quiz 3 nursing research
evidence-based practice models have been developed to help nurses move evidence into practice. rank order the list of steps in the EBP process from the beginning to the end
1. framing an answerable clinical question 2. searching for relevant research-based evidence 3. appraising and synthesizing the evidence 4. integrating evidence with other factors 5. assessing effectiveness
a nurse learns about asking clinical questions in a standard format. rank order these terms to match the standard EBP acronym
1. population 2. intervention 3. comparison 4. outcome 5. time
models of EBP guide practice in large organizations. which models are directly related to EBP? select all
a-game model iowa model stetler model
what elements may be contained in the results section of a research study? select all
the value of the calculated statistic the statistical significance the names of statistical tests used
a nurse learns how to write PICOT questions. when writing these clinical questions, what component is not always specified?
time
there are strategies to make reading research articles easier. what are some helpful tips for reading research articles? select all
translate jargon into words you understand read articles frequently write notes or questions in the margins read articles slowly
when addressing highly emotional issues, a nurse researcher uses interview strategies to minimize subjects' anxiety. which ethical principle does this most clearly represent?
beneficence
a researcher meets with participants after data have been collected to tell them more about the study and ask if they have questions or concerns. which human subject protection procedure is being demonstrated?
debriefing
what is the primary focus for appraising the evidence before clinical action is taken?
evidence quality
which approach is most likely to have a positive influence on the adoption of a new evidence-based practice?
having staff pilot the practice and give feedback before implementation
when studying ethics in research, the nurse learns about researcher responsibilities. what is an example of researcher misconduct?
ignoring data outliers and changing final results
why should researchers list limitations in a research report?
indicates the researcher considered them when interpreting the findings
the variables of "hospitalized adults with diabetes, infants with feeding problems, and immunocompromised adults" would be included in which PICOT component?
population
a nurse researcher gave the option for study participants to change their mind and withdraw from the study at any time. which of the five human rights was being adhered to?
self-determination
in bringing about change to improve practice, which aspect of the practice environment would be most facilitative of change?
staff are more motivated to make the change, and believe change is needed.
a nurse considers both supports and challenges to an EBP approach in the nurse's institution. which factors would be supportable of EBP?
staff receive release time to participate in journal clubs
in defining evidence-based practice, three distinct components are integrated. which factors reflect these three components? select all
synthesis of the most relevant research the practitioner's clinical expertise client preferences and values
a nurse reviews a study for possible application. which issue would be most important to consider for application to practice?
the associated costs and risks of applying in a different setting
when a nurse finds that evidence collected and analyzed is weak, what action should the nurse take when considering making a practice change?
abandon the evidence-based practice question
a nurse researcher enters a numerical code on the data sheet for each participant completing a questionnaire. no other identifying information is listed on the questionnaire. this is an example of the human rights protection of:
anonymity
a researcher sends out a questionnaire over the internet and tells people not to put identifying information in their responses. which human subjects protection procedure is being demonstrated?
anonymity
what steps in the process of evidence-based practice EBP in nursing? select all
appraising and synthesizing the evidence integrating the evidence with the nurse's clinical expertise, client preferences, and local context searching for and collecting evidence that addresses the question asking clinical questions that are answerable with research evidence
individual nurses can put research into practice through the EBP process. what is the first step
ask questions that reflect uncertainties in clinical practice
a nurse differentiates between research utilization and evidence-based practice, which dimensions applies only to research utilization?
changes to practice are based solely on research findings
explaining a clinical problem a nurse is trying to solve or the policy a nurse is trying to revise is an example of which step in the nursing research utilization process?
clarify
a nurse studies the research utilization process. which is the correct order of the six key steps involved in using nursing research in practice?
clarify, search, examine, decide, apply, and evaluate.
a nurse studying evidence-based practice reviews the formal definition. which components are key to EBP? select all
client values and preferences the latest research evidence clinician expertise
an evaluation plan to determine the effectiveness of a new practice change would focus on what activity?
