NURS EXAM vc
Exam Solution
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Evidence Based Exam One Cartes 2026 A+ GRADE ASSU vc vc vc vc vc vc vc vc
RED COMPLETE SOLUTIONS AND VERIFIED ANSWERS (
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C99B5)
QUESTION 1 vc
Week One Objectives vc vc
ANSWER
Discuss how evidence- vc vc
based practice (EBP) assists hospitals and healthcare systems achieve the quadruple aim. Describe the d
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ifferences among EBP, research, and quality improvement. Identify the seven steps of EBP Discuss barri
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ers to EBP and key elements of cultures that support the implementation of EBP
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QUESTION 2 vc
Chapter One: Making the Case for Evidence-
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Based Practice and Cultivating a Spirit of Inquiry
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ANSWER
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QUESTION 3 vc
Quadruple Aim vc
ANSWER
•Evidence-
based practice (EBP): •Enhances healthcare quality •Improves patient outcomes •Reduces costs •Empo
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wers clinicians this is the purpose of evidence based practice
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QUESTION 4 vc
Is evidenced based practice the current standard of care?
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,ANSWER
still often not the standard of care implementation is not the norm Why? Clinicians often lack competen
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cy in EBP and practice is often steeped in tradition (always done it this way) mentality; Takes a lot of ti
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me for implementation. Corticosteroid shots for infant lungs in premature took 17 years to implement.
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QUESTION 5 vc
The Three Components of EBP
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ANSWER
•The conscientious use of current best evidence in making decisions about patient care: •A lifelong prob
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lem-
solving approach to clinical practice that integrates •Critical appraisal and synthesis of the most relevan
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t and best research (external evidence) •One's own clinical expertise, which includes internal evidence g
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enerated from outcomes management or quality improvement projects, patient assessment, and evaluati
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on •Patient preferences and values Internal evidenence comes from ourselves. Things weve seenwork.
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QUESTION 6 vc
Types of Evidence Used in EBP External evidence
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ANSWER
·Evidence generated through rigorous research (e.g., RCTs and cohort studies) that is intended to be gen
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eralized to and used in other settings
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QUESTION 7 vc
Types of Evidence Used in EBP Internal evidence
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ANSWER
·Evidence typically generated through practice initiatives such as outcomes management or quality impr
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ovement projects that are not intended to be generalized to other clinical settings
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QUESTION 8 vc
Is the following statement true or false? Finding a quasi-experimental study in a peer-
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reviewed nursing journal article that tests a protocol for the frequency of turning for im
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mobile patients is an example of external evidence.
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ANSWER
True Rationale: External evidence includes peer-
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reviewed publications that present the findings of research and are intended to be generalized to other
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clinical settings. vc
,QUESTION 9 vc
Research vs quality improvement: Research vc vc vc vc
ANSWER
•Uses a scientific process to generate NEW knowledge/external evidence and research utilization •Rese
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arch utilization-operationalized as the use of knowledge typically based on a single study
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QUESTION 10 vc
Research vs quality improvement: Quality Improvement
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ANSWER
•Systematic internal process •Often uses plan, do, study, act (PDSA) Model •Often used by healthcare sy
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stems to improve their processes or outcomes for a specific population Quality improvement is not true
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research. Quality improvement typically in one hospital to improve processes. Quality improvement is s
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pecific to specific population.
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QUESTION 11 vc
Translational Research vc
ANSWER
•Often confused with EBP •Translational research: rigorous research that studies how evidence-
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based interventions are translated into real-
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world clinical settings How the research is being put into real practice and then studying how that work
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s in practice.
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QUESTION 12 vc
Sub-components of EBP vc vc
ANSWER
•Systematic reviews of RCT (randomized controlled trials), regarded as strongest level of evidence (leve
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l I) •Best level of evidence on which to base practice decisions •However, descriptive and qualitative stu
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dies are also valuable & should be factored into decisions Multiple rcts together is systematic reviews. D
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escriptive and qualitative studies example for family coped better when involved with patient end of life
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. Mental health areas would be a big use for descriptive and qualitative studies
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QUESTION 13 vc
The Components of EBP and Types of Evidence Used
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ANSWER
, this should factor into clinical decisions
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QUESTION 14 vc
The Origins of Evidence-Based Practice
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ANSWER
•Concept began when Dr. Archie Cochrane published a report in 1972 for the Nuffield Provincial Hospit
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als Trust that demonstrated how slow the medical profession was in using published evidence to chang
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e practice •Cochrane died in 1988, and the Cochrane Center Collaboration was established in 1992 in hi
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s name to assist healthcare professionals in making clinical decisions based on the best external evidenc
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e •One of the best known sources of systematic reviews website: http://www.cochrane.org Florence nig
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htgale was ahead of her time and displayed evidence practice before it was a thing. Cochrane caught the
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rcts for corticosteroids with premature infants and realized no one was acting on them.
