EBP Quiz 6
Phases of the change phases model
1. Establish Urgency 2. Create a coalition 3. Develop vision 4. Communicate the vision 5. Empower action 6. Generates short term wins 7. Consolidates gains/ produces more 8. Anchor approaches
Phases of the Stetler Model
1. Preparation 2. Validation 3. Comparative Evaluation/Decision Making 4. Translation/Application 5. Evaluation
Care-related outcome
A category of outcomes that measures the effect of nursing intrventions
Personal development file
A complication of career accomplishments
Patient population
A group of patients with similar characteristics
Behavioral inventory for professionalism
A measure of education and training, skill, ethics, professional organization, and service
Wheel of professionalism in Nursing
A model depicting behaviors of the professional nurse
Continuous quality improvement
A participatory process involving indicators that measure quality
Change
A process that creates an alteration in a person or environment
Journal Club
A strategy for disseminating research among nurses by discussing articles in a small group
Iowa model for EBP to promote quality care
A systematic method explaining how organizations change practice
Performance-related outcomes
A type of outcome related to how nurses perform their job
Patient-related outcomes
A type of outcome related to patient behaviors or actions
Which of the following are characteristics of an innovator in nursing? (Select all) A. A sense of inquiry B. Flexibility to change C. Awareness of self and of the unit D. Good communication skills
A. A sense of inquiry B. Flexibility to change C. Awareness of self and of the unit D. Good communication skills
Which of the following is an example of a study focused on patient-relate outcomes? A. A study on the effects of patients smoking after caesarian section B. A study of the effect of antibiotics administered prior to caesarian section C. A study on the effect of ambulation 1 hour after a caesarian section D. A study on the effect of fluid administration during a caesarian section
A. A study on the effects of patients smoking after caesarian section
When applying research to practice, it is important for nurses to think carefully about what three aspects of EBP incorporation? (Select all) A. Applied B. Communicated C. Disseminated D. Interpreted
A. Applied B. Communicated C. Disseminated
A nurse maintains professional integrity by during which of the following? (Select all) A. Attending conferences that align with nursing specialty B. Building a resume that accurately represents abilities C. Having a positive attitude while working D. Mentoring less experienced nurses
A. Attending conferences that align with nursing specialty B. Building a resume that accurately represents abilities D. Mentoring less experienced nurses
___________. is the comparison of organizational outcome data to other organizations or national databases. A. Benchmarking B. Standardizing C. Researching D. Quality improvement
A. Benchmarking
An ICU nurse has been working in her unit for 5 years and is very passionate about ICU nursing. She gets along well with the other staff on her unit and is respected for her knowledge of complicated disease processes and excellent bedside care. This nurse possesses of a(n) ________________. (Select all) A. Change champion B. Innovator C. Practitioner D. Researcher
A. Change champion B. Innovator
Which of the following is an example of benchmarking? A. Comparison of an individual hospital's readmission rates for pneumonia and the CMA readmission rates for pneumonia on a national level B. Comparison of nursing hours worked and number of patient assessments completed in a given 12-hour shift C. Comparison of nursing empathy and patient diagnosis in the emergency department D. Comparison of patient infection rates and nursing hand-washing rates on a designated unit
A. Comparison of an individual hospital's readmission rates for pneumonia and the CMA readmission rates for pneumonia on a national level
Career development is best defined as: A. Experience and education that contribute to one's professional growth B. Classes and opportunities to provide community service C. Experience and opportunities that encourage higher pay rates D. Collaboration with union nurses allowing for collective bargaining
A. Experience and education that contribute to one's professional growth
A nurse innovator wants to have greater access to EBP research. Which of the following is a way for the nurse to gain access? A. Join a specialty nursing organization B. Find a job that allows the nurse to work as a researcher C. Volunteer to be a participant in research studies D. Go back to school for an advanced degree
A. Join a specialty nursing organization
Common barriers to implementing EBP include which of the following? (Select all) A. Organized culture B. Nurses' belief systems related to practice C. Research-related barriers D. Lack of available research to implement into practice
A. Organized culture B. Nurses' belief systems related to practice C. Research-related barriers
Lifelong learning
Adding skills and knowledge about the profession as it continues to evolve
Change phases model
An eight-phase process to describe organizational change
Ladder program
An organizational process for promotion and career advancement
Socialization
Awareness about formal and informal rules of behavior
Which of the following is an example of lifelong learning in nursing? (Select all) A. Providing quality patient care B. Attending available courses on nursing interventions C. Obtaining an advanced degree D. Subscribing to and reading peer-reviewed nursing journals
B. Attending available courses on nursing interventions C. Obtaining an advanced degree D. Subscribing to and reading peer-reviewed nursing journals
The first step for a practicing nurse to create change and engage in helping others transition to EBP is which of the following? A. Conduct a thorough literature review. B. Conduct an assessment of the practice environment. C. Create a mandatory research and journal club. D. Take a nursing research course to expand her understanding.
