Chapter 10: Evidence Based Practice

Finding resources to implement evidence-based practice (EBP) in community health will continue to be a challenge because of the emphasis on quality care, equal distribution of health care resources, and cost control. Which of the following would demonstrate a creative strategy to implementing EBP? A. Adopting quality indicators for evaluating websites claiming to contain EBP B. Avoiding the issue of community politics C. Creating the role of a knowledge manager D. Making decisions on behalf of the community

A. Adopting quality indicators for evaluating websites claiming to contain EBP

There are many barriers that affect the actual implementation of evidence-based practice (EBP) in a nursing environment. Which statements reflect the most significant concerns of nurses in the community-focused setting? (Select all that apply.) A. EBP requires compliance by the client. B. EBP requires little support. C. EBP demands change. D. EBP questions long-standing nursing practice. E. Lack of resources

A. EBP requires compliance by the client. D. EBP questions long-standing nursing practice. E. Lack of resources

Which of the following factors has influenced the implementation of evidence-based practice in health care? (Select all that apply.) A. Increased expectations of consumers B. Advances in technology C. Nursing shortages D. Increases in lawsuits E. Implementation of electronic health records

A. Increased expectations of consumers B. Advances in technology D. Increases in lawsuits

Which of the following domains are used in evaluating the strength of evidence? (Select all that apply.) A. Quality B. Quantity C. Cost effectiveness D. Consistency E. Usefulness

A. Quality B. Quantity D. Consistency

When applying evidence-based practice (EBP), community-oriented nurses are primarily obligated to ensure that evidence applied to practice is: A. acceptable to the community. B. contains cost and reduces legal liability. C. applied as a universal remedy. D. limited to research findings.

A. acceptable to the community.

Evidence-based public health utilizes which of the following guidelines? (Select all that apply.) A. Decision making for the community served B. Application of program planning frameworks C. Judicious use of the Internet for use of evidence D. Conducting evaluations E. Disseminating what has been learned

B. Application of program planning frameworks D. Conducting evaluations E. Disseminating what has been learned

When a community health nurse uses evidence-based practice (EBP) to evaluate effectiveness, accessibility, and quality of personal and population-based services, the nurse is addressing the core public health function of: A. assessment. B. assurance. C. policy development. D. research.

B. assurance.

The nurse who works in the community setting must ensure that the application of the best available evidence to improve practice is also: A. accessible and diverse. B. competent and compliant. C. culturally and financially appropriate. D. reasonable and deliverable in a timely fashion.

C. culturally and financially appropriate.

The gold standard of evidence gathering in evidence-based practice is: A. clinical knowledge and judgment. B. expert opinions. C. randomized clinical trials D. theories of practice.

C. randomized clinical trials

One reason that nursing may be slow in developing evidence-based practice (EBP) in the community setting may be the lack of understanding about the links between EBP and: A. evidence gathering. B. research design. C. research funding. D. research use.

D. research use.