Evidence Based Nursing Practice Exam
Questions With Correct Answers.
Research Utilization (RU) - answer✔- Use of study findings in a practical application unrelated
to the original research.
- Instrumental (direct)
- Conceptual (indirect)
- Persuasive (symbolic)
Evidence Based Practice (EBP) - answer✔- Based clinical decisions on best possible evidence
typically high quality research.
- Use of best evidence unmaking patient care decisions.
Research Utilization (RU): Instrumental - answer✔- Direct
- Explicit application of knowledge gained from research to a practice.
Research Utilization (RU): Conceptual - answer✔- Indirect
- Use of findings to enhance one's understanding of a problem or issue in nursing.
Research Utilization (RU): Persuasive - answer✔- Symbolic
- Use of evidence to change minds, especially decision makers.
RU Beginnings - answer✔- 1970s research begins to be incorporated in nursing curricula.
- 1970s WICHE Western Interstate Commission for Higher Education.
- 6 year project to address feasibility of fostering research through regional collaborations.
- First major project addressing RU.
- Findings: resulted in increase in RU, but not enough sounds, reliable studies with implications
for nursing care.
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- 1970s CURN: Conduct and Utilization of Research in Nursing project (run by MNA, funded by
Division of Nursing).
- Major objective --> increase use of research findings in clinical nursing practice by:
disseminating current findings, facilitating organizational changes, encouraging collaborative
research.
- Must have relevance to practice and be widely disseminated.
Steps of Research Utilization Similarities to Nursing Process - answer✔(ADPIE)
- Identification of clinical problem (D).
- Gathering information form existing studies, critical evaluation of research (A).
- Relevance to practice setting/patient population (P), definition of patient outcomes (P).
- Education/training (protocol) needed for change (I).
- Evaluation/follow-up of new practice (E).
RU 1980s-1990s - answer✔- 1980s and 1990s RU generally at institutional level, innovation
effectiveness evaluation.
- 1990s push for EBP.
Cochrane Collaboration - answer✔- Archie Cochrane
- Systematic way to evaluate evidence.
- Dissemination of evidence.
- Evidence hierarchy.
EBM (Evidence Based Medicine) - answer✔David Sackett, McMaster Medical School
EBP Initiatives - answer✔- Institute of medicine's Roundtable on EBM.
- US Preventative Services Task Force (USPSTF).
- Agency for Healthcare Research and Quality (AHRQ).
- Nation Consortium for the Advancement of pEdiatric and Adolescent Evidence Based Practice
(NCPAEP).
- Magnet Recognition Program by the American Nurses Credentialing Center.
Evidence Based Practice - answer✔- A life-long problem-solving approach to clinical practice
that integrates...
- Search, critical appraisal, and synthesis of the most relevant and best research *(external
evidence).*