B. Conduct an assessment of the practice environment.
Participatory process involving indicators that measure quality defines which of the following? A. Immediate quality improvement B. Continuous quality improvement C. Long-term outcomes measurement D. Short-term outcomes measurement
B. Continuous quality improvement
A nurse researcher is studying hypertension rates for adult diabetic patients after hospitalization. Which of the following would study nursing-sensitive outcomes? A. Hypertension rates for patient who met with a nutritionist B. Hypertension rates for patients who had nursing-led hypertension education C. Hypertension rates for patients who started an exercise plan D. Hypertension rates for patients who made significant diet changes
B. Hypertension rates for patients who had nursing-led hypertension education
A nursing _______________ is one who is willing to try new things in practice, using evidence, to enhance the quality of patient care and to foster nursing knowledge. A. Researcher B. Innovator C. Leader D. Manager
B. Innovator
Within the nursing profession there is evidence of changing expectations an noted by the ANA in the development of what program database? A. Nursing Practice Quality of Care indicators B. Nursing Quality Indicators C. Nursing Care Indicators D. Nursing Quality Database
B. Nursing Quality Indicators
Which EBP model focuses upon how individual practitioners adopt research findings at the bedside? A. Nightingale B. Stetler C. CURN D. Iowa
B. Stetler
_______________ are behaviors that collaboratively engage others while working toward a goal. A. Collaboration skills and practice B. Team leadership skills C. Autocratic management skills D. Individual career building skills
B. Team leadership skills
Team leadership skills
Behaviors that collaboratively engage others while working toward a goal
Flexibility to change
Being open and positive about change
Who would be the best choice for precepting a new grad nurse on an oncology unit? A. A nurse who has been working on the unit for 6 months with previous experience in an outpatient pediatric clinic B. A nurse who graduated 1 year ago and works charge on the night shift 2 nights a week C. A nurse who has been working on the unit for 5 years, works charge nurse, and is on the QI team D. A nurse who has worked on the unit 4 years, is in a NP educational program, and going through a tough divorce
C. A nurse who has been working on the unit for 5 years, works charge nurse, and is on the QI team
Healthcare organization are required to provide examples of nurse-sensitive quality indicators as part of the application process for, or for maintenance of: A. Joint commission accreditation B. Forces of magnetism C. Magnet recognition D. Benchmarking participation
C. Magnet recognition
A nurse researcher designs a study to determine the effect of ambulation 1 hour after caesarian section on the patient and newborn. This is an example of what type of research? A. Quantitative research B. Qualitative research C. Outcomes research D. Evidence-based research
C. Outcomes research
Which of the following is an example of postoperative pain reduction? A. Surgical dressing assessment B. Antibiotic administration times C. Pain administration times D. Postoperative temperature readings
C. Pain administration times
Intermediate outcomes
Changes that occur after an innovation is introduced
Cost-benefit ratio
Comparison of benefits to potential costs that might result from change
Benchmarking
Comparison of organizational outcome data to other organizations or national databases
In nursing research CURN stands for:
Conduct and utilization of research in nursing.
