UC NURS8002 Quiz 2 practice
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What is an essential factor to consider when selecting a theory to guide nursing practice?

  • Ensuring congruence between theory goals and practice goals (correct)
  • The cost associated with implementing the theory
  • The length of time the theory has been in existence
  • The popularity of the theory among healthcare professionals

    • Why is it crucial to determine if there is similarity between theory variables and practice variables?

  • To increase the complexity of nursing practice
  • To ensure the theory is challenging to implement
  • To enhance the compatibility of theory with nursing practice (correct)
  • To introduce inconsistencies in applying the theory

    • What does research evidence supporting a theory indicate?

  • The theory is not applicable to real-world nursing scenarios
  • The theory is outdated
  • The theory is too simple to be implemented in practice
  • The theory can be a reliable basis for nursing action (correct)

    • Which nursing theorist emphasizes the concept of self-care and active patient participation in decision-making?

    <p>Orem</p> Signup and view all the answers

    Why is it important to assess if the context of a theory aligns with your practice situation?

    <p>To ensure seamless integration of the theory into your practice</p> Signup and view all the answers

    In what way does the concept of self-care from Orem's theory contribute to health promotion and illness prevention?

    <p>By encouraging patients to actively participate in their care</p> Signup and view all the answers

    What is the focus of Peplau's Interpersonal Relations theory in nursing?

    <p>Mutual respect between nurse and patient</p> Signup and view all the answers

    What is a central aspect of Neuman's System Model in nursing practice?

    <p>Goal setting and holistic approach to care</p> Signup and view all the answers

    What is the main factor that affects the selection of theories to guide nursing practice, as discussed in the text?

    <p>Goal congruence between theory and practice</p> Signup and view all the answers

    What is the key difference between clinical reasoning and critical thinking, based on the text?

    <p>Clinical reasoning is higher level than critical thinking</p> Signup and view all the answers

    How does Pearson suggest nurses should approach their personal reactions in nursing situations?

    <p>By understanding and recognizing their own reactions</p> Signup and view all the answers

    What is one of the main considerations when deciding on the type of renal replacement therapy for a patient?

    <p>Financial resources impacting the choice</p> Signup and view all the answers

    What is essential for nurses in utilizing scientific facts for critical thinking?

    <p>Application of scientific facts to control concepts</p> Signup and view all the answers

    What does Peplau's Interpersonal Relations theory emphasize for nurses' focus?

    <p>Understanding patients' needs</p> Signup and view all the answers

    What is the key factor that influences the development of clinical reasoning skills according to the text?

    <p>Nurse's educational level</p> Signup and view all the answers

    What is emphasized as a unique aspect of nursing knowledge patterns in clinical reasoning?

    <p>Response to medications by patients</p> Signup and view all the answers

    What is the purpose of an EBP question?

    <p>To generate new knowledge</p> Signup and view all the answers

    Which of the following is a common barrier to evidence-based practice?

    <p>Lack of time and resources for evidence search</p> Signup and view all the answers

    What does the term 'credibility' refer to in the context of evidence?

    <p>Criterion for evaluating integrity and trustworthiness in qualitative studies</p> Signup and view all the answers

    What is meant by the 'clinical significance' of research results?

    <p>The practical importance in terms of genuine effects on patient care</p> Signup and view all the answers

    In evidence-based practice, what does 'applicability' refer to?

    <p>Fit of evidence to the clinical setting being considered</p> Signup and view all the answers

    Which of the following is a facilitator to evidence-based practice?

    <p>Support and encouragement from administration</p> Signup and view all the answers

    What contributes to the lack of belief in evidence-based practice resulting in positive outcomes?

    <p>Voluminous amount of information in professional publications</p> Signup and view all the answers

    What may be a reason for misperceptions or negative views regarding research and EBP?

    <p>Lack of relevance of research findings to clinical practice</p> Signup and view all the answers

    What is a common organizational constraint affecting evidence-based practice?

    <p>Lack of administrative support or incentives</p> Signup and view all the answers

    What is the primary purpose of theory testing research?

    <p>Evaluating the explanatory value of a theory in a specific situation</p> Signup and view all the answers

    Which type of reasoning process is predominantly used in theory testing research?

    <p>Deductive reasoning</p> Signup and view all the answers

    What remains a challenge in testing theories according to the text?

    <p>Evaluating empirical validity</p> Signup and view all the answers

    Which criteria is essential for evaluating theory-testing research?

