Chapter 13: Building an Evidence-Based Nursing Practice | Understanding Nursing Research, 7th Edition

Chapter 13: Building an Evidence-Based Nursing Practice Grove: Understanding Nursing Research, 7th Edition MULTIPLE CHOICE 1. Which is true about evidence-based practice? a. Evidence-based guidelines are unrelated to accreditation regulations. b. Evidence-based practice is determined only through experimental studies. c. Most nursing interventions are based on evidence-based principles. d. The use of evidence-based practice results in improved patient outcomes. ANS: D The greatest benefits of EBP are improved outcomes for patients, providers, and healthcare agencies. The Joint Commission revised their accreditation criteria to emphasize patient care quality achieved through EBP. EBP guidelines are based on all types of research, using the best research knowledge available. Some nursing interventions are evidence based currently, but many require additional research to generate the knowledge essential for making changes in practice. DIF: Cognitive level: Understanding (Comprehension) 2. Which standards were developed to help nursing students develop the skills, knowledge, and attitudes needed to continuously improve quality and safety? a. EBP b. IRB c. QSEN d. ANCC Magnet ANS: C The Quality and Safety Education for Nursing, or QSEN, project was implemented to improve prelicensure nurses’ knowledge, skills, and attitudes necessary to continuously improve quality and safety in healthcare systems. EBP is evidence-based practice, which is the basis for developing practice guidelines that are grounded in the best evidence and research. IRBs are institutional review boards; whose purpose is to protect human subjects in research studies. Magnet criteria are standards for a practice model for hospitals seeking accreditation through the American Nurses Credentialing Center. DIF: Cognitive level: Understanding (Comprehension) 3. A nurse educator explains the importance of following evidence-based practice (EBP) competencies to a group of prelicensure nursing students. Which statement by a nursing student indicates the need for further teaching? a. “Adhering to institutional review board (IRB) guidelines is recognized as an EBP competency.” b. “EBP competencies involve participating effectively in appropriate data collection and other research activities.” c. “Consulting with clinical experts after deciding to deviate from evidence-based protocols is necessary.” d. “Reading original research and evidence reports related to area of practice is necessary.” NURSINGTB.COM Understanding Nursing Research 7th Edition Grove Test Bank This study resource was shared via CourseHN URSINGTB.COM ANS: C Consulting with clinical experts before deciding to deviate from evidence-based protocols is necessary. All other answers are accurate statements describing EBP competencies. DIF: Cognitive level: Remembering (Knowledge) 4. When addressing a healthcare question to determine best practice, the nurse identifies and appraises quality research using a structured, comprehensive synthesis of the research literature to determine the best research evidence available. This is an example of a a. literature review. b. meta-analysis. c. meta-synthesis. d. systematic review. ANS: D A systematic review is a structured, comprehensive synthesis of the research literature to determine the best research evidence available to help determine best practice. A literature review seeks to find all literature about a topic and is not as rigorous or systematic as a systematic review. A meta-analysis is a review of quantitative studies by statistically pooling or combining the results from these studies into a single quantitative analysis. A meta-synthesis is used to pool and combine findings from qualitative studies. DIF: Cognitive level: Applying (Application) 5. The electronic database covering the English-language journal literature for nursing and allied health is known as a. PsycINFO. b. MEDLINE. c. CINAHL. d. MEDLINE with MeSH. ANS: C CINAHL (Cumulative Index to Nursing and Allied Health Literature) is an authoritative resource covering the English-language journal literature for nursing and allied health. The database was developed in the United States and includes sources published from 1982 to the present. The American Psychological Association developed the PsycINFO database that includes professional and academic literature for psychology and related disciplines from 1887 to the present. MEDLINE was developed by the National Library of Medicine in the United States providing access to more than 11 million MEDLINE citations back to the mid- 1960s and to additional life science journals. MEDLINE with MeSH, also developed by the National Library of Medicine, provides authoritative medical information on medicine, nursing, dentistry, veterinary medicine, the healthcare system, preclinical services, and more. DIF: Cognitive level: Remembering (Knowledge) 6. What is the purpose of the PRISMA statement? a. To help researchers develop a clinical question before a review b. To help determine whether studies reviewed should be replicated c. To improve reporting of meta-analyses and systematic reviews d. To outline the abstract when reporting on meta-analyses and other reviews NURSINGTB.COM Understanding Nursing Research 7th Edition Grove Test Bank This study resource was shared via CourseHN URSINGTB.COM ANS: C The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was developed in 2009 to improve the quality of reporting for systematic reviews and meta-analyses and includes 27 items to ensure that this is done. It is not used to develop a clinical question prior to analyses or to determine whether studies should be replicated. It is not used to outline the abstract when reporting on analyses and other reviews. DIF: Cognitive level: Understanding (Comprehension) 7. To develop a clinical question when reviewing the effectiveness of nursing interventions, the nurse will use which format? a. PICOS b. PRISMA c. Study design d. Systematic review ANS: A PICOS (population, intervention, comparison of intervention, outcomes, and study design) is the most common format for developing a research question by nurse researchers. The - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - URSINGTB.COM 25. A new research methodology (termed “bench to bedside”) developed to improve the application of research evidence in practice is known as a. grounded theory research. b. historical research. c. mixed-methods research. d. translational research. ANS: D Translational research has been termed “bench to bedside" research that involves the translation of basic scientific discoveries into practical application. Grounded theory research is an inductive technique that emerged from the discipline of sociology. Historical research examines events of the past. Mixed-methods studies include quantitative and qualitative research methods. DIF: Cognitive level: Understanding (Comprehension) MULTIPLE RESPONSE 1. Which of the following are true statements about the challenges to evidence-based nursing practice? Select all that apply. a. EBP requires synthesizing research evidence from randomized controlled trials (RCTs), which are still limited in nursing. b. Systematic reviews and meta-syntheses conducted in nursing also are limited when compared with other disciplines. c. All healthcare agencies and administrators do not provide the resources or support necessary for nurses to implement EBP. d. More work is needed to promote the use of evidence-based guidelines with individual patients. e. Lack of support and resources for EBP include unlimited funds to support research projects. ANS: A, D EBP requires synthesizing research evidence from randomized controlled trials (RCTs) and other types of intervention studies, which are still limited in nursing. Sometimes it is difficult to transfer research knowledge to individual patients, who respond in unique ways or have unique circumstances and values; therefore more work is needed to promote the use of evidence-based guidelines with individual patients. Systematic reviews and meta-analyses conducted in nursing also are limited when compared with other disciplines, such as medicine and psychology. Some healthcare agencies and administrators do not provide the resources or support necessary for nurses to implement EBP. Lack of support and resources for EBP include limited funds to support research projects and research-based changes in practice. DIF: Cognitive level: Analyzing (Analysis) NURSINGTB.COM Understanding Nursing Research 7th Edition Grove Test Bank This study resource was shared via CourseH Powered by TCPDF ()