TO GET THE FULL TEST BANK OR SOLUTION MANUAL 100% Guarantee Pass email me at mitchiekaranja13@gmail.com TEST BANK ESSENTIALS OF NURSING RESEARCH: APPRAISING EVIDENCE FOR NURSING PRACTICE 9TH EDITION BY DENISE POLIT, CHERYL BECK TO GET THE FULL TEST BANK OR SOLUTION MANUAL 100% Guarantee Pass email me at mitchiekaranja13@gmail.com TEST BANK TO GET THE FULL TEST BANK OR SOLUTION MANUAL 100% Guarantee Pass email me at mitchiekaranja13@gmail.com Test Bank For Essentials of Nursing Research: Appraising Evidence for Nursing Practice 9th Edition by Polit, Beck Table of Contents: Chapter 1 Introducing Nursing Research for Evidence-Based Practice Chapter 2 Understanding Key Concepts and Steps in Quantitative and Qualitative Research Chapter 3 Reading and Critically Appraising Research Articles Chapter 4 Attending to Ethics in Research Chapter 5 Identifying Research Problems, Research Questions, and Hypotheses Chapter 6 Finding and Reviewing Research Evidence in the Literature Chapter 7 Understanding Theoretical and Conceptual Frameworks Chapter 8 Appraising Quantitative Research Design Chapter 9 Appraising Sampling and Data Collection in Quantitative Studies Chapter 10 Appraising Qualitative Designs and Approaches Chapter 11 Appraising Sampling and Data Collection in Qualitative Studies Chapter 12 Understanding Mixed Methods Research, Quality Improvement, and Other Special Types of Research Chapter 13 Understanding Statistical Analysis of Quantitative Data Chapter 14 Interpreting Quantitative Findings and Evaluating Clinical Significance Chapter 15 Understanding the Analysis of Qualitative Data Chapter 16 Appraising Trustworthiness and Integrity in Qualitative Research Chapter 17 Learning From Systematic Reviews Chapter 18 Putting Research Evidence Into Practice: Evidence-Based Practice and Practice-Based Evidence TO GET THE FULL TEST BANK OR SOLUTION MANUAL 100% Guarantee Pass email me at mitchiekaranja13@gmail.com TO GET THE FULL TEST BANK OR SOLUTION MANUAL 100% Guarantee Pass email me at mitchiekaranja13@gmail.com CHAPTER 1: Introducing Nursing Research For Evidence-Based Practice Essentials of Nursing Research: Appraising Evidence for Nursing Practice 9th Edition by Polit, Beck 1. Which of the following groups would be best served by the development of a scientific base for nursing practice? A) Nursing administrators B) Practicing nurses C) Nurses' clients D) Health care policymakers Ans: C Feedback: Nursing research is systematic inquiry designed to develop trustworthy evidence about issues of importance to nurses and their clients. Nurse leaders recognize the need to base specific nursing decisions on evidence indicating that the decisions are clinically appropriate, cost-effective, and result in positive client outcomes. Although all of the people listed would benefit from the development of a scientific base for nursing practice, ultimately it is the clients themselves who would most benefit, as they would then receive the most appropriate and most effective care. 2. An especially important goal for the nursing profession is to do which of the following? A) Conduct research to better understand the context of nursing practice B) Establish a solid base of evidence for practice through disciplined research C) Document the role nursing serves in society D) Establish research priorities Ans: B Feedback: Nurses are increasingly expected to understand and undertake research and to base their practice on evidence from research. Evidence-based practice is the use of the best evidence in making patient care decisions and typically comes from research conducted by nurses and other health-care professionals. All of the other answers are possible goals for the nursing profession, but none is as important as establishing evidence for practice. 3. Which of the following is a fundamental belief of those who hold to the constructivist paradigm? A) A fixed reality exists in nature for humans to understand B) The nature of reality has changed over time C) Reality is multiply constructed and multiply interpreted by humans Page 1 TO GET THE FULL TEST BANK OR SOLUTION MANUAL 100% Guarantee Pass email me at mitchiekaranja13@gmail.com D) Reality cannot be studied empirically Ans: C Feedback: In the constructivist paradigm, it is assumed that reality is not a fixed entity but is rather a construction of human minds, and thus “truth” is a composite of multiple constructions of reality. However, constructivists do believe that reality can be studied empirically. Belief in a fixed reality that exists in nature for humans to understand would be an Page 2 TO GET THE FULL TEST BANK OR SOLUTION MANUAL 100% Guarantee Pass email me at mitchiekaranja13@gmail.com example of a positivist belief, not a constructivist one. The constructivist belief does not hold so much that the nature of reality has changed over time as that it has always been constructed by human minds. 