Evidence-Based Practice in Nursing
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Questions and Answers

Which of the following resources is NOT a reliable source for conducting a literature review?

  • CINAHL
  • Wikipedia (correct)
  • Cochrane Library
  • Medline

    • When evaluating research for applicability, which section of a research article should be most closely examined?

  • Results
  • Introduction
  • Methods (correct)
  • Conclusion

    • Why is it important for a literature review to focus on research from the last 5 years?

  • Research from before 5 years ago is irrelevant.
  • Older research is more likely to be biased.
  • Older research lacks the necessary technology.
  • More recent research reflects current trends and practices. (correct)

    • The 'Abstract' section of a research article typically summarizes which aspect of the research?

    <p>All of the above (D)</p> Signup and view all the answers

    Which of the following is NOT a factor to consider when evaluating the validity of research findings?

    <p>The authors' credentials (C)</p> Signup and view all the answers

    Which of the following is a key characteristic of a well-conducted literature review?

    <p>It includes a diverse range of perspectives and methodologies. (A)</p> Signup and view all the answers

    What is the main purpose of the 'Methods' section of a research article?

    <p>To explain how the research was conducted (A)</p> Signup and view all the answers

    Which of the following factors contribute to the reliability of research findings?

    <p>All of the above (D)</p> Signup and view all the answers

    Which of the following is NOT a component of the PICOT question framework?

    <p>Randomization (B)</p> Signup and view all the answers

    What is the primary purpose of asking a PICOT question in the context of evidence-based practice?

    <p>To formulate a clear and focused research question (C)</p> Signup and view all the answers

    In the PICOT question "Among postoperative orthopedic patients (P), does hourly rounding (I) increase patient satisfaction ratings (O) related to nursing care?", what is the 'Comparison' (C) component?

    <p>No intervention or patients with no hourly rounding protocol (D)</p> Signup and view all the answers

    Which of the following is NOT an example of a nurse-sensitive indicator that can be tracked to identify potential areas for improvement?

    <p>Medication Errors (D)</p> Signup and view all the answers

    Which step in the EBP process involves critically evaluating the evidence gathered?

    <p>Collect relevant evidence to answer the question (A)</p> Signup and view all the answers

    Which of the following BEST describes the goal of Evidence-Based Practice (EBP)?

    <p>To improve patient outcomes by utilizing the best available evidence (B)</p> Signup and view all the answers

    What is the significance of the National Database of Nursing Quality Indicators (NDNQI) in the context of EBP?

    <p>It helps identify areas where nursing practice can be improved to enhance patient safety and quality of care (D)</p> Signup and view all the answers

    Which of the following can be considered sources for identifying potential areas for improvement in nursing practice?

    <p>All of the above (D)</p> Signup and view all the answers

    What is a key responsibility of the EBP committee in a facility?

    <p>Serve as a hub for EBP and research activities (D)</p> Signup and view all the answers

    What is the first step for an AA degree nurse when addressing issues related to care in EBP?

    <p>Identify issues related to care by asking the clinical question (A)</p> Signup and view all the answers

    What should be monitored during the evaluation of practice outcomes?

    <p>Correct implementation and unexpected results (D)</p> Signup and view all the answers

    In the dissemination of outcomes, which method is considered a formal sharing technique?

    <p>Publishing articles in professional journals (B)</p> Signup and view all the answers

    What action should be taken if a practice change is successful?

    <p>Modify policies and procedures to reflect the new practice (D)</p> Signup and view all the answers

    What is the primary focus of qualitative studies?

    <p>To describe and understand human experiences (A)</p> Signup and view all the answers

    Which of the following is an example of a quantitative study?

    <p>Measuring the effectiveness of a new drug versus placebo (A)</p> Signup and view all the answers

    What does a high standard deviation indicate?

    <p>Values are widely spread out from the mean (C)</p> Signup and view all the answers

    Which level of evidence is considered the most reliable?

    <p>Level I (C)</p> Signup and view all the answers

    What is the relationship between clinical expertise and evidence-based practice?

