Chapter 2 qs

The best-known early research utilization (RU) project sought to bridge the gap between research and practice. Which following is the name of that well-known project?

Conduct and Utilization of Research in Nursing (CURN) Project

In the following clinical question, what is the Population (P component): Do stress and depression affect dyspnea in patients with chronic obstructive pulmonary disease (COPD)?

Patients with COPD

In the following clinical question, what is the Outcome (O component): What is the effect of relaxation therapy versus biofeedback on the functional ability of patients with rheumatoid arthritis?

Functional ability

Which of the following is a question that would be asked as part of the process of appraising research evidence?

How rigorous and reliable is the evidence?

Which following level of evidence includes systematic reviews of multiple studies?

Level I

Asking a clinical question is the first step in evidence-based practice. What are the four components of a PICO clinical question?

Population, intervention, comparison, outcome

Which of the following models was explicitly developed with the idea that individual nurses could engage in RU-type activities?

Stetler Model

Most evidence hierarchies put which of the following at the pinnacle?

Systematic reviews of multiple studies

A nurse in the United States is scheduled to care for a child with an ostomy. Which of the following resource would best assist the nurse with specific guidelines for evidence-based decision making for this patient?

www.guidelines.gov

Research utilization is a process that begins with which of the following?

A knowledge-focused trigger or research finding

Which of the following is an example of a systematic review?

A meta-analysis from the Cochrane database

The Iowa Model identifies several knowledge-focused triggers for implementing an EBP project. Which following statement is considered a knowledge-focused trigger in the Iowa Model?

A report in the New England Journal of Medicine regarding a potential flu epidemic

The Iowa Model identifies problem-focused triggers for implementing an EBP project. Which of the following is a problem-focused trigger in the Iowa Model?

An increase in latex allergy among emergency room nurses

Which of the following activities is part of an organizational—but not an individual—EBP endeavor?

Assessing implementation potential

A nurse is observing how the time of feeding impacts an inpatient's gastric reflux. In which of the following steps of the EBP process would the nurse determine whether a specific feeding time alleviated the patient's gastric reflux symptoms?

Assessing the effectiveness of the decision, intervention, or advice

In which of the following clinical questions is fatigue the "I" component?

Does fatigue affect agitation in cognitively impaired elders?

Which of the following is the best resource to use when beginning the search for evidence necessary for an individual EBP project?

Durbin, C. R., Fish, A. F., Bachman, J. A., & Smith, K. V. (2010). Systematic review of education intervention for improving advanced directive completion. Journal of Nursing Scholarship, 42, 234-241.

After an institutional project has been developed, the next step is to conduct a pilot study (a trial study). Based on the Iowa Model, which step would identify the success or failure of a pilot study?

Evaluating the project in terms of both the process and the outcomes

As a nurse, you must understand the difference between research utilization and evidence-based nursing practice. Which of the following best defines evidence-based practice?

Integrates best research evidence, with clinical expertise, patient preference, and a particular clinical situation

Which of following study types is a systematic review used for integration of statistical quantitative research findings?

Meta-analysis

A narrative integrated review of qualitative studies focuses on interpretation of the studies. Which of the following study types would be considered an systematic integrated review of qualitative studies?

Meta-synthesis

Which of the following can be used to critically appraise clinical practice guidelines?

The AGREE instrument

In the following clinical question, what is the Comparison (C component): Does chronic stress affect inflammatory responses in older men with atherosclerotic disease?

There is no "C" component

Some EBP models recommend a formal assessment of organizational "fit," known as implementation potential, when an organization is considering undertaking an EBP project. Which following issue is of particular importance to address to determine the implementation potential of the EBP project for the organization?

Transferability of the innovation

In the following clinical question, what is the Intervention

influence/exposure (I component): Does taking antidepressants affect the risk of suicide in cognitively impaired adolescents?/Antidepressant use