NUR 028 MODULE 21-25 QUIZ Total points32/35 The critique focuses on the description and explanation of the following aspects of the study . Select all that apply * 1/1 Substance Theory Method Interpretations When recruiting subjects to participate in a study about the effects of an educational program to help patients at home take their medications as ordered, the researcher tells the subjects that their names will not be used and no one but the research team will have access to their information and responses. This is an example of: * 1/1 Bias Anonymity Confidentiality Informed consent The following factors supports the goal of research utilization incorporating research evidences into nursing practice, these are the following except * 1/1 Social and demographic trends Competitive health market Cost effective implications Health insurance The nurse feels that the results of a recent literature search and analysis about handwashing should be implemented in the entire hospital system. With whom would the nurse be required to collaborate? * 1/1 Colleagues caring for patients in her unit Colleagues in the community Administrators at the hospital Others in her department The nursing instructor is explaining evidence-based practice (EBP) to nursing students. Which statements are appropriate to include in the explanation? (Select all that apply.) * 1/1 "EBP tests hypotheses about health-related conditions." "EBP promotes generalization of client care." "EBP considers the client's needs, values, and choices." "EBP is reflective of the best evidence from current research." "EBP incorporates the nurse's clinical expertise." A nurse researcher wants to know which factors are associated with a person's decision to exercise. The nurse distributes a survey to people who recently joined an exercise wellness program and analyzes the data to determine which factors and characteristics are most significantly linked to the decision to start exercising. Which type of research study is this? * 1/1 Qualitative Descriptive Randomized controlled trial Correlational A nurse researcher studies the effectiveness of a new program designed to educate parents to promote the immunization of children. The nurse divides the parents randomly into two groups. One group receives the typical educational program and the other group receives the new program. This is an example of which type of study? * 1/1 Historical Qualitative Correlational Experimental A quantitative research paper is entitled as "Nursing Model of Care Utilized by Selected Hospitals and its Association with the Performance of Nurses in their Area of Assignment". What is the research design of this study? * 1/1 Survey Correlational Causal – Comparative Experimental Ways to Overcome Barriers to Evidence-based Practice. Select all that apply * 1/1 Establish the culture of mentorship with full administrative support in hospitals and educational institutions particularly among students and novice nurses who still need more clinical training. Adequate time to critically appraise relevant and best evidences to implement and evaluate practice change through conferences, seminars, group meetings among others. Establish translational research through adequate dissemination, oral presentation, publications, research fora, and research seminars among others. Completion of doctoral degrees A research article describes a multicenter study in which 5,000 healthy patients between the ages of 30 and 65 were given a medication. Effects were observed, which included change in blood pressure with the prescribed drug. Study findings indicate this medication is safe for healthy patients between the ages of 30 and 65 when given for a defined medical condition. What can you most reasonably infer from this information? * 1/1 It was a qualitative study. It was a quantitative study. The study did not use a random sample. The study did not include a broad enough age span. A group of nurses have identified that the elderly patients on their unit have a high incidence of pressure ulcers after they have a stroke. During a unit meeting they discuss different interventions that they think may reduce the development of pressure ulcers. What is the nurses' next step to investigate this clinical problem further? * 1/1 conduct a literature review share the findings with others conduct a statistical analysis create a well-defined PICOT question A group of nursing students are discussing clinical research questions. In describing the difference between background questions and foreground questions, which student's statement is the most appropriate? * 1/1 "Background questions address a range of clinical issues" "Answers to background questions may be found in drug guides." "The answer to a foreground question addresses multiple clinical issues." "Foreground questions are knowledge-based." Reasons for Critiquing Reports. Select all that apply * 0/1 Determine usefulness of the study to nursing practice Examine its worthwhileness for evidence-based practice Provide feedback to the researchers and to journal editors about the merit of the study and to Offer suggestions for improvements and for replication. Knowledge gained from research in the 1970s about placing infants on their backs to prevent sudden infant death syndrome was not recommended to parents until the 1990s. This is an example of what barrier to evidence-based practice? * 1/1 Proliferation of research Implementation delay Information needs not being met Lack of readily available resources A nursing student is preparing to read the methods section of a research article. Which type of information will the student expect to find in this section? (Select all that apply.) * 1/1 how the researcher conducted the study a description about how to use the findings of the study the number and type of subjects who participated in the study Summaries of other research articles that support the need for this study Implications for future research studies The nurse is critically appraising a research study. Which statement is reflective of an appraisal of the study's reliability? * 1/1 "The study's results are not applicable to clinical practice." "Although the study was supposed to measure the client's wound healing, it really measured the client's satisfaction with care." "The study's results are applicable to clinical practice." "The original study was repeated three times, but it did not produce consistent results." A nursing student is giving a classroom presentation about evidence-based practice (EBP). Which statement best reflects the student's correct understanding of EBP? * 1/1 "EBP is the gathering of objective facts and information to advance knowledge about a specific topic." "EBP involves combining quality research, clinical expertise, and client preferences to achieve the best client outcomes." "EBP incorporates clinical knowledge, expert opinion, or information resulting from research." "EBP uses a systematic and strict scientific process to test hypotheses about health -related conditions and nursing care." How is qualitative research different from quantitative research? Qualitative research: * 1/1 Is more valid when large numbers of participants are studied Reports data in