N580 Midterm Questions And Correct Answers Graded A+
(GUARANTEED PASS)
nurses as knowledgable consumers - VERIFIED ANSWER ✅nurses must be
knowledgable consumers of research who can evaluate the strengths and
weaknesses of research evidence and use existing standards to determine the
merit and readiness of research for use in clinical practice
to use research for an EBP and to practice using the highest quality processes,
you do not have to conduct research; however, you do need to understand and
appraise the steps of the research process in order to read the research
literature critically and use it to inform clinical decisions
research definition - VERIFIED ANSWER ✅a systematic investigation,
including research development, testing and evaluation, designed to develop or
contribute to generalizable knowledge
quantitative and qualitative research
studies are guided by research questions
nurses employ the same methods used by other disciplines yet study questions
are relevant to nursing practice
quantitative vs. qualititative research - VERIFIED ANSWER ✅quantitative:
encompasses the study of research questions and/or hypotheses that
describe phenomena, test relationships, assess differences, seek to explain
cause-and-effect relationships between variables, and test for intervention
effectiveness--numeric data are summarized and analyzed using statistics--
techniques are systematic and methodology is controlled
,qualititative: question is about understanding the meaning of a human
experience such as grief, hope, or loss--meaning of an experience is based on
the view that meaning varies and is subjective--context of experience also
plays a role--generally conducted in natural settings and uses data that are
words or text rather than numeric to describe the experiences being studied--
guided by research questions and data are collected from a small number of
subjects, allowing an in-depth study of a phenomenon--subjective approach but
systematic in its method
QI definition - VERIFIED ANSWER ✅systematic use of data to monitor the
outcomes of care processes and improvement methods to design and test
changes to continuously improve the quality and safety of health care systems
uses currently available knowledge to improve health care delivery within the
local setting
QI elements - VERIFIED ANSWER ✅1. conducting an assessment
2. setting specific goals for improvement
3. identifying ideas for changing current practice
4. deciding how improvements in care are measured
5. rapidly testing practice changes
6. measuring improvements in care
7. adopting practice change as new standard of care
want to create measurable change across quality domains through application
of these 7 steps, often through the plan, do, study, act model
,research vs. QI - VERIFIED ANSWER ✅research studies generate new
knowledge that is generalizable to other populations and settings
QI projects use currently available knowledge to improve health care delivery
within the local setting
IRB should have a written policy and template for determining the difference
between humans subjects research and QI
research and EBP - VERIFIED ANSWER ✅best research evidence, clinical
expertise, and patient values all come together in EBP (see Venn diagram)
EBP allows one to systematically use the best available evidence from research
with the integration of individual clinical expertise as well as the patient's
values and preferences to make clinical decisions
developing EBP expertise - VERIFIED ANSWER ✅conduct effective literature
reviews
develop critical reading skill process
1. preliminary: skimming article abstracts, title
2. comprehensive: understanding the purpose of the study
3. analysis: examining the study components
4. synthesis: assessing the study's validity
levels of evidence - VERIFIED ANSWER ✅see pyramid
Level I: systematic review or meta-analysis of RCTs, evidence-based clinical
practice guidelines based on systematic reviews
, Level II: well-designed RCT
Level III: controlled trial without randomization (quasi-experimental study)
Level IV: nonexperimental study (case-control, cohort studies)
Level V: systematic reviews of descriptive and qualitative studies
(metasynthesis)
Level VI: qualitative studies or descriptive studies
Level VII: opinion of experts and authorities, expert committee reports or
organizations, not based on research
EBP steps - VERIFIED ANSWER ✅ask
gather evidence
assess, appraise, synthesize literature
act
evaluate
research article format - VERIFIED ANSWER ✅abstract
intro or background section: literature review, theoretical framework,
hypothesis and/or research question, purpose statement
methods: research design, sampling, instruments, data collection, data analysis
plan
results
discussion (ties everything together): recommendations and implications
