NSG5000 Quiz 2 EXAM Questions & Answers, Well Elaborated | Already
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Research - (ANSWER)Systemic investigation designed to generate or contribute generalizable new
knowledge to healthcare.
The goal is to generate new knowledge about an intervention or assessment technique. (Ch. 10, slide 6)
Evidence Based Practice (EBP) - (ANSWER)Combines findings from multiple research studies that focus
on the efficacy of a particular intervention or the accuracy of a specific diagnostic procedure.
It is described as the "study of studies."
The goal is to synthesize existing knowledge generated from multiple research studies. (Ch. 10, slide 6)
A conscientious, explicit, and judicious use of current best research-based evidence when making
decisions about care of individual patients.
Evolution into dominant approach for clinical decision making and core competency for APRNs. (Ch. 10,
slide 3)
Nursing Research - (ANSWER)Systematic inquiry that generates knowledge about issues of importance to
the nursing profession (Nursing theories) (Ch. 10, slide 3)
Hypothesis - (ANSWER)First step in the EBP process; a measurable clinical question. (Ch. 10, slide 10)
May be in response to need to formulate EBPs for prevention of "never events."
May arise from a need for evidence to support role of APNs in specific disease or disorder.
The PICOT model aids in formulating the hypothesis. (Ch. 10, slide 11)
Randomized Controlled Trial (RCT) - (ANSWER)Gold standard research design for generating evidence;
has 3 critical elements:
1. Manipulation of an experimental intervention
2. Comparison of intervention group to control group.
3. Randon allocation of subjects to the intervention or control group. (Ch. 10, slide 8)
,NSG5000 Quiz 2 EXAM Questions & Answers, Well Elaborated | Already
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RCT provides objective information.
Random Allocation - (ANSWER)Random allocation is an essential part of RCT because it spreads
potentially confounding factors evenly among treatment and control groups.
PICOT - (ANSWER)A model that aids in formulating clinically relevant and measurable questions.
P- Patient or Population
I- Intervention to be considered.
C- Comparison (approach used as basis for comparison to the intervention undergoing scrutiny)
O- Outcome of goal or intervention
T- Time; sometimes added to the PICO model.
Steps of The EBP Process - (ANSWER)1. Formulate a measurable clinical question
2. Search the literature for relevant studies.
3. Critically appraise and extract evidence
4. Implement useful findings in clinical decision making
Evidence Pyramid - (ANSWER)Provides taxonomy for ranking study's potential contribution to EBP based
on its design.
Clinical Decision Making - (ANSWER)Step 4 of the EBP process. Creation and implementation of policies
on facility or community-wide level. Creation of EBP clinical practice guidelines to set standards of care
on national or global level.
Four-Point GRADE scale used to evaluate quality of evidence for clinical practice.
, NSG5000 Quiz 2 EXAM Questions & Answers, Well Elaborated | Already
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EBP, research, and QI should be seen as complementary and combined to improve clinical decision
making and care processes.
Four-Point GRADE scale - (ANSWER)Grading of Recommendations, Assessment, Development, and
Evaluation. Used to evaluate quality of evidence for clinical practice.
1. High evidence: benefits clearly outweigh potential for harm
2. Moderate evidence: benefits of treatment must be carefully weighed against potential adverse effects.
3. Low evidence: balance between benefits and harm cannot be clearly distinguished based on best
available practice.
4. Very low evidence: best available evidence suggests intervention will likely produce more harm than
benefit.
Meta-Analysis - (ANSWER)Even though RCT is considered the most powerful individual research design,
the highest rungs of the evidence pyramid are occupied by systematic reviews and meta-analysis. They
are at the top because they combine results of multiple studies to determine the effect created by a
specific intervention. The meta-analysis is at the top because it provides a quantitative technique for
pooling and analyzing results from more than one study to determine the direction and magnitude of an
intervention's effect. Studies must be carefully analyzed before completing this type of statistical
analysis. This evaluation is based on data extraction, and consideration of the sample populations of the
various studies, experimental intervention, study methods, and outcome variables used to determine
treatment effect. (Page 242)
Quality Improvemnt - (ANSWER)Systematic activity that generates outcome data in order to achieve
rapid improvements in health care delivery in a specific setting.
Data generated is designed to improve specific outcomes within a local facility, clinic, or community.
EBP, research, and QI should be seen as complementary and combined to improve clinical decision
making and care processes.
Cohort Study - (ANSWER)An observational design in which a large sample is identified and followed over
time to determine which participants will develop and disease or disorder under scrutiny. It allows
researchers to identify new (incident) cases and temporal relationships between preventive
interventions or constitutional factors and incidence can be analyzed. Although it provides valuable
Verified Test |100% Verified solutions | Latest!!