the form of words Is less useful than quantitative research Requires careful attention to methods and techniques The PICO format asks for the patient's problem, the two possible interventions for comparison (i.e., diagnostics), and the desired outcome from the interventions .The nurse decides to access a systematic review database to determine evidence-based practice related to the patient's treatment plan for a diagnosis of otitis media (i.e., ear infection). What database can provide that type of resource? * 1/1 Cumulative Index of Nursing and Allied Health Literature (CINAHL) Cochrane PubMed MD Consult The nursing student is giving a presentation about nursing research. Which statement is most appropriate for the student to include in the presentation? * 1/1 "Nursing research tests hypotheses about health-related conditions and nursing care." "Nursing research is clinical knowledge, expert opinion, or information resulting from research." "Nursing research is illustrated by the client's choice to use an alternative treatment." "Nursing research combines the best evidence from current studies, clinical nursing expertise, and client preferences." The nurses on a medical unit have seen an increase in the number of medication errors on their unit. They decide to evaluate the medication administration process on the basis of data gained from chart reviews and direct observation of nurses administering medications. Which process are the nurses using? * 1/1 Evidence-based practice Research Quality improvement Problem identification This is another type of quantitative research design wherein the researcher wanted to know about the cause and effect relationship between variables, where the cause is being manipulated and respondents are chosen by choice not by chance. * 1/1 Descriptive Quasi-experimental Correlational True Experimental Nurses in a community clinic have seen an increase in the numbers of obese children. The nurses who care for the children are discussing ways to reduce childhood obesity. one nurse asks a colleague," I wonder what the most effective ways are to help school-age children maintain a healthy weight?" This question is an example of a/an: * 0/1 Hypothesis PICOT question Problem-focused trigger Knowledge-focused trigger What should the nurse expect a meta-analysis study to offer? * 1/1 A detailed description that is specific to one individual, issue, or event A study that uses a control group and an experimental group to illustrate a cause -and-effect relationship A study that follows two groups over a period of time measures the outcomes of an exposure group with those of a nonexposure group Examination of a group of studies on a given topic, followed by combination and analysis of the results as if they were from one large study Arrange the following steps of evidence-based practice (EBP) in the appropriate order1. integrate the evidence2. Ask the burning clinical question3. create a spirit of inquiry4. evaluate the practice decision or change5. Share the results with others6. critically evaluate the evidence you gather7. collect the most relevant and best evidence * 1/1 3, 2, 7, 6, 1, 4, 5 1, 2, 7, 6, 3, 4, 5 4, 2, 7, 6, 1, 3, 5 5, 2, 7, 6, 1, 4, 3 3. During a class about research methods, a nursing student asks the instructor, open double quote" What is the difference between qualitative and quantitative research? close double quote" Which response by the instructor is the most appropriate? * 1/1 "Qualitative research does not use the scientific method." "Quantitative research uses precise measurement to collect data and analyze it statistically." "Qualitative research is used to test relationships between variables." "Quantitative research explores individuals' subjective experiences." Which entity or document specifically addresses the role of the nurse in research? (Select all that apply.) * 1/1 American Nurses Association standards of practice Institutional review board Hospital Magnet status Joint Commission MD Consult Patients are participating in a study to identify genetic disorders. What is a potential concern? (Select all that apply.) * 1/1 Violation of confidentiality if a disorder is revealed Possible adverse consequences related to employment Possible adverse consequences related to reputation Possible adverse consequences to insurability Inability to prevent the progression of genetic disorders 5. The nurse is participating in conducting a research study and needs to determine if an individual qualifies to be a participant. Which criteria must be met for inclusion in a research study? (Select all that apply.) * 0/1 The individual must waive the right to anonymity. The individual is informed of all aspects of the study. The individual receives payment for participation. The individual has given informed consent. The individual meets all the inclusion criteria. Which statements most accurately describe potential barriers to implementation of evidence-based practice (EBP)? (Select all that apply.) * 1/1 Providing accountability for nursing care Ensuring credibility of the nursing profession Client workload demands Lack of access to continuing education programs Nursing misperceptions about EBP A patient is on the way to the hospital in an ambulance and is asked to participate in a research protocol for a new treatment for myocardial infarction. What is this an example of? (Select all that apply.) * 1/1 Standard practice An ethical dilemma A violation of informed consent A patient who is in a vulnerable population category Compliance with important ethical issues of justice and autonomy The following are barriers to Implementing Evidence-based Practice. Select all that apply * 1/1 Lack of knowledge regarding evidence-based practice strategies; Lack of time and resources to search for adequate evidence. Nurses may utilize evidence-based practice when they become part of a professional organization. Integrating research into clinical practice is possible when nurse practitioners are also researchers. Which of the following factors contributes to the nurse having difficulty keeping up with the latest patient care information? (Select all that apply.) * 1/1 Implementation delays Proliferation of research Volume of health care literature Hours spent in direct patient care The need to read 3 articles every day of the week A nursing student is taking care of a patient with possible appendicitis and is curious about the best method of diagnosing this disorder. What does the nursing student have to consider in formulating a question using the PICO format (patient, population, or problem; intervention; comparison intervention; outcomes) to determine evidencebased practice? * 1/1 Problem: appendicitis; interventions: ultrasound versus CT scan; outcome: diagnosis of appendicitis Problem: pain; interventions: meperidine versus morphine; outcome: pain free Problem: fever; interventions: cooling measures versus antipyretics; outcome: normal temperature Problem: appendicitis; Interventions: complete blood count versus chemistry panel tests; outcome: painless The nurse researcher provides participants with informed consent so that what ethical principle is upheld? * 1/1 Respect for persons Beneficence Justice Ethics