    <p>Ensuring theoretical reliability and validity of instruments</p> Signup and view all the answers

    In theory generating research, what is the initial step in developing a theory?

    <p>Refining concepts from a discipline's philosophy</p> Signup and view all the answers

    What is the main difference between theory generating research and theory testing research?

    <p>The creation of new theories versus assessing existing ones</p> Signup and view all the answers

    Why is theory-testing considered a higher level of clinical reasoning skill?

    <p>Due to the need to interpret findings and evaluate them</p> Signup and view all the answers

    Which section should include an interpretative analysis of the findings in relation to the theory being tested?

    <p>Discussion</p> Signup and view all the answers

    What should researchers do regarding theory-testing studies in their publications?

    <p>Include them in abstracts, titles, and retrieval keywords</p> Signup and view all the answers

    What is a common challenge when operationalizing conceptual frameworks and models?

    <p>Difficulty in translating abstract ideas into measurable variables</p> Signup and view all the answers

    What is the purpose of measuring the effect size in a research study?

    <p>To measure the relationship strength between two variables</p> Signup and view all the answers

    Which of the following is a challenge associated with Evidence-Based Practice (EBP) highlighted in the text?

    <p>Ambiguity on how much evidence is sufficient for practice</p> Signup and view all the answers

    In the context of EBP, what role does clinical expertise play in providing patient care?

    <p>It helps in critically appraising research findings</p> Signup and view all the answers

    What distinguishes the Iowa Model from the Star Models of evidence-based practice implementation?

    <p>The level of interdisciplinary collaboration involved</p> Signup and view all the answers

    How does Neuman envision individuals in the context of nursing care?

    <p>As active participants in their care</p> Signup and view all the answers

    What is one limitation of the Iowa Model of evidence-based practice implementation?

    <p>Difficulty in synthesizing and applying research findings</p> Signup and view all the answers

    Which aspect is NOT typically considered in Evidence-Based Practice decision making?

    <p>Healthcare provider's personal beliefs</p> Signup and view all the answers

    What is the purpose of the abstract in a research article?

    <p>To summarize the findings and conclusions</p> Signup and view all the answers

    Which level of evidence in the hierarchy is considered the weakest?

    <p>Level 5 – single descriptive or qualitative studies</p> Signup and view all the answers

    What aspect is crucial to consider when evaluating the believability of research?

    <p>Author's writing style</p> Signup and view all the answers

    Which element is included in a well-written research report title?

    <p>Accurate and clear description</p> Signup and view all the answers

    What is the main goal of examining a theory-based research article's purpose statement?

    <p>To identify concepts/constructs, assumptions, or propositions for empirical validation</p> Signup and view all the answers

    Which type of study design is typically mentioned in a research article abstract?

    <p>Type of study and sample characteristics</p> Signup and view all the answers

    What should be included in a well-written literature review according to best practices?

    <p>Primary resources and recent references</p> Signup and view all the answers

    What is critical for a theoretical framework in a research article?

    <p>Detailed description and identification</p> Signup and view all the answers

    When critiquing a research article, why is identifying the purpose/research problem crucial?

    <p>To determine if aims align with literature</p> Signup and view all the answers

    What is essential when examining the credibility of a study's sample selection method?

    <p>Identifying how the sample was selected</p> Signup and view all the answers

    What is the main focus of Peplau's theory in nursing practice?

    <p>Establishing long-term relationships with patients</p> Signup and view all the answers

    How does Neuman's model influence decision-making in nursing?

    <p>By considering the patient's normal and flexible lines of defense</p> Signup and view all the answers

    What is a key characteristic of a theory that can shape nursing practice?

    <p>Extent of congruence between theory goals and practice goals</p> Signup and view all the answers

    How can nurses best identify relevant theories to guide their practice according to the information provided?

    <p>Using a wide range of search terms and variations</p> Signup and view all the answers

    What does the Orem Self Care Model primarily focus on?

    <p>Promoting self-care and independence in individuals</p> Signup and view all the answers

    In terms of theory selection, what factor should be evaluated regarding the congruence of theory and practice goals?

    <p>The similarity between theory variables and practice variables</p> Signup and view all the answers

    'How can this theory influence your nursing practice in your setting?' According to the text, why is this question important?

    <p>To understand the practical implications and applications of a theory</p> Signup and view all the answers

    What should nurses do when searching for literature to identify relevant theories?

    <p>'Do NOT' list: Only articles in full text, Limit to last 5 years, Secondary sources, Ignoring publications from other countries</p> Signup and view all the answers

    'Does research evidence support the theory?' According to the text, why is this question important?