4. Which of the following is a fundamental belief of those who hold to the positivist paradigm? A) The researcher is objective and independent of those being studied B) The researcher cannot interact with those being studied C) The researcher instructs those being studied to be objective in providing information D) The distance between the researcher and those being researched is minimized to enhance the interactive process Ans: A Feedbac k: In the positivist paradigm, it is assumed that there is an objective reality and that natural phenomena are regular and orderly. In the constructivist paradigm, it is assumed that reality is not a fixed entity but is rather a construction of human minds, and thus “truth” is a composite of multiple constructions of reality. 5. Which of the following attributes is least characteristic of the traditional scientific method? A) Control over external factors B) Systematic measurement and observation of natural phenomena C) Testing of hunches deduced from theory or prior research D) Emphasis on a holistic view of a phenomenon, studied in a rich context Ans: D Feedbac k: Quantitative research (associated with positivism) involves the collection and analysis of numeric information. Quantitative research is typically conducted within the traditional scientific method, which is systematic and controlled. Quantitative researchers base their findings on empirical evidence (evidence collected by way of the human senses) and strive for generalizability beyond a single setting or situation. Constructivist researchers emphasize understanding human experience as it is lived through the collection and analysis of subjective, narrative materials using flexible procedures; this paradigm is associated with qualitative research. Page 3 TO GET THE FULL TEST BANK OR SOLUTION MANUAL 100% Guarantee Pass email me at mitchiekaranja13@gmail.com 6. Empiricism refers to which of the following? A) Making generalizations from specific observations B) Articulating a study purpose in terms of an appropriate classification system C) Gathering evidence about real-world phenomena through the senses D) Verifying the assumptions on which the study was based Ans: C Page 4 TO GET THE FULL TEST BANK OR SOLUTION MANUAL 100% Guarantee Pass email me at mitchiekaranja13@gmail.com Feedback: Empiricism is gathering and analyzing evidence through their senses. Quantitative research involves the collection and analysis of numeric information. Quantitative research is typically conducted within the traditional scientific method, which is systematic and controlled. Quantitative researchers base their findings on empirical evidence and strive for generalizability beyond a single setting or situation. Constructivist researchers emphasize understanding human experience as it is lived through the collection and analysis of subjective, narrative materials using flexible procedures; this paradigm is associated with qualitative research. 7. Which of the following is a hallmark of the scientific method? A) Rigorous B) Holistic C) Systematic D) Flexible Ans: C Feedbac k: Quantitative research is typically conducted within the traditional scientific method, which is systematic and controlled. Quantitative researchers base their findings on empirical evidence and strive for generalizability beyond a single setting or situation. Constructivist researchers emphasize understanding human experience as it is lived through the collection and analysis of subjective, narrative materials using flexible procedures; this paradigm is associated with qualitative research. 8. Which of the following limits the capacity of the scientific method to answer questions about humans? A) The necessity of departing from traditional beliefs B) The difficulty of accurately measuring complex human traits C) The lack of funding for research D) The shortage of theories about human behavior Ans: B Feedbac k: Nursing research focuses on human beings, who are inherently complicated and diverse. The traditional scientific method typically focuses on a relatively small Page 5 TO GET THE FULL TEST BANK OR SOLUTION MANUAL 100% Guarantee Pass email me at mitchiekaranja13@gmail.com aspect of human experiences in a single study. Complexities tend to be controlled and, if possible, eliminated rather than studied directly, and this narrowness of focus can sometimes obscure insights. 9. The classic scientific method has its intellectual roots in which of the following? A) Positivism B) Determinism C) Constructivism D) Empiricis m Ans: A Page 6 TO GET THE FULL TEST BANK OR SOLUTION MANUAL 100% Guarantee Pass email me at mitchiekaranja13@gmail.com Feedback: In the positivist paradigm, it is assumed that there is an objective reality and that natural phenomena are regular and orderly. The related assumption of determinism refers to the belief that phenomena result from prior causes and are not haphazard. In the constructivist paradigm, it is assumed that reality is not a fixed entity but is rather a construction of human minds, and thus “truth” is a composite of multiple constructions of reality. Although the word empiricism has come to be allied with the classic scientific method, researchers in both traditions gather and analyze evidence empirically, that is, through their senses. 