NURSING RESEARCH BUILDING AN
EVIDENCE-BASED PRACTICE, 8TH
EDITION BY SUSAN GROVE |ALL
CHAPTERS (1-14) |LATEST VERSION
2025 A+
1.Evidence based practice is the conscious integration of _____ with _____ and _____ in the
delivery of quality, cost-effective health care. - CORRECT ANS -Evidence based practice is
the conscious integration of best research evidence with clinical expertise and patient needs
and values in the delivery of quality, safe, cost-effective health care.
2.What are some barriers to evidence-based practice? - CORRECT ANS -nursing lacks
research / evidence for certain nursing interventions.
evidence is based on population data and may be difficult to apply to people as individuals.
agencies / administrators may not always provide resources to
3.What are some ways that agencies / administrators do not provide support for the
implementation of EBP? - CORRECT ANS -1.) not providing access to research journals,
sources of synthesized research findings, or evidence-based guidelines
2.) inadequate knowledge on how to implement EBP changes in practice.
3.) heavy workloads with limited time to make evidence-based changes in practice.
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,4.) limiting RN's authority to change patient care based on research findings
5.) limited support from administrators or medical staff to make evidence-based changes in
practice.
6.) providing limited funds to support research-based changes for practice
7.) providing few rewards for RNs delivering evidence-based care to patients and families.
4.What are the benefits of implementing EBP? - CORRECT ANS -improved outcomes for
patients, providers, and healthcare agencies.
the evidence has been synthesized by teams of researchers and clinicians to develop strong
evidence-based guidelines for practice.
the evidence is easily accessible
it helps agencies meets accreditation requirements and assists with obtaining magnet status
5.What is a systematic review? - CORRECT ANS -A structured, comprehensive synthesis
of the research literature to determine the best research evidence to address a healthcare
question.
6.What is a meta-analysis? - CORRECT ANS -A meta-analysis statistically pools the
results from previous studies into a single quantitative analysis that provides the highest
level of evidence for an intervention's efficacy.
7.What is a meta synthesis?? - CORRECT ANS -A systematic compilation and integration
of qualitative study results to expand understanding and develop a unique interpretation of
study findings in the selected area.
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,8.What is a metasummary? - CORRECT ANS -A summarizing of findings across
qualitative reports to identify knowledge in a selected area.
9.What are the elements of a PICO question? - CORRECT ANS -P: population or
participants of interest
I: intervention needed for practice
C: comparisons of interventions to determine the best for practice
O: outcomes needed for practice
10.What are the two triggers that initiate a need for a change or an evidence-based practice
project? - CORRECT ANS -a problem-focused trigger or a knowledge-focused trigger
11.What are some typical problem-focused triggers in the Iowa Model of Evidence-Based
Practice? - CORRECT ANS -risk management data
process improvement data
internal / external benchmarking data
financial data
identification of a clinical problem
12.What are some typical knowledge-focused triggers in the Iowa Model of Evidence-Based
Practice? - CORRECT ANS -new research or other literature
national agencies or organizational standards and guidelines
philosophies of care
observation from institutional standards committee
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, 13.If a topic is a priority for the organization, what is the next step in the Iowa Model? -
CORRECT ANS -form a team and assemble the relevant research and related literature
14.What are the steps to piloting the change in practice? - CORRECT ANS -select the
outcomes to be achieved
collect baseline data
design and implement EBP guidelines
pilot the new guidelines on the unit(s)
evaluate the process and outcomes
modify the new practice guideline as needed
15.Once you have piloted the change in practice what should you do? - CORRECT ANS -
Consider whether the change is appropriate for adoption in practice. If so, insititute the
change, continue to collect data, and share your results!!
What are evidence based guidelines? - CORRECT ANS -Evidence based guidelines contain
the best research evidence that has been synthesized by a panel of experts into
comprehensive, current directions for using research in practice.
A research design is a ___________ for conducting a study. - CORRECT ANS -A research
design is a blueprint for conducting a study.
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