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NURS 641 Exam Questions And Answers
|Latest 2025 | Guaranteed Pass.
EBCPG are offered as - Answer✔guidelines for care in a variety of agency settings
Ultimate goal of EBP - Answer✔improve patient outcomes
EBCPGs are most often used to - Answer✔guide agencies in developing protocols specific to the
setting
An EBCPG should indicate - Answer✔the amount, level, and quality of evidence supporting each
recommendation
Clinical protocols - Answer✔agency endorsed standards
-serve as guides for clinicians regarding the care they should give to patients in their care
Advantages of working w/ an EBCPG rather than a SR - Answer✔Saves time
Usually brings greater expertise to the formulation of recommendations
EBCPGs have the potential to - Answer✔-reduce undesirable variation
-increase effective clinical actions
-reduce use of actions of minimal values
-target actions to the population most likely to benefit from them
CPG= - Answer✔a set of GENERIC recommendations
Clinical protocol= - Answer✔standards of care endorsed by a healthcare-providing agency
EBCPG production process - Answer✔Findings from individual studies-->SR-->CPG-->clinical
protocol
(SRs serve as a basis for the recommendations included in the EBCPG)
Steps in creating an EBCPG - Answer✔-Identify topic
-Convene panel
1
, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 3:09PM.
-Decide on sub-issues and sub-panel
-Conduct systematic review for each sub-topic
-Derive recommendations for each sub-issue
-Specify level of evidence for each recommendation
-Write guideline document
-Sent to clinicians for validation
-Publish!
Apraising research - Answer✔Set of judgments using an objective set of criteria regarding
credibility, clinical significance, link between recommendations and the evidence supporting it,
and applicability of recommendations of CPG, conclusions of SRs, or study findings
Credibility - Answer✔address methodological soundness of the study.
-Is it clear that the authors attempted to conduct a systemic review for each important issue
the guideline addresses and provided the evidence to formulate recommendation?
-Expertise of the panel members
Considerations when evaluating evidence - Answer✔-Are the studies of the best design type for
the issue being considered?
-The quality (bias) of the studies &/or SRs
-The consistency of the findings across studies
-The number of studies
-Were enough patients studied to be confident in the findings?
-If an intervention, was the size of the estimated benefit in the population reasonably precise?
-Directness to health outcomes
Strength of evidence grading system - Answer✔A1 is highest- meta-analysis or well-done
systematic review
A2= one or more randomized controlled trials with consistent results
B1 =high quality EBCPG
B2= one or more quasi experimental studies
C1 =observational studies with consistent results
C2 =observational studies or controlled trials with inconsistent results
D= from expert opinion, multiple case reports, or national consensus reports
2
NURS 641 Exam Questions And Answers
|Latest 2025 | Guaranteed Pass.
EBCPG are offered as - Answer✔guidelines for care in a variety of agency settings
Ultimate goal of EBP - Answer✔improve patient outcomes
EBCPGs are most often used to - Answer✔guide agencies in developing protocols specific to the
setting
An EBCPG should indicate - Answer✔the amount, level, and quality of evidence supporting each
recommendation
Clinical protocols - Answer✔agency endorsed standards
-serve as guides for clinicians regarding the care they should give to patients in their care
Advantages of working w/ an EBCPG rather than a SR - Answer✔Saves time
Usually brings greater expertise to the formulation of recommendations
EBCPGs have the potential to - Answer✔-reduce undesirable variation
-increase effective clinical actions
-reduce use of actions of minimal values
-target actions to the population most likely to benefit from them
CPG= - Answer✔a set of GENERIC recommendations
Clinical protocol= - Answer✔standards of care endorsed by a healthcare-providing agency
EBCPG production process - Answer✔Findings from individual studies-->SR-->CPG-->clinical
protocol
(SRs serve as a basis for the recommendations included in the EBCPG)
Steps in creating an EBCPG - Answer✔-Identify topic
-Convene panel
1
, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 3:09PM.
-Decide on sub-issues and sub-panel
-Conduct systematic review for each sub-topic
-Derive recommendations for each sub-issue
-Specify level of evidence for each recommendation
-Write guideline document
-Sent to clinicians for validation
-Publish!
Apraising research - Answer✔Set of judgments using an objective set of criteria regarding
credibility, clinical significance, link between recommendations and the evidence supporting it,
and applicability of recommendations of CPG, conclusions of SRs, or study findings
Credibility - Answer✔address methodological soundness of the study.
-Is it clear that the authors attempted to conduct a systemic review for each important issue
the guideline addresses and provided the evidence to formulate recommendation?
-Expertise of the panel members
Considerations when evaluating evidence - Answer✔-Are the studies of the best design type for
the issue being considered?
-The quality (bias) of the studies &/or SRs
-The consistency of the findings across studies
-The number of studies
-Were enough patients studied to be confident in the findings?
-If an intervention, was the size of the estimated benefit in the population reasonably precise?
-Directness to health outcomes
Strength of evidence grading system - Answer✔A1 is highest- meta-analysis or well-done
systematic review
A2= one or more randomized controlled trials with consistent results
B1 =high quality EBCPG
B2= one or more quasi experimental studies
C1 =observational studies with consistent results
C2 =observational studies or controlled trials with inconsistent results
D= from expert opinion, multiple case reports, or national consensus reports
2