10. Constructivist qualitative research typically does which of the following? A) Involves deductive processes B) Attempts to control the research context to better understand the phenomenon being studied C) Involves gathering narrative, subjective materials D) Focuses on numeric information Ans: C Feedback: In the constructivist paradigm, it is assumed that reality is not a fixed entity but is rather a construction of human minds, and thus “truth” is a composite of multiple constructions of reality. In the positivist paradigm, it is assumed that there is an objective reality and that natural phenomena are regular and orderly. Constructivist researchers emphasize understanding human experience as it is lived through the collection and analysis of subjective, narrative materials using flexible procedures; this paradigm is associated with qualitative research. The other answers are truer of positivist, quantitative research. 11. Quantitative and qualitative research share which of the following features? Select all that apply. A) A desire to understand the true state of human affairs B) An emphasis on formal measurement C) A reliance on external evidence collected through the senses D) Utility to the nursing profession Ans: A, C, D Feedback: Both quantitative and qualitative research share a desire to understand the true state of human affairs, a reliance on external evidence collected through the senses, and utility to the nursing profession. However, quantitative, not Page 7 TO GET THE FULL TEST BANK OR SOLUTION MANUAL 100% Guarantee Pass email me at mitchiekaranja13@gmail.com qualitative, research emphasizes formal measurement. 12. Which of the following is a descriptive question that a qualitative researcher most likely would ask? A) What is the nature of this phenomenon? B) What is the average intensity of this phenomenon? C) How frequently does this phenomenon occur? D) What is the average duration of this phenomenon? Ans: A Page 8 TO GET THE FULL TEST BANK OR SOLUTION MANUAL 100% Guarantee Pass email me at mitchiekaranja13@gmail.com Feedback: Description of phenomena is an important purpose of research. In descriptive studies, researchers count, delineate, and classify. Nurse researchers have described a wide variety of phenomena, such as patients' stress, health beliefs, and so on. Quantitative description focuses on the prevalence, size, and measurable aspects of phenomena. Qualitative researchers describe the nature, dimensions, and salience of phenomena 13. A researcher wants to investigate the effect of patients' body position on blood pressure. The study would most likely be of which type? A) Qualitative B) Quantitative C) Either quantitative or qualitative (researcher preference) D) Insufficient information to determine Ans: B Feedback: Because this study would involve a measurable, numeric outcome, blood pressure, it should most likely be a quantitative study. 14. A researcher wants to explore the process by which men make decisions about treatment for prostate cancer. The researcher's paradigm is most likely which of the following? A) Positivism B) Determinism C) Empiricism D) Constructivism Ans: D Feedback: As this study involves gathering subjective, non-measurable data, the researcher's paradigm is most likely constructivism. Positivism is not likely, as there is no emphasis on an objective, orderly reality. Determinism, which refers to the belief that phenomena result from prior causes and are not haphazard, is not pertinent here. Although the research will involve empiricism, or gathering information using the senses, this is not the primary paradigm. 15. Which of the following would be most strongly associated with cause-probing research? A) Identification B) Description Page 9 TO GET THE FULL TEST BANK OR SOLUTION MANUAL 100% Guarantee Pass email me at mitchiekaranja13@gmail.com C) D) Exploration Explanatio n Ans: D Page 10 TO GET THE FULL TEST BANK OR SOLUTION MANUAL 100% Guarantee Pass email me at mitchiekaranja13@gmail.com Feedback: A fundamental distinction that is especially relevant in quantitative research is between studies whose primary intent is to describe phenomena and those that are cause-probing. Specific purposes on the description/explanation continuum include identification, description, exploration, prediction/control and explanation. Many nursing studies can also be classified in terms of a key EBP aim: therapy/treatment/intervention; diagnosis and assessment; prognosis; etiology and harm; and meaning and process. 