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Test Bank for Foundations of Nursing Research 7th Edition by Nieswiadomy. Chapter 2. Evidence-Based Nursing Practice Question 1 Type: MCSA A nurse is reviewing research articles in an effort to make changes in practice in a medicalsurgical unit. To evaluate the quality of the research performed, which source should be recommended? 1. U.S. Preventive Services Task Force (USPSTF) 2. The National Guideline Clearinghouse (NGC) 3. National Quality Forum (NQF) 4. The Agency for Healthcare Research and Quality (AHRQ) Correct Answer: 1 Rationale 1: The USPSTF provides a rating system for the research studies. These studies are rated based upontheir strength and evidence presented. Rationale 2: The NGC provides a public resource for evidence-based clinical practice guidelines. Rationale 3: The NQF’s vision is to assist in the establishment of national priorities and goals to achievehealthcare that is safe, effective, patient-centered, timely, efficient, and equitable. Rationale 4: The AHRQ is used to promote the use of evidence-based practice. The USPSTF is sponsored by theAHRQ. Global Rationale: Cognitive Level: Applying Client Need: Safe and Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: LO 04. Explain the role of the Agency for Healthcare Research and Quality to evidence-based practice Question 2 Type: MCSA The nursing faculty would evaluate which statement, made by a research student, as providing evidence that the student understands the mission of the ACE Center? 1. The ACE Center exists solely to distribute evidence to educators for use in developing clinical teaching models. 2. The ACE Center promotes the efforts of evidence-based nursing practice through education, research, and development. 3. The ACE Center derives clinical actions from research-based findings. 4. The ACE Center is a source of funding for the novice researcher of evidence-based nursing practice. Correct Answer: 3 Rationale 1: The ACE Center’s focus is larger than education alone. Rationale 2: The ACE Center does not develop research. Rationale 3: The ACE Center’s ultimate goal is to translate research-based findings into clinical actions that willimprove healthcare through the evaluation of the impact that an evidencebased practice has on patient health outcome, satisfaction, efficacy and efficiency of care, and health policy. Rationale 4: ACE is not a source of funding for novice nursing researchers. Global Rationale: Cognitive Level: Analyzing Client Need: Safe and Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Evaluation Learning Outcome: LO 05. Summarize the roles of evidence-based nursing practice centers. Question 3 Type: MCSA A nurse seeking the definition of evidence-based practice as it applies to nursing would review which literature? 1. The original work of Archie Cochrane 2. Foundational work by the group headed by Sackett 3. The website of Sigma Theta Tau International 4. The website of the Agency for Healthcare Research and Quality Correct Answer: 3 Rationale 1: Archie Cochrane is credited with beginning the movement toward evidence-based practice, but hiswork did not focus on nursing. Rationale 2: Sackett, et al. defined evidence-based medicine but did not focus on nursing. Rationale 3: STTI defined EBP in a way that is specific to nursing. Rationale 4: AHRQ is not specific to nursing. Global Rationale: Cognitive Level: Applying Client Need: Safe and Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: LO 01. Summarize the importance of evidence-based practice in the field of nursing Question 4 Type: MCMA Which statement(s) should be included in a presentation that discusses the use of systematic reviews of research studies? Standard Text: Select all that apply. 1. A systematic review focuses on identifying the best studies to use for replication studies. 2. The systematic review will enhance the quality of the research study. 3. The systematic review will involve examining numerous studies relating to a single topical area. 4. The use of the systematic review will identify problematic research question. 5. The use of the systematic review integrates the information from a group of original research studies and looks at the studies as a whole. Correct Answer: 2, 3, 5 Rationale 1: Systematic reviews are not focused on replication studies. Rationale 2: The systematic review employs a scientific approach to appraise research that is appropriate for theresearch question. Rationale 3: While focusing on a single area of interest, a systematic review may provide a summary of manystudies at once. Rationale 4: This is not the purpose of the systematic review. Rationale 5: The systematic review employs a scientific approach that takes groups of research studies andreviews them as a whole. The review looks at studies to promote evidence-based decisions. Global Rationale: Cognitive Level: Applying Client Need: Safe and Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: LO 01. Summarize the importance of evidence-based practice in the field of nursing

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Rose Marie Nieswiadomy, Catherine Bailey Foundations of Nursing Research

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