.
Clinical Decision Making - CORRECT ANSWER ✔️✔️ -Step 4 of the EBP process. Creation and
implementation of policies on facility or community-wide level. Creation of EBP clinical
practice guidelines to set standards of care on national or global level.
Four-Point GRADE scale used to evaluate quality of evidence for clinical practice.
EBP, research, and QI should be seen as complementary and combined to improve clinical
decision making and care processes.