    <p>'To evaluate the credibility and reliability of the theory'</p> Signup and view all the answers

    What is the key activity involved in the 'Evaluation' stage of the Star Model?

    <p>Assessing outcomes and sustainability of change</p> Signup and view all the answers

    Which of the following describes the 'Summary' stage in the Star Model?

    <p>All research is synthesized into a single meaningful statement</p> Signup and view all the answers

    How can the challenge of 'Resistance to change' in evidence-based practice be addressed effectively?

    <p>Mobilizing talented change agents and considering diffusion theory</p> Signup and view all the answers

    What is a potential solution to the challenge of 'Lack of organizational support' in evidence-based practice?

    <p>Writing a proposal to obtain necessary resources</p> Signup and view all the answers

    In the PICO process, what does 'C' stand for?

    <p>Comparison</p> Signup and view all the answers

    'Knowledge transformation' in the Star Model involves:

    <p>Influencing health outcomes through a series of stages</p> Signup and view all the answers

    'Lack of knowledge regarding EBP' can be overcome by:

    <p>Encouraging colleagues to attend programs to expand knowledge</p> Signup and view all the answers

    'Discovery' in the Star Model is characterized by:

    <p>Systematic research generation</p> Signup and view all the answers

    Which activity is NOT recommended to address the challenge of 'Lack of resources' in evidence-based practice?

    <p>Taking no action and accepting the lack of resources</p> Signup and view all the answers

    What is essential for each step of the PICO process?

    <p>Patient population, intervention, comparison, outcome</p> Signup and view all the answers

    What are the essential aspects to consider when critiquing a theoretically based research article?

    <p>Background/introduction, methods, results, discussion</p> Signup and view all the answers

    What is a key difference in critiquing quantitative and qualitative research articles?

    <p>Quantitative research looks at numbers and measurable elements, whereas qualitative research considers writing style and author qualifications.</p> Signup and view all the answers

    Which factor affects the believability of both quantitative and qualitative research reports?

    <p>Author qualifications</p> Signup and view all the answers

    Why is it challenging to critique qualitative research compared to quantitative research?

    <p>Qualitative research can't be easily captured with numbers.</p> Signup and view all the answers

    What does rigor in trustworthiness of research refer to?

    <p>Believability of the findings</p> Signup and view all the answers

    What elements affect the robustness of both quantitative and qualitative research?

    <p>Writing style and author qualifications</p> Signup and view all the answers

    In critiquing a theoretically based research article, what is the role of the 'Discussion' section?

    <p>Interpreting the results obtained from data analysis</p> Signup and view all the answers

    Which aspect is vital for determining the validity of a study in the context of critiquing a research article?

    <p>Threats to validity evaluation</p> Signup and view all the answers

    What is one consideration when critiquing a qualitative study?

    <p>The clarity of abstract in presenting methodology</p> Signup and view all the answers

    How can you determine if a quantitative research report is well-written?

    <p>By examining how well the report links steps together</p> Signup and view all the answers

    What is the main similarity between credibility in qualitative studies and internal validity in quantitative research?

    <p>Both refer to the integrity and trustworthiness of the data</p> Signup and view all the answers

    In the context of evidence, what does clinical significance primarily refer to?

    <p>The practical importance of research results</p> Signup and view all the answers

    When assessing clinical significance, what aspect are researchers primarily interested in?

    <p>Genuine, palpable effects on patients' daily lives</p> Signup and view all the answers

    Which factor contributes significantly to facilitating evidence-based practice according to the text?

    <p>Organizational capacity for change at all levels of leadership</p> Signup and view all the answers

    What does credibility in qualitative studies focus on, similar to internal validity in quantitative research?

    <p>Integrity and trustworthiness of data</p> Signup and view all the answers

    In terms of evidence, what does clinical significance primarily assess?

    <p>Practical importance of research results</p> Signup and view all the answers

    Which characteristic is vital for implementing evidence-based practice, as mentioned in the text?

    <p>Implementation infrastructure</p> Signup and view all the answers

    What does credibility in qualitative studies correspond to in quantitative research?

    <p>'Internal validity'</p> Signup and view all the answers

    'Applicability' as a characteristic associated with evidence is primarily concerned with what?

    <p>'Translating research findings into practice'</p> Signup and view all the answers

    'Support and encouragement from administration' is mentioned as a facilitator for evidence-based practice. Which key aspect does this emphasize?