references
(GUARANTEED PASS)
nurses as knowledgable consumers - VERIFIED ANSWER ✅nurses must be
knowledgable consumers of research who can evaluate the strengths and
weaknesses of research evidence and use existing standards to determine the
merit and readiness of research for use in clinical practice
to use research for an EBP and to practice using the highest quality processes,
you do not have to conduct research; however, you do need to understand and
appraise the steps of the research process in order to read the research
literature critically and use it to inform clinical decisions
research definition - VERIFIED ANSWER ✅a systematic investigation,
including research development, testing and evaluation, designed to develop or
contribute to generalizable knowledge
quantitative and qualitative research
studies are guided by research questions
nurses employ the same methods used by other disciplines yet study questions
are relevant to nursing practice
quantitative vs. qualititative research - VERIFIED ANSWER ✅quantitative:
encompasses the study of research questions and/or hypotheses that
describe phenomena, test relationships, assess differences, seek to explain
cause-and-effect relationships between variables, and test for intervention
effectiveness--numeric data are summarized and analyzed using statistics--
techniques are systematic and methodology is controlled
,qualititative: question is about understanding the meaning of a human
experience such as grief, hope, or loss--meaning of an experience is based on
the view that meaning varies and is subjective--context of experience also
plays a role--generally conducted in natural settings and uses data that are
words or text rather than numeric to describe the experiences being studied--
guided by research questions and data are collected from a small number of
subjects, allowing an in-depth study of a phenomenon--subjective approach but
systematic in its method
QI definition - VERIFIED ANSWER ✅systematic use of data to monitor the
outcomes of care processes and improvement methods to design and test
changes to continuously improve the quality and safety of health care systems
uses currently available knowledge to improve health care delivery within the
local setting
QI elements - VERIFIED ANSWER ✅1. conducting an assessment
2. setting specific goals for improvement
3. identifying ideas for changing current practice
4. deciding how improvements in care are measured
5. rapidly testing practice changes
6. measuring improvements in care
7. adopting practice change as new standard of care
want to create measurable change across quality domains through application
of these 7 steps, often through the plan, do, study, act model
,research vs. QI - VERIFIED ANSWER ✅research studies generate new
knowledge that is generalizable to other populations and settings
QI projects use currently available knowledge to improve health care delivery
within the local setting
IRB should have a written policy and template for determining the difference
between humans subjects research and QI
research and EBP - VERIFIED ANSWER ✅best research evidence, clinical
expertise, and patient values all come together in EBP (see Venn diagram)
EBP allows one to systematically use the best available evidence from research
with the integration of individual clinical expertise as well as the patient's
values and preferences to make clinical decisions
developing EBP expertise - VERIFIED ANSWER ✅conduct effective literature
reviews
develop critical reading skill process
1. preliminary: skimming article abstracts, title
2. comprehensive: understanding the purpose of the study
3. analysis: examining the study components
4. synthesis: assessing the study's validity
levels of evidence - VERIFIED ANSWER ✅see pyramid
Level I: systematic review or meta-analysis of RCTs, evidence-based clinical
practice guidelines based on systematic reviews
, Level II: well-designed RCT
Level III: controlled trial without randomization (quasi-experimental study)
Level IV: nonexperimental study (case-control, cohort studies)
Level V: systematic reviews of descriptive and qualitative studies
(metasynthesis)
Level VI: qualitative studies or descriptive studies
Level VII: opinion of experts and authorities, expert committee reports or
organizations, not based on research
EBP steps - VERIFIED ANSWER ✅ask
gather evidence
assess, appraise, synthesize literature
act
evaluate
research article format - VERIFIED ANSWER ✅abstract
intro or background section: literature review, theoretical framework,
hypothesis and/or research question, purpose statement
methods: research design, sampling, instruments, data collection, data analysis
plan
results
discussion (ties everything together): recommendations and implications
references
