OF NURSING
NURSING RESEARCH
TEST BANK FOR ESSENTIALS OF
RESEARCH APPRAISING
APPRAISING
EVIDENCE FOR EVIDENCE FOR
NURSING PRACTICE
NURSING PRACTICE 8TH
8TH EDITION BY POLIT
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EDITION BY POLIT
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CHAPTER 2: Evidence-Based Nursing Practice: Fundamentals
1.Research utilization is a process that begins with which of the following?
A) A clinical problem that needs to be solved
B) A problem-focused trigger
C) A knowledge-focused trigger or research finding
D) A well-worded clinical question
Ans: C
Feedback:
Research utilization (RU) is the use of findings from disciplined research in
a practical application that is unrelated to the original research. Evidence-
based practice is broader than RU because it integrates research findings
with other factors. Several models of EBP, such as the Iowa Model, have
distinguished two types of stimulus (“triggers”) for an EBP endeavor—(1)
problem-focused triggers—the identification of a clinical practice problem
in need of solution, or (2) knowledge-focused triggers—readings in the
research literature. A second catalyst for an EBP project is the research
literature—knowledge-focused triggers, which is the origin akin to research
utilization.
2.Which of the following is an example of a systematic review?
A) An RCT study published in the journal Nursing Research
, B) A meta-analysis from the Cochrane database
C) A synopsis published in Evidence-Based Nursing
A clinical practice guideline from the National Guideline
D)
Clearinghouse
Ans: B
Feedback:
A meta-analysisis a type of systematic review and a technique for
integrating quantitative research findings statistically. In essence, meta-
analysis treats the findings from a study as one piece of information. The
findings from multiple studies on the same topic are combined and then all
of the information is analyzed statistically in a manner similar to that in a
usual study. Unlike systematic reviews, clinical practice guidelines (which
often are based on systematic reviews) give specific recommendations for
evidence-based decision-making. Guideline development typically involves
the consensus of a group of researchers, experts, and clinicians. A
randomized controlled trial (RCT) is an individual study that focuses on the
effectiveness of therapies rather than on broader health-care interventions.
Synopses, or summaries, of systematic reviews and of single studies are
available in evidence-based abstract journals such as Evidence-Based
Nursing.
3.Most evidence hierarchies put which of the following at the pinnacle?
A) Randomized clinical trials (RCTs)
B) Systematic reviews of multiple studies
C) Quality improvement projects
D) It depends on the research question
Ans: B
Feedback:
In all evidence hierarchies that include randomized clinical trials, quality
improvement projects and research questions, systematic reviews are at the
pinnacle.