Evidence-Based Nursing- The Research Practice Connection 4th Edition TB

• Which best describes evidence-based-practice (EBP)? a.A combination of best research evidence, clinical expertise, and the needs and values of patients. b.A determination of the factors necessary to control patient responses to care. c.The development of population care guidelines applicable to all patients. d.The utilization of quantitative and qualitative studies to enhance patient outcomes. ANS: A Feedback AEvidence-based practice evolves from the integration of the best research evidence with clinical expertise and patient needs and values. BStudies that attempt to find determinants of patient outcomes are generally experimental or quasi-experimental. They may be used to guide EBP but do not completely define it. CEBP is a combination of guidelines and specific patient needs and values. DQuantitative and qualitative studies applied to the evaluation of patient outcomes are part of EBP but do not completely define EBP. PTS: 1 DIF: Cognitive level: Remembering (Knowledge) REF: dm. 3 • The nurse is collecting data about the sleep patterns of breastfed babies as part of a larger research study. Which research method will the nurse use when collecting data for this study? a.Co ntrol b.De scrip tion c.Ex plan atio n d.Pr edict ion ANS: B Feedback AControl can be described as the ability to write a prescription to produce the desired outcome. B Description involves identifying and understanding the nature of nursing phenomena and the relationships among these phenomena. C Explanation clarifies the relationships among phenomena and identifies why certain events occur. D Through prediction, the probability of a specific outcome can be estimated in a given situation. PTS: 1 DIF: Cognitive level: Understanding (Comprehension) REF: dm. 6 • The nurse is participating in a study and is collecting data identifying the number of obese adults whose parents were also obese or overweight. Which research method is being used in this study? a.Co ntrol b.De scrip tion c.Ex plan atio n d.Pr edict ion ANS: D Feedback AControl indicates the ability to use a prescribed intervention to produce a desired outcome. BDescription involves identifying and understanding the nature of nursing phenomena and the relationships among these phenomena. CExplanation clarifies the relationships among phenomena and identifies why certain events occur. DThrough prediction the probability of a specific outcome can be estimated in a given situation. By knowing the percentage of parents of obese adults who were obese, the probability of predicting this may be calculated. PTS:1DIF:Cognitive level: Applying (Application) REF: pp. 7-8 • The nurse reviews a study in which adherence to an asthma action plan is compared among groups of adolescents who received different asthma education. Which research method does this represent? a.Co ntrol b.De scrip tion c.Ex plan atio n d. Prediction ANS: C Feedback A Control indicates the ability to use a prescribed intervention to produce a desired outcome. B Description involves identifying and understanding the nature of nursing phenomena and the relationships among these phenomena. C Explanation clarifies the relationships among phenomena and identifies why certain events occur. D Through prediction, the probability of a specific outcome can be estimated in a given situation. PTS:1DIF:Cognitive level: Applying (Application) REF: dm. 7 • A nurse manager is interested in learning which attitudes among staff nurses may indicate relative risk of needle-stick injuries. To study this, the nurse manager will employ which method of study? a.Co ntrol b.De scrip tion c.Ex plan atio n d.Pr edict ion ANS: D Feedback AControl indicates the ability to use a prescribed intervention to produce a desired outcome. BExplanation clarifies the relationships among phenomena and identifies why certain events occur. CDescription involves identifying and understanding the nature of nursing phenomena and the relationships among these phenomena. DThrough prediction, the probability of a specific outcome can be estimated in a given situation. PTS:1DIF:Cognitive level: Applying (Application) REF: pp. 7-8 • Which is the most important result of Florence Nightingales data collection and statistical analysis during the Crimean War? a.Bringing awareness of the rigors of war to the general public. b.Developing a process for statistical analysis and nursing documentation. c.Identifying and defining the role of nurses in modern health care. d.Using clinical research to evaluate the importance of sanitation, clean drinking water, and adequate nutrition. ANS: D Feedback AThis was not the most important result BThis was not the most important result CThis was not the most important result DNightingales research enabled her to instigate attitudinal, organizational, and social changes, including the militarys approach to the care of the sick and societys sense of responsibility for testing public water, improving sanitation, and preventing starvation to decrease morbidity and mortality rates. PTS: 1 DIF: Cognitive level: Understanding (Comprehension) REF: dm. 11 • The nurse participates in data collection in a study in which two different pain management protocols are used with randomly assigned patients to measure differences in postoperative recovery time. Which method of study is this? a.Co ntrol b.Co rrela tion c.De scrip tion d.Ex plan ation ANS: A Feedback AControl indicates the ability to use a prescribed intervention to produce a desired outcome. BCorrelation examines the relationships between different phenomena. CDescription involves identifying and understanding the nature of nursing phenomena and the relationships among these phenomena. DExplanation clarifies the relationships among phenomena and identifies why certain events occur. PTS:1DIF:Cognitive level: Applying (Application) REF: dm. 8 • The development of nursing theories and conceptual models in the late 1960s and 1970s served to: mine the effectiveness of nursing interventions. lish the concept of evidence-based practice. de funding for nursing research. de direction for nursing research. ANS: D Feedback AOutcome studies are used to determine the effectiveness of nursing interventions. BThe concept of EBP was developed in the 1970s and promoted by the ANCC Magnet Designation program. CThe NINR seeks to provide funding for nursing research. DThe theories developed in the 1960s and 1970s helped to direct future nursing research. PTS: 1 DIF: Cognitive level: Understanding (Comprehension) REF: pp. 11-12 • Under Ada Sue Hinshaw, the National Institute of Nursing Research (NINR) began to change its focus to: ng nursing rather than medical research. ating outcomes rather than process studies. asing the status and funding for nursing research. rting the dissemination of nursing research. ANS: C Feedback AThe change in focus from medical to nursing research came about with the first nursing programs. Specialty nursing organizations today and some nursing researchers still conduct medical research for specific studies. BOutcomes research emerged in the 1980s and 1990s to document the effectiveness of health care services. CUnder Ada Sue Hinshaw, the national Center for Nursing Research (NCNR) changed its name to the NINR to increase the status and funding of nursing research. DThe NCNRs purpose was to support the dissemination of nursing research. PTS: 1 DIF: Cognitive level: Remembering (Knowledge)