Capella NURS 6011 evidence based practice EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

NURS EXAM ms




Exam Solution ms




Evidence Based Exam One Cartes 2026 A+ GRADE ASSU ms ms ms ms ms ms ms ms




RED COMPLETE SOLUTIONS AND VERIFIED ANSWERS (
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C8B4A)




QUESTION 1 ms




Week One Objectives ms ms




ANSWER

Discuss how evidence- ms ms



based practice (EBP) assists hospitals and healthcare systems achieve the quadruple aim. Describe th
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e differences among EBP, research, and quality improvement. Identify the seven steps of EBP Discuss
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barriers to EBP and key elements of cultures that support the implementation of EBP
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QUESTION 2 ms




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 ms




Quadruple Aim ms




ANSWER

•Evidence-
based practice (EBP): •Enhances healthcare quality •Improves patient outcomes •Reduces costs •Em
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powers clinicians this is the purpose of evidence based practice
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QUESTION 4 ms




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 comp
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etency in EBP and practice is often steeped in tradition (always done it this way) mentality; Takes a
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lot of time for implementation. Corticosteroid shots for infant lungs in premature took 17 years to i
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mplement.



QUESTION 5 ms




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 p
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roblem-
solving approach to clinical practice that integrates •Critical appraisal and synthesis of the most rele
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vant and best research (external evidence) •One's own clinical expertise, which includes internal evi
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dence generated from outcomes management or quality improvement projects, patient assessment, a
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nd evaluation •Patient preferences and values Internal evidenence comes from ourselves. Things wev
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e seenwork.
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QUESTION 6 ms




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
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generalized to and used in other settings ms ms ms ms ms ms




QUESTION 7 ms




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 i
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mprovement projects that are not intended to be generalized to other clinical settings
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QUESTION 8 ms




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 i
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mmobile 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 ot
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her clinical settings.
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QUESTION 9 ms




Research vs quality improvement: Research
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ANSWER

•Uses a scientific process to generate NEW knowledge/external evidence and research utilization •Re
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search utilization-operationalized as the use of knowledge typically based on a single study
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QUESTION 10 ms




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
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systems to improve their processes or outcomes for a specific population Quality improvement is n
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ot true research. Quality improvement typically in one hospital to improve processes. Quality improv
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ement is specific to specific population.
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QUESTION 11 ms




Translational Research ms




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
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works in practice. ms ms




QUESTION 12 ms




Sub-components of EBP ms ms




ANSWER

•Systematic reviews of RCT (randomized controlled trials), regarded as strongest level of evidence (l
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evel I) •Best level of evidence on which to base practice decisions •However, descriptive and qualita
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tive studies are also valuable & should be factored into decisions Multiple rcts together is systematic
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reviews. Descriptive and qualitative studies example for family coped better when involved with pat
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ient end of life. Mental health areas would be a big use for descriptive and qualitative studies
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QUESTION 13 ms

, 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 ms




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 Ho
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spitals Trust that demonstrated how slow the medical profession was in using published evidence to
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change practice •Cochrane died in 1988, and the Cochrane Center Collaboration was established in
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1992 in his name to assist healthcare professionals in making clinical decisions based on the best ex
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ternal evidence •One of the best known sources of systematic reviews website: http://www.cochrane
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.org Florence nightgale was ahead of her time and displayed evidence practice before it was a thing.
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sCochrane caught the rcts for corticosteroids with premature infants and realized no one was acting
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on them. ms




QUESTION 15 ms




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
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Healthcare Improvement's "Triple Aim," which includes: ·Enhancing the experience of care for those
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served ·Improving the health of populations throughout the nation ·Reducing per capita costs of nati
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onal health care (http://www.ihi.org/engage/initiatives/TripleAim/Pages/default.aspx) EBP has been
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shown to be useful in reaching these aims
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QUESTION 16 ms




Steps of the EBP Process ms ms ms ms




ANSWER

0. Cultivate a spirit of inquiry within the environment 1. Ask the burning clinical question in PICOT
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format 2.Search for and collect the most relevant best evidence 3.Critically appraise the evidence (i.e
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., rapid critical appraisal, evaluation, and synthesis) 4. Integrate the best evidence with one's clinical
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expertise and patient preferences and values in making a practice decision or change 5. Evaluate out
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comes of the change 6. Disseminate the outcomes of the evidence-based change
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QUESTION 17 ms




Step 0: Cultivate a Spirit of Inquiry Within the Environment
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