    <p>Clinical expertise should integrate both patient care experience and evidence (C)</p> Signup and view all the answers

    Which of the following best describes a randomized controlled trial?

    <p>It involves random assignment to intervention or control groups (C)</p> Signup and view all the answers

    In which level of evidence can you find systematic reviews of descriptive and qualitative studies?

    <p>Level V (C)</p> Signup and view all the answers

    What aspect do patient preferences and values play in clinical encounters?

    <p>They must be integrated into clinical decisions (C)</p> Signup and view all the answers

    What does the mean represent in measures of central tendency?

    <p>The average value of the data set (A)</p> Signup and view all the answers

    Why is qualitative research considered designed for discovery?

    <p>It aims to generate new theories and insights (D)</p> Signup and view all the answers

    Study Notes

    Evidence-Based Practice (EBP)

    • EBP uses the best scientific evidence combined with clinical experience, patient values, and preferences in nursing practice.

    EBP Process

    • Ask the question: Use the PICOT format to clearly define the problem.
    • Collect relevant evidence: Gather relevant peer-reviewed articles. Focus on research within the last 5 years, as newer research is more up-to-date.
    • Critically evaluate evidence: Examine the research article's methodology, including the study design, strength of evidence, and results' validity and reliability.
    • Integrate practice changes: Incorporate the evidence, clinical experience, and patient preferences to modify existing practices.
    • Evaluate outcomes: Assess the effectiveness of the practice changes through ongoing monitoring and data collection.
    • Disseminate outcomes: Share the results and improvements through presentations or publications.

    Asking the Question

    • Identify areas for improvement in current practice.
    • Review relevant incident reports.
    • Track nurse-sensitive indicators using databases like the National Database of Nursing Quality Indicators (NDNQI).
    • Identify specific problems requiring attention, i.e., falls, HAPI's, CAUTIS, CLABSIS.
    • Define the question you need answers for.

    Developing PICOT Questions

    • Population/problem: The group or patient being studied.
    • Intervention: The specific treatment or action being investigated.
    • Comparison: The standard or alternative treatment/practice.
    • Outcome: The desired effect or result.
    • Time: The timeframe for observing the outcome (optional).

    Collecting Relevant Evidence

    • Conduct a thorough literature review to find relevant and reliable sources.
    • Use databases like CINAHL and MEDLINE for comprehensive resources.
    • Consult clinical practice guidelines and systematic reviews.

    Evaluating the Evidence: Reading Research

    • Title: Summarizes the study's topic.
    • Abstract: Provides a brief overview of the study (purpose, methods, results, conclusion).
    • Introduction: Describes the background, problem, and research gap addressed.
    • Literature Review: Explains prior research; helps understand the importance of the study.
    • Methods: Explains how the study was conducted.
    • Results: Presents findings and statistical analysis.
    • Conclusion: Summarizes the key findings and implications.

    Evaluating the Evidence: Study Designs

    • Qualitative: explores experiences and creates theory.
    • Quantitative: uses numbers and tests theories. Includes surveys, controlled trials, etc.

    Evaluating the Evidence: Statistical Measures

    • Mean: average value
    • Median: middle value
    • Mode: most frequent value
    • Standard Deviation: measures the variation of data around the mean.

    Evaluating the Evidence: Strength of Evidence

    • Evidence levels (I-VII) indicate the reliability of the research design. Higher levels (I) are more reliable than lower levels (VII).

    Integrating Practice Changes

    • Integrate clinical expertise and patient values into the implementation of evidence-based practice changes.
    • Establish Shared Decision Making processes for creating patient-centered care plans.

    Evaluating Outcomes

    • Monitor and evaluate the impact of changes on patient outcomes.
    • Continuously look for opportunities for improvement.

    Disseminating Outcomes

    • Share results through reports, articles, and presentations.
    • Disseminate findings to colleagues, organizations, and communities.

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    Related Documents

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    Description

    This quiz explores the fundamental concepts of Evidence-Based Practice (EBP) in nursing. It covers the EBP process, including asking the right questions, gathering evidence, and integrating findings into clinical practice. Ensure you understand key terms and methodologies essential for improving patient care through EBP.

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