16. Nursing has experienced constant change over the past decades as a result of increased research. When determining best practices, nursing decisions should do which of the following? Select all that apply. A) Be based on tradition B) Include holistic approaches C) Be clinically appropriate D) Be cost effective Ans: C, D Feedback: Nurse leaders recognize the need to base specific nursing decisions on evidence indicating that the decisions are clinically appropriate, cost-effective, and result in positive client outcomes. Holistic treatments may be appropriate in some, but not all, circumstances. Tradition alone is an inadequate basis for practice. 17. Evidenced-based nursing primarily uses which of the following to answer clinical questions? A) Consulting an authority B) Using intuition C) Obtaining the newest research D) Relying on experience Ans: C Feedback: Nurses are increasingly expected to understand and undertake research, and to base their practice on evidence from research, that is, to adopt an evidencebased practice (EBP). EBP, broadly defined, is the use of the best evidence in making patient care decisions. Experience, intuition, and authority are not wholly ignored in the EBP process, but research is a priority. Page 11 TO GET THE FULL TEST BANK OR SOLUTION MANUAL 100% Guarantee Pass email me at mitchiekaranja13@gmail.com 18. The major difference between quantitative and qualitative research is that qualitative research seeks to find answers based on which of the following? A) Solid factual data B) Experiences or descriptions C) Etiology D) Systematic process Ans: B Page 12 TO GET THE FULL TEST BANK OR SOLUTION MANUAL 100% Guarantee Pass email me at mitchiekaranja13@gmail.com Feedback: Human experiences, and people's descriptions and interpretations of these experiences, are the main focus of qualitative research. Systematic process, etiology, and factual data are more closely aligned with the quantitative tradition. 19. Which of the following research focuses is qualitative? A) Weekend and night outcomes of patients admitted to a specific hospital system's trauma departments B) Trends in hospitalizations of patients with antibiotic-resistant tuberculosis C) Predicting risks for serious complications with abdominal surgery D) Needs of nursing students living with chronic illness Ans: D Feedback: Constructivist studies are heavily focused on understanding the human experience as it is lived, through the careful collection and analysis of qualitative materials that are narrative and subjective. Human needs, and individuals' perceptions of those needs, are a common focus of qualitative research. Outcomes, risk factors, and treatment modalities are often addressed with quantitative research. 20. When little is known about a phenomenon or the phenomenon is not clearly identified, the best type of research suited to uncover this is which of the following? A) Exploration B) Description C) Identification D) Prediction Ans: C Feedback: Qualitative researchers sometimes study phenomena about which little is known. In some cases, so little is known that the phenomenon has yet to be clearly identified or named or has been inadequately defined. Identification is thus necessary. Exploration (which addresses causation), predication, and description would likely be subsequent efforts. 21. Consumers of research do which of the following? A) Design studies Page 13 TO GET THE FULL TEST BANK OR SOLUTION MANUAL 100% Guarantee Pass email me at mitchiekaranja13@gmail.com B) C) D) Undertake studies Produce research Read research Ans: D Page 14 TO GET THE FULL TEST BANK OR SOLUTION MANUAL 100% Guarantee Pass email me at mitchiekaranja13@gmail.com In the current EBP environment, every nurse is likely to engage in one or more activity along a continuum of research participation. At one end of the continuum are users (consumers) of nursing research, nurses who read research reports to keep up-to-date on findings that may affect their practice. EBP depends on well-informed nursing research consumers. At the other end of the continuum are the producers of nursing research: nurses who actively design and undertake studies. 22. When nurses rely primarily on tradition, they are most likely to do which of the following? A) Produce a precise range of answers B) Increase new knowledge C) Maintain an unbiased perspective D) Undermine effective problem solving Ans: D Feedback: Tradition may undermine effective problem solving. There is growing concern that many nursing actions are based on tradition, custom, and “unit culture” rather than on sound evidence. This prevents the acceptance of new knowledge and increases bias and is unlikely to produce a precise range of answers. 