Ch.1-2 Nursing Research

Grade the evidence used within the guideline

The AGREE (Appraisal of Guidelines Research and Evaluation) Collaboration tool is used to Grade the evidence used within the guideline. Score the research articles to be used for a guideline. Establish the anticipated benefit and/or harm of the guideline. Provide an additional tool to be used at the bedside.

The anticipated benefit and/or harm to the patient.

The AHRQ tool for evaluating the strength of the evidence is used to determine The anticipated benefit and/or harm to the patient. Only the benefit for the nurse. Gaps and consistencies in the research. The harm for the nurse.

Rate the collective evidence that supports a recommendation.

The ONS method, the Putting Evidence into Practice (PEP) schema is used to Identify the research that was used in the process. Rate the collective evidence that supports a recommendation. Establish the risk and/or benefit of an activity. Rank the research articles for use with a guideline.

Empirics, aesthetics, ethical, and personal.

The four types of knowing are designated as Deontology, empiric, clinical, and aesthetics. Empirics, aesthetics, ethical, and personal. Facts, opinions, case studies, and consensus. Decision making, clinical, ethical, and client.

The situation

Which of the EBP components carries the greatest weight in determining the management of the clinical situation? Thought process Client preferences Research The situation

AHRQ strength of the evidence tool

Which of the different rating scales serves to address the clinical routine aspect of EBP? Turning Research into Practice (TRIP) Joanna Briggs Institute's FAME AHRQ strength of the evidence tool SUNY Downstate Medical Center's pyramid

Opinions

Information provided as feelings, convictions, and/or values are designated as which form of evidence? Editorials Observations Ideas Opinions

Research is like a foreign language

Many nurses don't understand research because Research isn't necessary for their practice. Most nurses are too old. Research is like a foreign language. Patients don't expect them to use research.

Population and intervention

A nurse working in a cancer follow-up setting has been asked to consider the development of a transition program to help young people adjust to the adult program. The initial question suggested for use in focusing the identification of evidence is "What is it like to have care transferred from a pediatric center to an adult clinic?" Which aspects of this question need to be strengthened to make it more searchable? Population and outcome Population and intervention Intervention and outcome Comparison and outcome

Research is the "hallmark of a profession."

Nurses have a responsibility to use research because Doctors order it done. Administrators don't have time for research. Research is nice to know. Research is the "hallmark of a profession."

Education, beliefs/attitudes, and support/resources.

Obstacles to using nursing research in practice include lack of Education, beliefs/attitudes, and support/resources. Faculty, knowledge, and cost. Time, beliefs/attitudes, and consumers. Outcomes, values, and motivation.

Research results

One of the primary foundations for evidence-based nursing practice is Medical knowledge. Research results. Everyday health care. Textbook information.

Local, regional

Quality improvement activities result in what type of changes? Generalizable Global Broad, dynamic Local, regional

It costs too much.

Research is often not valued because It costs too much. Administration wants it. Search engines are easy to access. Staffing is not an obstacle.

Reported in the literature

Research utilization has often been Neglected in the literature. Denied by publishers. Reported in the literature. Spurned by EBP.

Transform current nursing practice

The ACA, IOM/RWJF and Carnegie Foundation reports are national movements to Reaffirm current nursing practice. Ignore current nursing practice. Transform current nursing practice. Eliminate current nursing practice.

Method for accessing published information

As a novice nurse on a medical-surgical hospital unit, you want to get involved in a research study that is being proposed for your unit. Because your hospital is involved with evidence-based nursing practice, which aspects of EBP are essential for you to have? Sound bedside nursing skills Basic knowledge of your unit Method for accessing published information Fundamental safety knowledge

Librarian or library

As a nurse on a medical-surgical hospital unit, you begin to question the amount of time your hospital policy requires for taking a patient's oral temperature. Your hospital uses an EBP approach to nursing care. Which hospital resources would you expect to be able to connect with to assist with the accessing of a computer? Ward clerk or CNA Doctor or lawyer Charge nurse or supervisor Librarian or library

Quality improvement data and integrated reviews

Evidence comes in many forms. Examples of the data that could best be utilized for EBP are Quality improvement data and integrated reviews. Integrated reviews and non-peer-reviewed journal articles. Collegial relationships and lay journals. Verbal data and practice guidelines.

Evidence, decision-making processes, nursing experiences, and holistic patient care.

Four aspects which are included in evidence-based practice are Research, decision-making processes, time, and patient preferences. Evidence, decision-making processes, clinical setting, and patient mix. Evidence, decision-making processes, nursing experiences, and holistic patient care. Research, nursing process, nursing experiences, and nursing care.

Most nurses have not been taught research

In the past, nurses were often taught that while research might be a good thing to do, only faculty could do research because Faculty members are the only ones prepared to do research. Most nurses have not been taught research. Most nurses don't need to use research. Faculty members know what's best for nursing.

Aesthetics

The type of knowing which considers the emotions and awareness of beauty and art is called Empirics. Aesthetics. Ethical. Personal.

Determination of the question

What aspect within the process of evidence-based practice controls the path of the literature review? Determination of the question Use of MeSH terms Location of adequate research articles Determination of a rating system to be used

Categorizing the strengths and weaknesses of the evidence

What reason is key for using a level of evidence hierarchy to rate evidence considered for EBP reviews? Understanding what is in the evidence Clarifying that only research evidence is used Determining the risk and benefit of the research Categorizing the strengths and weaknesses of the evidence

Research is the only form of evidence

What type of evidence is paramount to use when providing health care? Outcomes based on the unique situation Opinions held by multiple individuals Research is the only form of evidence The weight of the evidence is not as important as the amount

Patient, intervention, comparison, outcome and time

When developing a question to drive the compilation of evidence for a specific practice situation, the five components that can be used to focus the investigation are Patient, situation, intervention, comparison, and practice. Situation, intervention, comparison, outcome, and time. Patient, intervention, comparison, outcome, and time. Patient, situation, intervention, outcome, and data.

Consensus

When the evidence is understood to represent the outcome resulting from the discussion by a majority of the participants, it is what type of evidence? Editorials Observations Expert opinions Consensus

Case studies

When the information is presented as a close examination of individuals, transactions, solutions, events, and projects, the type of evidence is listed as Case studies. Opinions. Editorials. Observations.

Validity

Whether the evidence is gained by research or other sources, the information must be scrutinized for Uniqueness. Individuality. Validity. Reliability.

Personal experiences and client values

Within the process of providing evidence-based nursing care, which types of research results are incorporated to ascertain the plan of treatment? Personal experiences and medical knowledge Client values and medical knowledge Personal experiences and client values Medical knowledge and identified challenges

Check the educational level of other nurses on the unit.

You are a BSN-prepared nurse who wants to initiate a research project on your unit. To get the other nurses to participate, you would Ask the doctors what they think. Check the educational level of other nurses on the unit. Ignore your desire to learn more at this time. Give a presentation to your peers on the benefits of research.