NSG 252 EXAM 2 QUESTIONS AND
ANSWERS
1st Theorist - answer- Flo. Nightingale
Best evidence comes from - answer- research studies in scientific journals
Excuses for not changing how we care for clients - answer- tradition, convenience,
"how we've always done it"`]
Sources for evidence may be? - answer- quality improvement & risk management
data, standards of practice, infection control, benchmarking, chart review, clinician
expertice
To get research done over the same thing happening over and over again, you
should look at: - answer- errors and incident reports
Good evidence depends on - answer- patient's prefereneces and beliefs
Client's experience 28% better outcomes when - answer- they receive care based on
the most recent and best evidence
Steps to EBP
0. - answer- Cultivate a spirit of inquiry
Steps to EBP
1. - answer- search for most relevant evidence
Steps to EBP
2. - answer- Critically appraise the evidence you gather
Steps to EBP
3. - answer- Integrate all evidence with your clinical expertise and patient
preferences and values
Steps to EBP
4. - answer- Evaluate the outcomes of practice decisions or changes using evidence
Steps to EBP
5. - answer- Share the outcomes with others
Steps to EBP
6. - answer- Sustain Knowledge
Cultivate the spirit of inquiry - answer- Step 0 of EBP: Question what does not make
sense. Use problem and knowledge focused triggers
, Person that wants to know why they're doing something a certain way
Problem triggers - answer- found when taking care of patient (clinical)
Knowledge triggers - answer- new information
PICOT style - answer- Step 1.: helps you narrow down your research question
P= - answer- Patient population of interest
I= - answer- Intervention of interest
C= - answer- Comparison of interest
O= - answer- Outcome
T= - answer- Time
Collecting best evidence - answer- Step 1.: found in a variety of sources.
***Best are Systematic reviews of RTC's
Critically appraise the evidence - answer- Step 2.: Explain, support, can you use the
evidence in practice
Integrate evidence - answer- Step 3.: If evidence is strong integrate into practice
Evaluate the outcomes - answer- Step 4..: never implement a practice change
without evaluating its effects
Share the outcomes - answer- Step 5.: share w/ other nurses and units, take to a
council, present at a professional conferences, professional journal
Sustain Knowledge - answer- Step 6 of EBP
Outcomes research focus - answer- benefits, risks, costs, holistic effects
*** benefits vs risks
EBP vs Research - answer- EBP focuses on problem solving
Research is systematic: gives new knowledge
Nursing process - answer- assessment
diagnosis
planning
implementation
evaluation
Nursing theory - answer- describes, explains, predicts, prescribes nursing care
theories exist to - answer- explain and guide the real world of nursing
ANSWERS
1st Theorist - answer- Flo. Nightingale
Best evidence comes from - answer- research studies in scientific journals
Excuses for not changing how we care for clients - answer- tradition, convenience,
"how we've always done it"`]
Sources for evidence may be? - answer- quality improvement & risk management
data, standards of practice, infection control, benchmarking, chart review, clinician
expertice
To get research done over the same thing happening over and over again, you
should look at: - answer- errors and incident reports
Good evidence depends on - answer- patient's prefereneces and beliefs
Client's experience 28% better outcomes when - answer- they receive care based on
the most recent and best evidence
Steps to EBP
0. - answer- Cultivate a spirit of inquiry
Steps to EBP
1. - answer- search for most relevant evidence
Steps to EBP
2. - answer- Critically appraise the evidence you gather
Steps to EBP
3. - answer- Integrate all evidence with your clinical expertise and patient
preferences and values
Steps to EBP
4. - answer- Evaluate the outcomes of practice decisions or changes using evidence
Steps to EBP
5. - answer- Share the outcomes with others
Steps to EBP
6. - answer- Sustain Knowledge
Cultivate the spirit of inquiry - answer- Step 0 of EBP: Question what does not make
sense. Use problem and knowledge focused triggers
, Person that wants to know why they're doing something a certain way
Problem triggers - answer- found when taking care of patient (clinical)
Knowledge triggers - answer- new information
PICOT style - answer- Step 1.: helps you narrow down your research question
P= - answer- Patient population of interest
I= - answer- Intervention of interest
C= - answer- Comparison of interest
O= - answer- Outcome
T= - answer- Time
Collecting best evidence - answer- Step 1.: found in a variety of sources.
***Best are Systematic reviews of RTC's
Critically appraise the evidence - answer- Step 2.: Explain, support, can you use the
evidence in practice
Integrate evidence - answer- Step 3.: If evidence is strong integrate into practice
Evaluate the outcomes - answer- Step 4..: never implement a practice change
without evaluating its effects
Share the outcomes - answer- Step 5.: share w/ other nurses and units, take to a
council, present at a professional conferences, professional journal
Sustain Knowledge - answer- Step 6 of EBP
Outcomes research focus - answer- benefits, risks, costs, holistic effects
*** benefits vs risks
EBP vs Research - answer- EBP focuses on problem solving
Research is systematic: gives new knowledge
Nursing process - answer- assessment
diagnosis
planning
implementation
evaluation
Nursing theory - answer- describes, explains, predicts, prescribes nursing care
theories exist to - answer- explain and guide the real world of nursing