23. A research nurse understands that evidenced-based practice in nursing does which of the following? A) Relies on tradition B) Consults recognized authorities C) Depends primarily on textbooks D) Is based on the latest research Ans: D Feedback: EBP prioritizes research findings, which are found primarily in primary sources, such as journals, rather than in secondary sources, such as textbooks. It is not dependent on tradition or authority. 24. Non-research-based evidence includes which of the following? Select all that apply. A) Unit culture B) Nurse's experience C) Qualitative studies D) Trial and error Page 15 TO GET THE FULL TEST BANK OR SOLUTION MANUAL 100% Guarantee Pass email me at mitchiekaranja13@gmail.com Ans: C Feedback: Clinical reports, experience and beliefs are non-research based sources of evidence, which are considered to be comparatively weak. Qualitative studies are research-based. Page 16 TO GET THE FULL TEST BANK OR SOLUTION MANUAL 100% Guarantee Pass email me at mitchiekaranja13@gmail.com CHAPTER 2: Understanding Key Concepts and Steps in Quantitative and Qualitative Research 1. Research utilization is a process that begins with which of the following? A) A clinical problem that needs to be solved B) A problem-focused trigger C) A knowledge-focused trigger or research finding D) A well-worded clinical question Ans: C Feedback: Research utilization (RU) is the use of findings from disciplined research in a practical application that is unrelated to the original research. Evidence-based practice is broader than RU because it integrates research findings with other factors. Several models of EBP, such as the Iowa Model, have distinguished two types of stimulus (“triggers”) for an EBP endeavor, (1) problem-focused triggers, the identification of a clinical practice problem in need of solution, or (2) knowledge-focused triggers, readings in the research literature. A second catalyst for an EBP project is the research literature, knowledge- focused triggers, which is the origin akin to research utilization. 2. Which of the following is an example of a systematic review? A) An RCT study published in the journal Nursing Research B) A meta-analysis from the Cochrane database C) A synopsis published in Evidence-Based Nursing D) A clinical practice guideline from the National Guideline Clearinghouse Ans: B Feedback: A meta-analysis is a type of systematic review and a technique for integrating quantitative research findings statistically. In essence, meta-analysis treats the findings from a study as one piece of information. The findings from multiple studies on the same topic are combined and then all of the information is analyzed statistically in a manner similar to that in a usual study. Unlike systematic reviews, clinical practice guidelines (which often are based on systematic reviews) give specific recommendations for evidence-based decisionmaking. Guideline development typically involves the consensus of a group of researchers, experts, and clinicians. A randomized controlled trial (RCT) is an individual study that focuses on the effectiveness of therapies rather than on broader health-care interventions. Synopses, or summaries, of systematic reviews and of single studies are available in evidence-based abstract journals such as Evidence-Based Nursing. Page 17 TO GET THE FULL TEST BANK OR SOLUTION MANUAL 100% Guarantee Pass email me at mitchiekaranja13@gmail.com 3. Most evidence hierarchies put which of the following at the pinnacle? A) Randomized clinical trials (RCTs) B) Systematic reviews of multiple studies C) Quality improvement projects D) It depends on the research question Ans: B Feedback: Page 18 TO GET THE FULL TEST BANK OR SOLUTION MANUAL 100% Guarantee Pass email me at mitchiekaranja13@gmail.com In all evidence hierarchies that include randomized clinical trials, quality improvement projects and research questions, systematic reviews are at the pinnacle. 4. Which of the following can be used to critically appraise clinical practice guidelines? A) A systematic review from the Cochrane Collaboration B) The Iowa model C) The AGREE instrument D) An evidence hierarchy Ans: C Feedbac k: Evidence-based clinical practice guidelines distill a body of evidence into a usable form. Unlike systematic reviews, clinical practice guidelines, which often are based on systematic reviews, give specific recommendations for evidencebased decision- making. Several appraisal instruments are available to evaluate clinical practice guidelines, but one with broad support is the Appraisal of Guidelines Research and Evaluation (AGREE) Instrument. The Iowa model is used in selecting a problem for an institutional evidence-based project. An evidence hierarchy is a tool for ranking evidence sources according to the strength of the evidence they provide. 