Chapter 23: Translating Research into Practice
Waddell/Walton: Yoder-
Wise’s Leading and Managing in Canadian Nursing, Third Edition
MULTIPLE CHOICE
The chief nursing officer at a local hospital seeking Magnet status creates staff developm
e nt classes concerning research utilization. What best describes research utilization?
Conducting an integrative review of the literature.
Searching the literature for a systematic review.
Providing the results of research studies to practitioners.
Applying the results of a research study to practice.
ANS: D
Research utilization is the process of synthesizing, disseminating, and usi
n g research-
generated knowledge to influence or change existing practices.
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Nursing Process: Implementation
The chief nursing officer at a local hospital seeking Magnet status creates staff developm
e nt classes about incorporating evidence-based nursing. What best describes evidence-
based nursing?
Applying the results of a research study to practice.
Using research findings to develop practice guidelines.
Conducting a meta-analysis of a specific research question.
Developing standards fNorUpRraSctIicNe.GTB.CO
M ANS: B
Nurse managers use research findings for the establishment of standards, practices, and
p atient care models in the organization.
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Nursing Process: Assessment
The nurse manager decides to change staffing schedules in the intensive care unit. Sh
chooses to use Rogers‘s (2003) diffusion of innovations theory to implement the ch
a nge. What are the elements of Rogers‘s diffusion of innovations theory?
Assessment, planning, intervention, and evaluation.
Preparation, validation, synthesis, and evaluation.
Knowledge, persuasion, decision-making, implementation, and evaluation.
Scanning, diagnosis, decision-making, application, and reevaluation.
ANS: C
Nurse managers disseminate research findings to patient care team members. Rogers‘ di
ffusion of innovations theory is a useful model for integration of evidence into practice.
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The nurse manager wants to use evidence-
based recommendations to prevent ventilator-
associated pneumonia. What type of research would provide the strongest evidenc
for this clinical issue?
A single, large-scale, randomized, clinical trial.
A systematic review of research studies.
A systematic review of research-based clinical guidelines.
Qualitative meta-synthesis.
ANS: C
The evidence for a particular practice problem can come from a single research study, a
n integrative review of the literature, a meta-analysis, a meta-
synthesis, a clinically appraised topic, a clinical guideline, or a systematic review. DiCen
so, Ciliska, and Guyatt (2005) described a hierarchy for rating the strength of evidence f
or treatment decisions, in which the strongest evidence is from a systematic review of re
search studies.
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Nursing Process: Implementation
A strategic goal developed by the chief nursing officer is to implement an evidence-
based practice program. What is an appropriate strategy that can be used by a nurse man
ager who is beginning to implement an evidence-based practice program?
Conducting a review of adverse events and incident reports.
Soliciting input from staff members.
Reviewing specialty organization guidelines.
Identifying patients with extended lengths of stay.
ANS: B NRIGB.CM
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Staff members need to be involved early when initiatives involve direct patient care.
Involvement assists in understanding issues and concerns, motivations, and unmet needs
, and also leading to greater success.
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Nursing Process: Implementation
The nurse manager of an intensive care unit wants to implement the revised policy and p
rocedure on central-
line catheter care. What would be the most effective method of getting the staff nurses to
incorporate a new evidence-based practice into their care?
Conducting an interactive educational workshop.
Distributing educational materials on clinical units.
Sharing the results of a chart audit with staff.
Providing staff with a short video on the topic.
ANS: A
Dobbins, Ciliska, Estabrooks, et al. (2005) suggested that the most effective strategies inv
olve face-to-face information sessions in small groups and one-to-
one interactions. Other approaches have mixed or few results.
DIF: Cognitive Level: Understand REF:
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