Chapter 17: Evidence-Based Practice: Strategies for Nursing Leaders
Huber: Leadership & Nursing Care Management, 6th Edition
MULTIPLE CHOICE
1. Evidence-based practice includes:
a. collaborative practice dynamics between health care professionals.
b. documentation of patient care as evidence of nursing practice.
c. integration of research with clinical expertise and patient values.
d. mutual goal setting and application in the clinical setting.
ANS: C
Evidence-based practice is a process of shared decision making in a partnership between
patients and providers that involves the integration of research and other best evidence with
clinical expertise and patient values in health care decision making (Sackett et al., 2000).
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. Components of a systematic review include:
a. publication of study data.
b. assessment of a study.
c. determination of statistical tests.
d. development of research guidelines.
ANS: B
Standard components of a systematic review are processes for (1) initiating, (2) finding and
assessing individual studies, (3) synthesizing the body of evidence, and (4) reporting using a
standard format (Institute of Medicine, 2011b).
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. A team has formed to determine which methods have worked best and which factors influence
the implementation of an evidence-based practice program. This is known as _____ research. a.
authoritarian
b. autocratic
c. transformational
d. translational
.
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ANS: D
Translational research includes testing the effect of interventions aimed at promoting the rate
and extent of adoption of evidence-based practices by nurses, physicians, and other health
care providers and describing organizational, unit, and individual variables that affect the use
of evidence in clinical and operational decision making.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. Opinion leaders are:
a. formal leaders who lead evidence-based practice development teams.
b. formal leaders who write new evidence-based practice guidelines.
c. informal leaders who influence peers by evaluating innovations for use in certain settings
and promoting clinicians use of evidence in clinical decision making.
d. informal leaders who gather data about nursing practice changes.
ANS: C
Informal leaders who influence peers by evaluating innovations for use in certain settings and
promoting clinicians’ use of evidence in clinical decision making are referred to as opinion
leaders. Opinion leaders are likeable, trustworthy, informative, and influential (Flodgren et al.,
2011).
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. A clinical nurse specialist is meeting one on one with staff nurses while they are working to
discuss data about the evidence-based practice. This is known as: a. academic detailing.
b. champion coaching.
c. individual instruction.
d. professional mentoring.
ANS: A
Academic detailing is a marketing strategy in which a trained individual meets one on one
with practitioners in their setting to provide information about the evidence-based practice.
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
6. A communication strategy used in the promotion of adopting evidence-based practice
recommendations is:
a. best practice evaluation.
b. knowledge translation.
.