Chapter 01: Integrating Research, Evidence-Based Practice, and Quality Improvement Processes

Chapter 01: Integrating Research, Evidence-Based Practice, and Quality Improvement Processes

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Nursing research is significant to the profession of nursing because it promotes what?

a.	More specifically defined nursing practice responsibilities
b.	Decreased liability within the practice of nursing
c.	Generation of a specialized body of nursing knowledge for use in nursing practice
d.	Expansion of the scope of nursing practice into areas formerly reserved for other disciplines

 

 

ANS:  C

 

	Feedback
A	Research aids in documenting accountability of nurses, but professional guidelines already exist regarding responsibility. Each state has a Nurse Practice Act with rules and regulations that define scope of practice.
B	Liability is a legal concept related to a nurse’s legal scope of practice and professional standards of practice. Research does not change a nurse’s liability.
C	Nursing research generates a specialized scientific knowledge base that empowers the nursing profession to anticipate and meet constantly shifting challenges of health care delivery to multiple populations. It provides a foundation for evidence-based nursing care and quality improvement activities.
D	Although research can document nursing accountability, each state’s Nurse Practice Act defines the scope of nursing practice for that state.

 

 

DIF:    Cognitive Level: Understanding (Comprehension)             REF:   Page 6

 

2. Which aspect of the scientific investigation of nursing practice is also a fundamental concept of American Nurses Association (ANA)’s Code for Nurses?

a.	Professional accountability
b.	Standards of care
c.	Legal scope of practice
d.	Advanced practice nursing activities

 

 

ANS:  A

 

	Feedback
A	Scientific investigation promotes accountability, a hallmark of the nursing profession and a fundamental concept of the ANA’s Code for Nurses.
B	Standards of care are defined by ANA, as well as specialty nursing organizations. The Code for Nurses states that nurses should conform to standards, but standards per se are not part of the Code.
C	Legal scope of practice is defined by each state’s Nurse Practice Act and elaborated in its rules and regulations.
D	The ANA Code applies to nursing practice in general, not advanced practice.

 

 

DIF:    Cognitive Level: Remembering (Knowledge)                    REF:   Page 6

 

3. Nurses who do not conduct research need to understand the nursing research process for which of these reasons?

a.	To identify potential subjects for clinical research studies
b.	To assist as accurate data collectors in clinical research studies
c.	To teach patients and their families about the usefulness of consenting to participate in research
d.	To be able to evaluate nursing research reports for relevance to their own clinical practice

 

 

ANS:  D

 

	Feedback
A	Subject identification is determined by the nurse researcher.
B	Data collectors need to understand their role in the study; they do not need to understand the entire research process.
C	Subject recruitment is the responsibility of the nurse researcher.
D	Nurses need to understand the research process in order to critically read research reports and determine if nursing practice should incorporate the research findings as valid evidence.

 

 

DIF:    Cognitive Level: Understanding (Comprehension)             REF:   Page 7

 

4. Which of these actions demonstrates the role of a knowledgeable consumer of nursing research?

a.	Designing a nursing research study
b.	Analyzing data to determine a study’s outcomes
c.	Evaluating the credibility of research findings
d.	Implementing an intervention found to be effective in one clinical case study

 

 

ANS:  C

 

	Feedback
A	A consumer uses and applies research to practice but is not responsible for designing a study.
B	A consumer does not conduct data analysis of a study; the study’s primary investigator analyzes data.
C	A consumer of nursing research needs to understand the research process to determine the merit and relevance of evidence presented in research studies.
D	A consumer would not implement an intervention on the basis of a single case study.

 

 

DIF:    Cognitive Level: Understanding (Comprehension)             REF:   Page 7

 

5. Members of the nursing staff are to participate in a unit-based clinical research study. Which research-related actions would be expected of a nurse with a baccalaureate nursing degree?

a.	Using critical appraisal skills to understand and assess the steps of the research process
b.	Providing expert nursing consultation about the way in which clinical services are delivered
c.	Developing research methods to monitor and evaluate the quality of nursing practice in the clinical setting
d.	Providing leadership in the application of scientific knowledge to nursing practice

 

 

ANS:  A

 

	Feedback
A	A baccalaureate-prepared nurse should be able to use skills of critical appraisal to both understand and appraise the steps of the research process.
B	Nurses prepared at the baccalaureate level in nursing are at the bedside implementing protocols, whereas expert consultation is generally reserved for nurses prepared at the master’s or higher-degree level (advanced education).
C	Developing research methods is generally reserved for nurses with advanced education.
D	Providing leadership in research application is generally reserved for nurses with advanced education.

 

 

DIF:    Cognitive Level: Understanding (Comprehension)             REF:   Page 7