Chapter 13: Building an Evidence-Based Nursing Practice

Chapter 13: Building an Evidence-Based Nursing Practice

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Which is true about evidence-based practice?

a.	Evidence-based guidelines are unrelated to accreditation regulations.
b.	Evidence-based practice is determined only through experimental studies.
c.	Most nursing interventions are based on evidence-based principles.
d.	The use of evidence-based practice results in improved patient outcomes.

 

 

ANS:  D

 

	Feedback
A	The Joint Commission revised their accreditation criteria to emphasize patient care quality achieved through EBP.
B	EBP guidelines are based on all types of research, using the best research knowledge available.
C	Some nursing interventions are evidence based currently, but many require additional research to generate the knowledge essential for making changes in practice.
D	The greatest benefits of EBP are improved outcomes for patients, providers, and health care agencies.

 

 

PTS:   1                    DIF:    Cognitive level: Understanding (Comprehension)

REF:   p. 416

 

2. Which standards were developed to help nursing students develop the skills, knowledge, and attitudes needed to continuously improve quality and safety?

a.	EBP
b.	IRB
c.	QSEN
d.	Magnet

 

 

ANS:  C

 

	Feedback
A	EBP is evidence-based practice, which is the basis for developing practice guidelines that are grounded in the best evidence and research.
B	IRBs are institutional review boards, whose purpose is to protect human subjects in research studies.
C	The Quality and Safety Education for Nursing, or QSEN, project was implemented to improve prelicensure nurses’ knowledge, skills, and attitudes necessary to continuously improve quality and safety in health care systems.
D	Magnet criteria are standards for a practice model for hospitals seeking accreditation through the American Nurses Credentialing Center.

 

 

PTS:   1                    DIF:    Cognitive level: Understanding (Comprehension)

REF:   p. 416

 

3. When addressing a health care question to determine best practice, the nurse identifies and appraises quality research using a structured, comprehensive synthesis of the research literature to determine the best research evidence available. This is an example of a:

a.	literature review
b.	meta-analysis.
c.	meta-synthesis.
d.	systematic review.

 

 

ANS:  D

 

	Feedback
A	A literature review seeks to find all literature about a topic and is not as rigorous or systematic as a systematic review.
B	A meta-analysis is a review of quantitative studies by statistically pooling or combining the results from these studies into a single quantitative analysis.
C	A meta-synthesis is used to pool and combine findings from qualitative studies.
D	A systematic review is a structured, comprehensive synthesis of the research literature to determine the best research evidence available to help determine best practice.

 

 

PTS:   1                    DIF:    Cognitive level: Applying (Application)

REF:   p. 421

 

4. What is the purpose of the PRISMA statement?

a.	To help researchers develop a clinical question before a review
b.	To help determine whether studies reviewed should be replicated
c.	To improve reporting of meta-analyses and systematic reviews
d.	To outline the abstract when reporting on meta-analyses and other reviews

 

 

ANS:  C

 

	Feedback
A	It is not used to develop a clinical question prior to analyses or to determine whether studies should be replicated.
B	It is not used to develop a clinical question prior to analyses or to determine whether studies should be replicated.
C	The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was developed in 2009 to improve the quality of reporting for systematic reviews and meta-analyses and includes 27 items to ensure that this is done.
D	It is not used to outline the abstract when reporting on analyses and other reviews.

 

 

PTS:   1                    DIF:    Cognitive level: Understanding (Comprehension)

REF:   p. 426

 

5. To develop a clinical question when reviewing the effectiveness of nursing interventions, the nurse will use which format?

a.	PICOS
b.	PRISMA
c.	Study design
d.	Systematic review

 

 

ANS:  A

 

	Feedback
A	PICOS (Population, Intervention, Comparison of intervention, Outcomes, and Study design) is the most common format for developing a research question by nurse researchers.
B	The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was developed in 2009 to improve the quality of reporting for systematic reviews and meta-analyses and includes 27 items to ensure that this is done.
C	The study design is part of PICOS but, by itself, does not determine the study question.
D	The systematic review is conducted to evaluate existing research and is generally performed when the study question is known.

 

 

PTS:   1                    DIF:    Cognitive level: Applying (Application)

REF:   pp. 422-423