f f f f f f f
Based Practice for Nurses: Appraisal andApplication of
f f f f f f f
f Research
CHAPTER 1 f
WHAT IS EVIDENCE BASED PRACTICE?
f f f f
Multiple Choice
f
1. Which of the following is the best definition of research?
f f f f f f f f f
a. Critically thinking about problems that occur in health care to determine possible
f f f f f f f f f f f
solutions.
f
b. Information that is based on personal experience or tradition. f f f f f f f f
c. Planned and systematic activity that leads to new knowledge and/or the
f f f f f f f f f f
discovery of solutions to problems or questions.
f f f f f f f
d. Trying a variety of approaches to a clinical problem and settling on the approach
f f f f f f f f f f f f f
that is effective more often than not.
f f f f f f f
Definition of research utilization (p. 4)
f f f f f
2. Which of the following is the best definition of research utilization?
f f f f f f f f f f
a. Applying research findings from individual studies to practice. f f f f f f f
b. Analyzing multiple research studies to synthesize findings. f f f f f f
c. Appreciating the importance of clinical decision making. f f f f f f
d. Using previous personal experience to build confidence.
f f f f f f
Definition of EBP (pp. 4-5)
f f f f
3. Which of the following is the best definition of evidence-based practice (EBP)?
f f f f f f f f f f f
a. Application of research findings based on scientific theories in a clinical setting.
f f f f f f f f f f f
b. Research studies that correspond to nationally established priorities for healthcare,
f f f f f f f f f
conducted by experts in their fields.
f f f f f f
c. Use of theory-derived, research-based information in making decisions about
f f f f f f f f
health care delivery, with consideration of individual needs and preferences
f f f f f f f f f f
f and the clinical expertise of the provider.
f f f f f f
d. Using the individual health care provider’s perception of truth without conscious
f f f f f f f f f f
, attention or reasoning. f f
Difference between research utilization and EBP (pp. 4-5)
f f f f f f f
4. Which of the following best describes the difference between research utilization and
f f f f f f f f f f f
EBP?
f
a. Research utilization is a process of evaluating multiple studies for the mostf f f f f f f f f f f
generalizable findings; EBP is use of the most recent study on a topic.
f f f f f f f f f f f f f
b. Research utilization involves changing practice based on findings of a single f f f f f f f f f f
research study; EBP is the syntheses of findings from multiple studies to
f f f f f f f f f f f f
f incorporate with practitioner skills and client preference to determine best f f f f f f f f f
f care.
c. Research utilization is the application of research findings to health care practice;
f f f f f f f f f f f
EBP is considered in selecting medication options.
f f f f f f f
d. Research utilization is review of research publications; EBP is using the f f f f f f f f f f
f healthcare provider’s perception of what care would be best in individual f f f f f f f f f f
situations.
f
Evidence from other disciplines (p. 6)
f f f f f
5. In what way can evidence from disciplines other than nursing be helpful?
f f f f f f f f f f f
a. Theory based non-nursing evidence can provide a basis on which to build
f f f f f f f f f f f
new evidence.
f f
b. Non-nursing evidence supports the use of nursing knowledge obtained by trial f f f f f f f f f f
and error.
f f
c. Clinical decision making can be based on findings from single non-nursing
f f f f f f f f f f
research studies.
f f
d. All evidence is equally important to the practice of nursing.
f f f f f f f f f
Identification of sources of evidence (p. 6)
f f f f f f
6. You are a new nurse working at XYZ hospital. Your preceptor tells you to dangle Ms.
f f f f f f f f f f f f f f f
f Jones’ legs on the side of the bed before you attempt to assist her to a chair. You ask your
f f f f f f f f f f f f f f f f f f f
f preceptor why this is done and she answers, “This is what we have always done, sogo do
f f f f f f f f f f f f f f f f f
f it.” This is an example of which type of evidence?
f f f f f f f f f
a. Trial and error f f
b. Intuition
c. Borrowed evidence f
d. Tradition
, Identification of sources of evidence (p. 6)
f f f f f f
7. You are a new nurse working at XYZ hospital. Your preceptor tells you to dangle Ms.
f f f f f f f f f f f f f f f
f Jones’ legs on the side of the bed before you attempt to assist her to a chair. You ask your
f f f f f f f f f f f f f f f f f f f
f preceptor why this is done and she answers, “Because I said so.” This is an exampleof
f f f f f f f f f f f f f f f f
which type of evidence?
f f f f
a. Intuition
b. Tradition
c. Authority
d. Borrowed evidence f
Identification of sources of evidence (p. 6)
f f f f f f
8. Trial and error is not a preferred approach for delivering nursing care because
f f f f f f f f f f f f
a. it is not based on systematic scientific approaches.
f f f f f f f
b. it is not a sanctioned method by the American Nurses Association.
f f f f f f f f f f
c. it is based only on intuition and therefore not scientifically based.
f f f f f f f f f f
d. patient outcomes are always based only on level 1 evidence. f f f f f f f f f
Identification of sources of evidence (p. 8)
f f f f f f
9. Many nurses in clinical settings base nursing interventions on information obtained from
f f f f f f f f f f f
a. level 1 evidence. f f
b. individual research studies. f f
c. colleagues.
d. the American Nurses Association. f f f
Barriers to adopting EBP (p. 8)
f f f f f
10. Studies have shown that the reasons that nurses do not draw on research are related to
f f f f f f f f f f f f f f f
a. communication problems. f
b. individual and organizational factors. f f f
c. personal disinterest. f
d. rapid organizational changes. f f
Environment for EBP to flourish (p. 11)
f f f f f f
11. Which of the following promotes consistent EBP practice changes in an institution?
f f f f f f f f f f f
a. Clinical experts such as Advanced Practice Nurses (APNs) should be the f f f f f f f f f f
authority for any change in practices.
f f f f f f
b. Change champions are needed on each work shift to facilitate practice f f f f f f f f f f