    <p>'Leadership involvement'</p> Signup and view all the answers

    What is a key strategy mentioned in the text to assist in overcoming barriers to the use of evidence-based practice?

    <p>Creating research evidence-based mentors</p> Signup and view all the answers

    Which competency is NOT required of advanced practice nurses in the 21st century according to the text?

    <p>Focus solely on direct care without considering other determinates of health</p> Signup and view all the answers

    What is a top strategy for facilitating organizational change, as mentioned in the text?

    <p>Emphasizing on physician benefit</p> Signup and view all the answers

    What is a common competency required of advanced practice nurses, according to the text?

    <p>Evaluate outcomes rigorously</p> Signup and view all the answers

    Which element is NOT a characteristic of healthcare team mentioned in the text as a strategy for overcoming barriers to evidence-based practice?

    <p>Competency in computer technology</p> Signup and view all the answers

    What is a major difference between system support and barrier reduction strategies mentioned in the text?

    <p>System support involves reminding individuals of tasks</p> Signup and view all the answers

    Which element is NOT essential when examining the credibility of a study's sample selection method according to the text?

    <p>'Convenience sampling' method used</p> Signup and view all the answers

    What is a key characteristic that affects the robustness of both quantitative and qualitative research, as mentioned in the text?

    <p>'Use of mixed methods'</p> Signup and view all the answers

    What does Peplau's Interpersonal Relations theory emphasize for nurses' focus?

    <p>Psychosocial aspects of patient interactions.</p> Signup and view all the answers

    What is a key component required for each step of the PICO process?

    <p>A clearly defined clinical question.</p> Signup and view all the answers

    Study Notes

    Factors in Theory Selection for Nursing Practice

    • Essential to consider compatibility between theoretical variables and practice variables for effective application in patient care.
    • Research evidence supporting a theory indicates its empirical foundation and utility in guiding practice decisions.

    Theorists and Their Contributions

    • Dorothea Orem emphasizes self-care and active patient participation in decision-making, pivotal for patient empowerment.
    • Hildegard Peplau's Interpersonal Relations theory focuses on the nurse-patient relationship and therapeutic communication.
    • Betty Neuman's System Model highlights holistic perspectives, considering individual responses to stressors in health care.

    Contextual Relevance and Practice

    • Alignment of a theory with the practice context ensures relevance and enhances effectiveness in nursing interventions.
    • The self-care concept from Orem's model promotes health by encouraging patient involvement in their own care.

    Clinical Reasoning and Decision-Making

    • Clinical reasoning utilizes both critical thinking and evidence analysis for patient management.
    • Differences between clinical reasoning and critical thinking include their focus; clinical reasoning is more oriented towards patient scenarios.

    Evidence-Based Practice (EBP) Considerations

    • EBP questions aim to bridge research findings with clinical applications, enhancing patient outcomes.
    • Credibility in evidence refers to the trustworthiness of the sources and findings; clinical significance assesses the practical relevance of study results.
    • Applicability in EBP pertains to how research findings can be applied in real patient care settings.

    Barriers and Facilitators in EBP

    • Common barriers include organizational constraints, resistance to change, and lack of knowledge or support.
    • Support from administration is a facilitator that encourages and strengthens EBP initiatives.

    Theory Testing and Generating Research

    • Theory-testing research primarily focuses on validating existing theoretical frameworks within clinical practice.
    • The initial step in theory-generating research involves identifying real-world problems to develop applicable theories.

    Critical Components of Research and Evaluation

    • Rigorous evaluation of research methodology is essential for credibility, including sample selection and validity of findings.
    • The ‘Discussion’ section in research articles interprets findings and relates them back to the theoretical framework.

    Key Characteristics of Research Impact

    • Understanding clinical significance in research helps determine the real-world impact of nursing interventions.
    • The balance of qualitative and quantitative research contributes to a comprehensive understanding of patient care dynamics.

    Organizational Change and EBP Strategies

    • Advanced practice nurses are expected to demonstrate competencies in integrating evidence into clinical practice.
    • Organizational change strategies, including support and communication, are crucial for facilitating the adoption of EBP.

    Challenges and Solutions in EBP Implementation

    • Resistance to change can be addressed through education and stakeholder engagement; lack of resources may require strategic partnership development.
    • Healthcare teams play a vital role in overcoming barriers, promoting collaboration, and enhancing evidence utilization in practice.

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    Description

    This quiz focuses on identifying the essential factors that influence the choice of a theory to guide nursing practice and research. It covers understanding concepts, goal congruence, compatibility with practice context, and more.

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