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QUESTION 15 vc
Why Evidence-Based Practice (EBP)?
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ANSWER
The focus of healthcare reform in the United States encompasses what is known as the Institute of Healt
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hcare Improvement's "Triple Aim," which includes: ·Enhancing the experience of care for those served ·I
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mproving the health of populations throughout the nation ·Reducing per capita costs of national health
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care (http://www.ihi.org/engage/initiatives/TripleAim/Pages/default.aspx) EBP has been shown to be
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useful in reaching these aims vc vc vc vc
QUESTION 16 vc
Steps of the EBP Process vc vc vc vc
ANSWER
0. Cultivate a spirit of inquiry within the environment 1. Ask the burning clinical question in PICOT form
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at 2.Search for and collect the most relevant best evidence 3.Critically appraise the evidence (i.e., rapid c
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ritical appraisal, evaluation, and synthesis) 4. Integrate the best evidence with one's clinical expertise an
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d patient preferences and values in making a practice decision or change 5. Evaluate outcomes of the ch
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ange 6. Disseminate the outcomes of the evidence-based change
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QUESTION 17 vc
Step 0: Cultivate a Spirit of Inquiry Within the Environment
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ANSWER
Key elements of an EBP culture and environment include: ● A spirit of inquiry ● A philosophy, mission,
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clinical promotion system, and evaluation process that incorporate EBP ● Knowledgeable EBP mentors
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Exam Solution
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Evidence Based Exam One Cartes 2026 A+ GRADE ASSU vc vc vc vc vc vc vc vc
RED COMPLETE SOLUTIONS AND VERIFIED ANSWERS (
vc vc vc vc vc vc
C99B5)
QUESTION 1 vc
Week One Objectives vc vc
ANSWER
Discuss how evidence- vc vc
based practice (EBP) assists hospitals and healthcare systems achieve the quadruple aim. Describe the d
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ifferences among EBP, research, and quality improvement. Identify the seven steps of EBP Discuss barri
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ers to EBP and key elements of cultures that support the implementation of EBP
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QUESTION 2 vc
Chapter One: Making the Case for Evidence-
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Based Practice and Cultivating a Spirit of Inquiry
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ANSWER
powerpoint
QUESTION 3 vc
Quadruple Aim vc
ANSWER
•Evidence-
based practice (EBP): •Enhances healthcare quality •Improves patient outcomes •Reduces costs •Empo
vc vc vc vc vc vc vc vc vc vc vc
wers clinicians this is the purpose of evidence based practice
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QUESTION 4 vc
Is evidenced based practice the current standard of care?
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,ANSWER
still often not the standard of care implementation is not the norm Why? Clinicians often lack competen
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cy in EBP and practice is often steeped in tradition (always done it this way) mentality; Takes a lot of ti
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
me for implementation. Corticosteroid shots for infant lungs in premature took 17 years to implement.
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QUESTION 5 vc
The Three Components of EBP
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ANSWER
•The conscientious use of current best evidence in making decisions about patient care: •A lifelong prob
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lem-
solving approach to clinical practice that integrates •Critical appraisal and synthesis of the most relevan
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t and best research (external evidence) •One's own clinical expertise, which includes internal evidence g
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enerated from outcomes management or quality improvement projects, patient assessment, and evaluati
vc vc vc vc vc vc vc vc vc vc vc
on •Patient preferences and values Internal evidenence comes from ourselves. Things weve seenwork.
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QUESTION 6 vc
Types of Evidence Used in EBP External evidence
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ANSWER
·Evidence generated through rigorous research (e.g., RCTs and cohort studies) that is intended to be gen
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eralized to and used in other settings
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QUESTION 7 vc
Types of Evidence Used in EBP Internal evidence
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ANSWER
·Evidence typically generated through practice initiatives such as outcomes management or quality impr
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ovement projects that are not intended to be generalized to other clinical settings
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QUESTION 8 vc
Is the following statement true or false? Finding a quasi-experimental study in a peer-
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reviewed nursing journal article that tests a protocol for the frequency of turning for im
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mobile patients is an example of external evidence.