Research - (ANSWER)Systemic investigation designed to generate or contribute generalizable new
knowledge to healthcare.
The goal is to generate new knowledge about an intervention or assessment technique. (Ch. 10, slide 6)
Evidence Based Practice (EBP) - (ANSWER)Combines findings from multiple research studies that focus
on the efficacy of a particular intervention or the accuracy of a specific diagnostic procedure.
It is described as the "study of studies."
The goal is to synthesize existing knowledge generated from multiple research studies. (Ch. 10, slide 6)
A conscientious, explicit, and judicious use of current best research-based evidence when making
decisions about care of individual patients.
Evolution into dominant approach for clinical decision making and core competency for APRNs. (Ch. 10,
slide 3)
Nursing Research - (ANSWER)Systematic inquiry that generates knowledge about issues of importance to
the nursing profession (Nursing theories) (Ch. 10, slide 3)
Hypothesis - (ANSWER)First step in the EBP process; a measurable clinical question. (Ch. 10, slide 10)
May be in response to need to formulate EBPs for prevention of "never events."
May arise from a need for evidence to support role of APNs in specific disease or disorder.
The PICOT model aids in formulating the hypothesis. (Ch. 10, slide 11)
Randomized Controlled Trial (RCT) - (ANSWER)Gold standard research design for generating evidence;
has 3 critical elements:
1. Manipulation of an experimental intervention
2. Comparison of intervention group to control group.
3. Randon allocation of subjects to the intervention or control group. (Ch. 10, slide 8)
,NSG5000 Quiz 2 EXAM Questions & Answers, Well Elaborated | Already
Verified Test |100% Verified solutions | Latest!!
RCT provides objective information.
Random Allocation - (ANSWER)Random allocation is an essential part of RCT because it spreads
potentially confounding factors evenly among treatment and control groups.
PICOT - (ANSWER)A model that aids in formulating clinically relevant and measurable questions.
P- Patient or Population
I- Intervention to be considered.
C- Comparison (approach used as basis for comparison to the intervention undergoing scrutiny)
O- Outcome of goal or intervention
T- Time; sometimes added to the PICO model.
Steps of The EBP Process - (ANSWER)1. Formulate a measurable clinical question
2. Search the literature for relevant studies.
3. Critically appraise and extract evidence
4. Implement useful findings in clinical decision making
Evidence Pyramid - (ANSWER)Provides taxonomy for ranking study's potential contribution to EBP based
on its design.
Clinical Decision Making - (ANSWER)Step 4 of the EBP process. Creation and implementation of policies
on facility or community-wide level. Creation of EBP clinical practice guidelines to set standards of care
on national or global level.
Four-Point GRADE scale used to evaluate quality of evidence for clinical practice.
, NSG5000 Quiz 2 EXAM Questions & Answers, Well Elaborated | Already
Verified Test |100% Verified solutions | Latest!!
EBP, research, and QI should be seen as complementary and combined to improve clinical decision
making and care processes.
Four-Point GRADE scale - (ANSWER)Grading of Recommendations, Assessment, Development, and
Evaluation. Used to evaluate quality of evidence for clinical practice.
1. High evidence: benefits clearly outweigh potential for harm
2. Moderate evidence: benefits of treatment must be carefully weighed against potential adverse effects.
3. Low evidence: balance between benefits and harm cannot be clearly distinguished based on best
available practice.
4. Very low evidence: best available evidence suggests intervention will likely produce more harm than
benefit.
Meta-Analysis - (ANSWER)Even though RCT is considered the most powerful individual research design,
the highest rungs of the evidence pyramid are occupied by systematic reviews and meta-analysis. They
are at the top because they combine results of multiple studies to determine the effect created by a
specific intervention. The meta-analysis is at the top because it provides a quantitative technique for
pooling and analyzing results from more than one study to determine the direction and magnitude of an
intervention's effect. Studies must be carefully analyzed before completing this type of statistical
analysis. This evaluation is based on data extraction, and consideration of the sample populations of the
various studies, experimental intervention, study methods, and outcome variables used to determine
treatment effect. (Page 242)
Quality Improvemnt - (ANSWER)Systematic activity that generates outcome data in order to achieve
rapid improvements in health care delivery in a specific setting.
Data generated is designed to improve specific outcomes within a local facility, clinic, or community.
EBP, research, and QI should be seen as complementary and combined to improve clinical decision
making and care processes.
Cohort Study - (ANSWER)An observational design in which a large sample is identified and followed over
time to determine which participants will develop and disease or disorder under scrutiny. It allows
researchers to identify new (incident) cases and temporal relationships between preventive
interventions or constitutional factors and incidence can be analyzed. Although it provides valuable