collect information on client outcomes
what factors can make reading a research report difficult to some readers? select all
compactness statistical information jargon objectivity
the variables signifying standard or usual car would be included in which PICOT component?
comparison
a nurse studies the history of research utilization in nursing practice. which organization was moat influential in influencing this process?
conduct and utilization of research in nursing (CURN)
a nurse reviews examples of evidence-based practice (EBP). a practice that is considered evidence-based would:
consider client preferences when planning care
what are the implications of insignificant study limitations?
decrease in generalizability and trasnferability
a nurse considers how to apply EBP in the nurse's practice setting. which activity would be a valid application of the EBP process?
develop policies and procedures for client care based on compiled research
the nurse is aware that making changes in practice can be a difficult process. what are common barriers to making changes in practice? select all
difficulty in interpreting research lack of support from those in leadership positions lack of motivation to implement change
in what sections of research journal articles should the conclusions of the research be listed?
discussion section
what may be included in the method section of a qualitative study?
efforts to enhance the integrity of the study
an institutional review board (IRB) reviewed a study on hypertension in adults. only caucasian participants were included as study subjects. which IRB safeguard was violated by this study?
ensuring subject selection is fair
in which step of the research utilization process does the nurse determine the outcomes of any interventions used with clients?
evaluate
a nurse considers differences in resources for evidence-based practice and research utilization. which resource is unique to EBP?
evidence-based practice guideline
nurses on a surgical unit are concerned about the high rate of catheter-associated urinary tract infection (CAUTI). which factor provides the best guidance for changes in practice?
evidence-based practice guidelines
learning to analyze research studies to determine if they are methodologically sound is an example of which step in the nursing research utilization process?
examine
a researcher tells people their participation in a study is purely voluntary, and they can withdraw at any time. which human subject protection procedure is being demonstrated?
informed consent
why does the conclusions section of a research report hold an enormous amount of power?
its where the results and implications to practice are discussed
a nurse researcher wants to study how adults cope with chronic illness. which individual would be considered part of a vulnerable population and should receive additional protection if included in a research study?
john, ulcerative colitis, hospitalized in the ICU with GI bleeding
a group of nurses identifies a change needed in care of clients with urinary catheters. which factor would facilitate changing practice?
journal club members have reviewed evidence-based guidelines on urinary care
as a member of an institutional review board, a nurse researcher uses the belmont report as a guide. what are the three primary ethical principles addressed by the belmont report? select all
justice respect for human dignity beneficence
the nurse explores theoretical models of change. which model focuses on concepts of unfreezing, moving, and freezing?
lewin's model
what are the main sections of a research report in the IRMAD format? select all
method introduction results discussion
A nurse studies how to bring about change on a medical unit. determining why and when to initiate change is best based on which factors?
new research findings
the nurse studies historic ethical violations in research, including the Nazi medical experiments conducted during WWII. which ethical document was written as a result of these experiments?
nuremburg code
the variables that represent the end result of the intervention being tested (results such as wound healing or improved mobilization) would be included in which PICOT component?
outcome
a nurse researcher is designing a consent form. which content is necessary to include in informed consent?
potential risks and benefits
a nurse studying research and human rights protection reviewed the tuskegee syphilis study and Nazi war crimes. these horrif research studies violated which human rights? select all
protection from discomfort and harm fair treatment privacy and dignity self-determination
when submitting a study to the institutional review board (IRB), a nurse researcher knows that the IRB will perform which function? select all
protection of human subjects risk-benefit assessment review of consent form
which statement is true about research utilization?
research utilization emphasizes translating research findings into real-world application
a nurse researcher develops an informed consent form, revealing study risks and benefits. which ethical principle is most closely linked to informed consent?
respect for human dignity
when finding research evidence for an evidence-based practice endeavor, where should the researcher being their search? select all
systematic reviews clinical practice guidelines
a nurse differentiates between the stetler model and the iowa model of evidence-based practice. which statement accurately describes these models?
the iowa model focuses on institutional EBP efforts
what might limit the ability to draw conclusions from a study? select all
the sample study design methods measures sued