Core Nursing Competencies || QUESTIONS WITH
COMPLETE SOLUTIONS!!
What does evidence based care look for? correct answers the very best scientific and clinical
evidence for treating and managing a problem
What does evidence-based care improve? correct answers quality, safety, and patient
outcomes
What does evidence-based care increase? correct answers nurse satisfaction
What does evidence-based care reduce? correct answers costs
What does the best scientific evidence come from? correct answers well-designed,
systematically conducted research studies found in scientific, peer-reviewed journals
Parts of evidence-based clinical decision making correct answers -Evidence from research,
evidence-based theories, clinical experts, and opinion leaders
-evidence from assessment of patient's history and physical and available health care
resources
-Clinical expertise
-Information about patient preferences and values
Sources of Evidence for Evidence-Based Practice correct answers -textbooks
-articles from nursing and health care literature
-peer-reviewed journals
Application of evidence for Evidence-Based Practice correct answers -Differ based on
patients' values, state of health, preferences, concerns, or expectations
-Involves ethical and accountable professional nursing practice
-Use critical thinking skills
Steps of Evidence-Based Practice correct answers 0. Cultivate a spirit of inquiry
1. ask a clinical question in PICOT format
2.Search for the best evidence
3. critically appraise the evidence
4. integrate the evidence
5. evaluate the outcomes of practice decision or changes
6. communicate the outcomes of the evidence based practice decision
What must you have in order to cultivate a spirit of inquiry? correct answers -never-ending
spirit of inquiry
-constantly question current practices that leads to consistent use of EBP
What do EBP institutions demonstrate? correct answers a culture in which nurses are
encouraged to question practices
EBP practice does what? correct answers -supports inquiries and provides tools to support
EBP
, -Includes evidence based policies and procedures
-Nursing leaders that value EBP, integration of EBP competences in performing evaluations
-Includes recognition programs
Developing a PICOT question correct answers P- patient population of interest
I- intervention of interest
C- comparison of interest
O- outcome
T- time
How to search for the best evidence correct answers -ask experts for help (nursing facility,
librarians, advanced practice nurses, staff educators, risk managers)
A medical librarian can correct answers -identify the databases that are available to you
-identify key words that will provide the best answer to your PICOT question
Search for best evidence level I correct answers systematic review or meta-analysis of
randomized controlled trials (RCTs)
Evidence based clinical practice guidelines based on systematic reviews
Search for best evidence level II correct answers a well-designed RCT
Search for best evidence level III correct answers controlled trial without randomization
(quasiexperimental study)
Search for best evidence level IV correct answers single non experimental study (case-
control, correlational, cohort study)
Search for best evidence level V correct answers systematic reviews of descriptive and
qualitative study
Search for best evidence level VI correct answers single descriptive or qualitative study
Search for best evidence level VII correct answers opinion of authorities and/or reports of
expert committees
after critiquing all articles for a PICOT question: correct answers -synthesize or combine the
findings
-consider the scientific rigor of the evidence and whether it has application in practice
In order to critically appraise evidence in a systematic approach what must be done? correct
answers determine the value, feasibility, and usefulness of evidence
What do you do to integrate the evidence? correct answers -apply the research in your plan of
care for a patient; use evidence as rationale
-education about the change must occur
-large-scale change requires planning
-pilot study can show if change can be implemented easily
-incorporate into policies and procedures
-integration: teaching tools, clinical practice guidelines, P&Ps, new assessment tools
COMPLETE SOLUTIONS!!
What does evidence based care look for? correct answers the very best scientific and clinical
evidence for treating and managing a problem
What does evidence-based care improve? correct answers quality, safety, and patient
outcomes
What does evidence-based care increase? correct answers nurse satisfaction
What does evidence-based care reduce? correct answers costs
What does the best scientific evidence come from? correct answers well-designed,
systematically conducted research studies found in scientific, peer-reviewed journals
Parts of evidence-based clinical decision making correct answers -Evidence from research,
evidence-based theories, clinical experts, and opinion leaders
-evidence from assessment of patient's history and physical and available health care
resources
-Clinical expertise
-Information about patient preferences and values
Sources of Evidence for Evidence-Based Practice correct answers -textbooks
-articles from nursing and health care literature
-peer-reviewed journals
Application of evidence for Evidence-Based Practice correct answers -Differ based on
patients' values, state of health, preferences, concerns, or expectations
-Involves ethical and accountable professional nursing practice
-Use critical thinking skills
Steps of Evidence-Based Practice correct answers 0. Cultivate a spirit of inquiry
1. ask a clinical question in PICOT format
2.Search for the best evidence
3. critically appraise the evidence
4. integrate the evidence
5. evaluate the outcomes of practice decision or changes
6. communicate the outcomes of the evidence based practice decision
What must you have in order to cultivate a spirit of inquiry? correct answers -never-ending
spirit of inquiry
-constantly question current practices that leads to consistent use of EBP
What do EBP institutions demonstrate? correct answers a culture in which nurses are
encouraged to question practices
EBP practice does what? correct answers -supports inquiries and provides tools to support
EBP
, -Includes evidence based policies and procedures
-Nursing leaders that value EBP, integration of EBP competences in performing evaluations
-Includes recognition programs
Developing a PICOT question correct answers P- patient population of interest
I- intervention of interest
C- comparison of interest
O- outcome
T- time
How to search for the best evidence correct answers -ask experts for help (nursing facility,
librarians, advanced practice nurses, staff educators, risk managers)
A medical librarian can correct answers -identify the databases that are available to you
-identify key words that will provide the best answer to your PICOT question
Search for best evidence level I correct answers systematic review or meta-analysis of
randomized controlled trials (RCTs)
Evidence based clinical practice guidelines based on systematic reviews
Search for best evidence level II correct answers a well-designed RCT
Search for best evidence level III correct answers controlled trial without randomization
(quasiexperimental study)
Search for best evidence level IV correct answers single non experimental study (case-
control, correlational, cohort study)
Search for best evidence level V correct answers systematic reviews of descriptive and
qualitative study
Search for best evidence level VI correct answers single descriptive or qualitative study
Search for best evidence level VII correct answers opinion of authorities and/or reports of
expert committees
after critiquing all articles for a PICOT question: correct answers -synthesize or combine the
findings
-consider the scientific rigor of the evidence and whether it has application in practice
In order to critically appraise evidence in a systematic approach what must be done? correct
answers determine the value, feasibility, and usefulness of evidence
What do you do to integrate the evidence? correct answers -apply the research in your plan of
care for a patient; use evidence as rationale
-education about the change must occur
-large-scale change requires planning
-pilot study can show if change can be implemented easily
-incorporate into policies and procedures
-integration: teaching tools, clinical practice guidelines, P&Ps, new assessment tools