Outcome
Consequence or visible result
Sense of Inquiry
Curiosity
Which of the following is an example of a study focused on performance related outcomes? A. A study of the effect of early ambulation on prevention of bedsores B. A study on the effect of phone call follow-ups after discharge on patient satisfaction C. A study on the effectiveness of antiemetics given prophylactically with chemotherapy treatment D. A study on the length of stay after a caesarian section in relation to frequency of nursing assessments
D. A study on the length of stay after a caesarian section in relation to frequency of nursing assessments
A nurse researcher is studying hypertension rates for adult diabetic patients after hospitalization. Which of the following would study long-term outcomes? A. Hypertension rates 3 weeks after hospitalization B. Hypertension rates 3 days after hospitalization C. Hypertension rates prior to hospitalization D. Hypertension rates 6 months after hospitalization
D. Hypertension rates 6 months after hospitalization
What is the fifth and final phase of the Stetler model? A. Nurses preform research to provide additional studies to back up their assertions. B. Organizations apply research in the professional setting. C. Recommendations for future research are determined by professionals applying research in patient care. D. Nurses evaluate the outcomes of applying research findings in practice.
D. Nurses evaluate the outcomes of applying research findings in practice.
An organization has initiated a new heart failure discharge process in order to decrease readmissions. The new process includes making a follow-up appointment with a physician. The case manager sets up an appointment with the cardiologist for a heart failure patient being discharged. A nurse from the committee who started this initiative thanks the case manager for helping to implement this process change. Which of Kotter's phases does this represent? A. Third stage B. Fourth stage C. Fifth stage D. Sixth stage
D. Sixth stage
Mandated reporting
Data that must be shared with supervising or governmental agencies by a specified timeline
Conduct and utilization of research in nursing (CURN)
Early study conducted about how nurses transition research findings into practice
Developing oneself
Engaging in activities that promote long-term professional growth and development
Interprofessional collaboration
Engaging with other professionals to provide evidence-based care
Career development
Experience and education that contribute to one's professional growth
Barriers
Factors that limit or prevent change
True or False: EBP is new to nursing, being introduced in the early 2000s, with increasing emphasis in the past 5 years.
False
Change agent
Individual who leads or champions change
Self-awareness
Knowing yourself
Preceptors
Knowledgeable nurses who provide clinical orientation for new employees
Nursing outcome
Measures of states, behaviors, or perceptions of individuals, families, and communities as they relate to nursing and health.
Mentor
One who assists with professional growth
Role model
One who demonstrates desired characteristics and skills
Innovator
One who is willing to try new things
Leader
One who takes initiative for change and empowers others
Nursing Quality Indicators
Outcomes of nursing care, identified by the American Nurses Association, that address patient safety and quality of care
Long-term outcomes
Primary changes in patient behaviors or status over time
Communication
Process of creating and sharing information with one another to reach mutual understanding
Forces of magnetism
Qualities that exhibit nursing excellence
Indicators
Quantitative criteria used to measure outcomes
Short-term outcomes
Results achieved in a brief period of time
Nursing sensitive outcomes
Results that demonstrate the effectiveness of nursing care
Organizational priorities
Situations of high importance because of volume of patients or costs
Critical thinking
Skill set that involves critical appraisal of information
In order to reduce costs, a hospital decreased staffing in the pharmacy. As a result, there was a noted delay in delivery of medication to the hospital units. Consequently, timeliness with administration of medications became a problem. This problem may have been avoided if _________________ had been identified when developing the practice change.
Stakeholders
Information overload
State of an individual in which excessive communication cannot be processed or used
Stetler model
Step-by-step instructions for integrating research into practice
Outcomes research
Studies about the effects of care and treatments on individuals and populations
Team membership
The composition of a team with respect to expertise and leadership
True or False: A nursing innovator is also known as a change agent.
True
Awareness
Understanding about oneself and the world