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ANSWER
True Rationale: External evidence includes peer-
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reviewed publications that present the findings of research and are intended to be generalized to other
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clinical settings. vc
,QUESTION 9 vc
Research vs quality improvement: Research vc vc vc vc
ANSWER
•Uses a scientific process to generate NEW knowledge/external evidence and research utilization •Rese
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arch utilization-operationalized as the use of knowledge typically based on a single study
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QUESTION 10 vc
Research vs quality improvement: Quality Improvement
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ANSWER
•Systematic internal process •Often uses plan, do, study, act (PDSA) Model •Often used by healthcare sy
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stems to improve their processes or outcomes for a specific population Quality improvement is not true
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research. Quality improvement typically in one hospital to improve processes. Quality improvement is s
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pecific to specific population.
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QUESTION 11 vc
Translational Research vc
ANSWER
•Often confused with EBP •Translational research: rigorous research that studies how evidence-
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based interventions are translated into real-
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world clinical settings How the research is being put into real practice and then studying how that work
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s in practice.
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QUESTION 12 vc
Sub-components of EBP vc vc
ANSWER
•Systematic reviews of RCT (randomized controlled trials), regarded as strongest level of evidence (leve
vc vc vc vc vc vc vc vc vc vc vc vc vc
l I) •Best level of evidence on which to base practice decisions •However, descriptive and qualitative stu
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
dies are also valuable & should be factored into decisions Multiple rcts together is systematic reviews. D
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
escriptive and qualitative studies example for family coped better when involved with patient end of life
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
. Mental health areas would be a big use for descriptive and qualitative studies
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QUESTION 13 vc
The Components of EBP and Types of Evidence Used
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ANSWER
, this should factor into clinical decisions
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QUESTION 14 vc
The Origins of Evidence-Based Practice
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ANSWER
•Concept began when Dr. Archie Cochrane published a report in 1972 for the Nuffield Provincial Hospit
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
als Trust that demonstrated how slow the medical profession was in using published evidence to chang
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
e practice •Cochrane died in 1988, and the Cochrane Center Collaboration was established in 1992 in hi
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
s name to assist healthcare professionals in making clinical decisions based on the best external evidenc
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
e •One of the best known sources of systematic reviews website: http://www.cochrane.org Florence nig
vc vc vc vc vc vc vc vc vc vc vc vc vc
htgale was ahead of her time and displayed evidence practice before it was a thing. Cochrane caught the
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc v
rcts for corticosteroids with premature infants and realized no one was acting on them.
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QUESTION 15 vc
Why Evidence-Based Practice (EBP)?
vc vc vc
ANSWER
The focus of healthcare reform in the United States encompasses what is known as the Institute of Healt
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
hcare Improvement's "Triple Aim," which includes: ·Enhancing the experience of care for those served ·I
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
mproving the health of populations throughout the nation ·Reducing per capita costs of national health
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
care (http://www.ihi.org/engage/initiatives/TripleAim/Pages/default.aspx) EBP has been shown to be
vc vc vc vc vc vc vc vc
useful in reaching these aims vc vc vc vc
QUESTION 16 vc
Steps of the EBP Process vc vc vc vc
ANSWER
0. Cultivate a spirit of inquiry within the environment 1. Ask the burning clinical question in PICOT form
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
at 2.Search for and collect the most relevant best evidence 3.Critically appraise the evidence (i.e., rapid c
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ritical appraisal, evaluation, and synthesis) 4. Integrate the best evidence with one's clinical expertise an
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
d patient preferences and values in making a practice decision or change 5. Evaluate outcomes of the ch
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ange 6. Disseminate the outcomes of the evidence-based change
vc vc vc vc vc vc vc vc
QUESTION 17 vc
Step 0: Cultivate a Spirit of Inquiry Within the Environment
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ANSWER
Key elements of an EBP culture and environment include: ● A spirit of inquiry ● A philosophy, mission,
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
clinical promotion system, and evaluation process that incorporate EBP ● Knowledgeable EBP mentors
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