A group of nurses have identified that the elderly patients on their unit have a high
incidence or pressure ulcers after they have a stroke. During a unit meeting they
discuss different interventions that they think may reduce the development of pressure
ulcers. What is the nurses' next step to investigate this clinical problem further?
1. Conduct a literature review
2. Share the findings with others
3. Conduct a statistical analysis
4. Create a well-defined PICOT question - CORRECT ANSWER-4. Answer: 4.
In this case, the nurses need to develop a PICOT question next to search for
appropriate evidence that might offer answers to this clinical problem.
Arrange the following steps of evidence-based practice (EBP) in the appropriate order.
1. Integrate the evidence
2. Ask the burning clinical question
3. Create a spirit of inquiry
4. Evaluate the practice decision or change
5. Share the results with others.
6. Critically evaluate the evidence you gather
7. Collect the most relevant and best evidence. - CORRECT ANSWER-5. Answer: 3, 2,
7, 6, 1, 4, 5
When recruiting subjects to participate in study about the effects of an educational
program to help patients at home take their medications as ordered, the researcher tells
the subjects that their names will not be used and no one but the research team will
have access to their information and responses. This is an example of:
1. Bias
2. Anonymity
3. Confidentiality
4. Informed Consent - CORRECT ANSWER-6. Answer: 3.
Confidentiality - Confidentiality guarantees that any information a subject provides will
not be reported in any manner that identifies the subject and will not be accessible to
people outside the research team.
Nurses in a community clinic have seen an increase in the number of obese children.
The nurses who care for children are discussing ways to reduce childhood obesity. One
nurse asks a colleague, "I wonder what the most effective ways are to help school-age
children maintain a healthy weight?" This question is an example of a/an:
, 1. Hypothesis
2. PICOT question
3. Problem-focused trigger.
4. Knowledge-focused trigger - CORRECT ANSWER-7. Answer: 3.
A problem-focused trigger is a clinical problem you face while caring for patients; the
nurses in this question have identified a clinical problem which they desire to investigate
further.
A nurse researcher studies the effectiveness of a new program designed to educate
parents to promote the immunization of children. The nurse divides the the parents
randomly into two groups. One group receives the typical educational program and the
other group receives the new program. This is an example of which type of study?
1. Historical
2. Qualitative
3. Correlational
4. Experimental - CORRECT ANSWER-1. Answer: 4.
Experimental; in experimental studies, the subjects are randomly assigned into groups
with one group receiving the standard treatment and the other group receiving the
intervention.
A nurse who works in a pediatric unit asks, "I wonder if children who interact with
therapy dogs have reduced anxiety when they are in the hospital." In this example of a
PICOT question, which of the following is the O?
1. Children
2. Therapy Dogs
3. The pediatric unit
4. Anxiety - CORRECT ANSWER-2. Answer: 4.
O stands for outcome; in this PICOT question, the outcome the nurse is concerned
about is anxiety.
The nurse researcher wants to know which factors are associated with a person's
decision to exercise. The nurse distributes a survey to people who recently joined an
exercise wellness program and analyzes the data to determine which factors and
characteristics are most significantly linked to the decision to start exercising. Which
type of research study is this?
1. Qualitative
2. Descriptive
3. Correlational