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Chapter 24: Using Evidence-Based Practice and Nursing Research

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MULTIPLE CHOICE 1. How does evidence-based practice (EBP) differ from research utilization? a. EBP has similar steps to the nursing process, which differ from research utilization. b. EBP is a systematic method of applying research findings to nursing practice that incorporates many additional sources of data that may contribute to improved nursing care. c. Research utilization is a component of nursing practice that involves the collection of data to answer a specific research question, and EBP uses the data to make protocols. d. EBP uses a nursing theoretical framework for implementation of practice guidelines, which is essential for the continued development of nursing theories. ANS: B. Evidence-based practice is similar to research utilization in that it is a systematic method of applying research findings to nursing practice that incorporates many additional sources of data (not just nursing and nursing theory) that may contribute to improved nursing care. A brief definition of evidence-based practice that is generally accepted is the integration of the best research evidence with clinical expertise and patient values. EBP implies internal decision making on the nurse’s part. The steps in applying evidence-based practice include defining the problem; identifying, reviewing, and . evaluating the data applicable to the problem; designing a practice change based on the data; implementing the change in nursing practice; and evaluating the implementation. All three processes—research utilization, nursing research, and the nursing process—have the same five major steps. However, the specific tasks for each process are different. The collection of data to answer a research question is the research process, not research utilization. PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 560 OBJ: Understand the importance of evidence-based practice. TOP: Using nursing research in practice MSC: NCLEX®: Safe and effective care environment—management of care 2. Which of the following nursing activities are necessary to provide evidence-based nursing care? a. Maintaining self-directed practice and using the Internet to locate relevant research articles b. Having an advanced degree (CNS or FNP) and providing clinical supervision for peers c. Attending continuing education programs and working toward a graduate degree in nursing d. Systematically integrating nursing research findings and applying relevant evidence to practice ANS: D Providing evidence-based practice involves searching the research literature, critically synthesizing research findings, and applying relevant evidence to practice. The other activities do not explain the activities needed to provide evidence-based nursing care. PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 560 OBJ: Identify the steps in evidence-based practice. TOP: Using nursing research in practice MSC: NCLEX®: Safe and effective care environment—management of care 3. The nurse manager has an adequate understanding of research utilization when stating which of the following? a. “In the process of research utilization, the emphasis is on finding new data.”. b. “A major component of the process is reviewing current nursing practices.” c. “The process involves transferring research findings into practice.” d. “The process is solely based on critical thinking.”

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Chapter 24: Using Evidence-Based Practice
and Nursing Research

MULTIPLE CHOICE


1. How does evidence-based practice (EBP) differ from research utilization?
a. EBP has similar steps to the nursing process, which differ from research
utilization.
b. EBP is a systematic method of applying research findings to nursing
practice that incorporates many additional sources of data that may
contribute to improved nursing care.
c. Research utilization is a component of nursing practice that involves the
collection of data to answer a specific research question, and EBP uses the
data to make protocols.
d. EBP uses a nursing theoretical framework for implementation of practice
guidelines, which is essential for the continued development of nursing
theories.



ANS: B.

Evidence-based practice is similar to research utilization in that it is a systematic
method of applying research findings to nursing practice that incorporates many
additional sources of data (not just nursing and nursing theory) that may contribute to
improved nursing care. A brief definition of evidence-based practice that is generally
accepted is the integration of the best research evidence with clinical expertise and
patient values. EBP implies internal decision making on the nurse’s part. The steps in
applying evidence-based practice include defining the problem; identifying,
reviewing, and . evaluating the data applicable to the problem; designing a practice
change based on the data; implementing the change in nursing practice; and
evaluating the implementation. All three processes—research utilization, nursing

, research, and the nursing process—have the same five major steps. However, the
specific tasks for each process are different. The collection of data to answer a
research question is the research process, not research utilization.

PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 560

OBJ: Understand the importance of evidence-based practice. TOP:
Using nursing research in practice

MSC: NCLEX®: Safe and effective care environment—management of care



2. Which of the following nursing activities are necessary to provide evidence-based
nursing care?
a. Maintaining self-directed practice and using the Internet to locate relevant
research articles
b. Having an advanced degree (CNS or FNP) and providing clinical
supervision for peers
c. Attending continuing education programs and working toward a graduate
degree in nursing
d. Systematically integrating nursing research findings and applying relevant
evidence to practice



ANS: D

Providing evidence-based practice involves searching the research literature, critically
synthesizing research findings, and applying relevant evidence to practice. The other
activities do not explain the activities needed to provide evidence-based nursing care.

PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 560

OBJ: Identify the steps in evidence-based practice. TOP: Using
nursing research in practice

MSC: NCLEX®: Safe and effective care environment—management of care

, 3. The nurse manager has an adequate understanding of research utilization when
stating which of the following?
a. “In the process of research utilization, the emphasis is on finding new
data.”.
b. “A major component of the process is reviewing current nursing
practices.”
c. “The process involves transferring research findings into practice.”
d. “The process is solely based on critical thinking.”



ANS: C

Research utilization involves transferring research findings into practice. Emphasis is
based on using existing data. A major component is reviewing completed nursing
research studies and is based on critical thinking and decision making. New data are
generated during research studies. Reviewing current practice is part of the process.

PTS: 1 DIF: Cognitive Level: Comprehension/Understanding REF: p. 563
OBJ: Identify the steps in the process of research utilization. TOP: What
is nursing research utilization?

MSC: NCLEX®: Safe and effective care environment—management of care



4. Which action can the nurse expect in the preutilization step in nursing research
utilization?
a. Recognition that some aspect of nursing care could be done in a different
way
b. Recognizing that nurses need shortcuts in order to manage their workload
c. Critical evaluation of published research
d. Using electronic databases to search current literature



ANS: A.

The action that the nurse can expect in the preutilization step is the recognition that
some aspect of nursing care could be done in a different way. This step is not meant to

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