5. Which of the following models was explicitly developed with the idea that individual nurses could engage in RU-type activities? A) Iowa Model B) Johns Hopkins Model C) Cochrane Model D) Stetler Model Ans: D Feedbac k: Some models focus on the use of research from the perspective of individual clinicians such as the Stetler Model, one of the oldest models that originated as an RU model, but most focus on institutional EBP efforts such as the John Hopkins Nursing EBP Model and the Iowa Model. There is no Cochrane Model; the Cochrane Collaboration is an organization that prepares, maintains, and promotes the accessibility of systematic reviews. 6. In the following clinical question, what is the Outcome (O component): What is the effect of relaxation therapy versus biofeedback on the functional ability of patients with rheumatoid arthritis? Page 19 TO GET THE FULL TEST BANK OR SOLUTION MANUAL 100% Guarantee Pass email me at mitchiekaranja13@gmail.com A) B) C) D) Functional ability Rheumatoid arthritis Biofeedback Relaxation therapy Ans: A Feedbac k: In the PIO acronym, P stands for the population or patients (rheumatoid arthritis); I stands for the intervention, influence, or exposure (biofeedback or relaxation therapy); and O stands for the outcomes (functional ability). Page 20 TO GET THE FULL TEST BANK OR SOLUTION MANUAL 100% Guarantee Pass email me at mitchiekaranja13@gmail.com 7. In the following clinical question, what is the Intervention/influence/exposure (I component): Does taking antidepressants affect the risk of suicide in cognitively impaired adolescents? A) Adolescence B) Suicide C) Antidepressant use D) Cognitive impairment Ans: C Feedback: In the PIO acronym, P stands for the population or patients (cognitively impaired individuals); I stands for the intervention, influence, or exposure (antidepressants); and O stands for the outcomes (risk of suicide). 8. In the following clinical question, what is the Population (P component): Do stress and depression affect dyspnea in patients with chronic obstructive pulmonary disease (COPD)? A) Patients who are stressed B) Patients who are depressed C) Patients who experience dyspnea D) Patients with COPD Ans: D Feedback: In the PIO acronym, P stands for the population or patients (patients with chronic obstructive pulmonary disease); I stands for the intervention, influence, or exposure (stress and depression); and O stands for the outcomes (dyspnea). 9. In the following clinical question, what is the Comparison (C component): Does chronic stress affect inflammatory responses in older men with atherosclerotic disease? A) Chronic stress B) Inflammatory response C) Atherosclerotic disease D) There is no “C” component Ans: D Feedback: In the PICO acronym, P stands for the population or patients (older men with atherosclerotic disease); I stands for the intervention, influence, or exposure Page 21 TO GET THE FULL TEST BANK OR SOLUTION MANUAL 100% Guarantee Pass email me at mitchiekaranja13@gmail.com (chronic stress); C stands for the component that is needed (there is no intervention or influence of interest contrasted with a specific alternative); and O stands for the outcomes (inflammatory response). 10. In which of the following clinical questions is fatigue the “I” component? A) Does fatigue affect agitation in cognitively impaired elders? B) Does a physical activity intervention affect fatigue in patients undergoing cardiac rehabilitation? C) What is the meaning of fatigue among patients with sleep apnea? D) Does the level of depression of patients suffering from chronic fatigue improve by Page 22 TO GET THE FULL TEST BANK OR SOLUTION MANUAL 100% Guarantee Pass email me at mitchiekaranja13@gmail.com participating in an exercise intervention? Ans: A Feedback: Fatigue is the “I” component (intervention, influence, or exposure) in the question, “Does fatigue affect agitation in cognitively impaired elders?” In the other answers, fatigue is one of the other components. 11. Which of the following is a question that would be asked as part of the process of appraising research evidence? A) What are the P, I, and O components? B) How rigorous and reliable is the evidence? C) What type of trigger should I use? D) Is a relevant systematic review available? Ans: B Feedback: Individual nurses have opportunities to put research into practice. The five basic steps for individual EBP are: (1) asking an answerable clinical question as evidenced by, “What are the P, I, and O components?” (2) searching for relevant research-based evidence as evidenced by, “Is a relevant systematic review available?” (3) appraising and synthesizing the evidence as evidenced by, “How rigorous and reliable is the evidence?” Triggers for an organizational project include both pressing clinical problems (problem-focused) and existing knowledge (knowledge-focused) such as asked by the question, “What type of trigger would I use?” 12. Which of the following activities is part of an organizational -but not an individual- EBP endeavor? A) Asking a good question/identifying a problem B) Searching for evidence C) Assessing implementation potential D) Synthesizing and appraising evidence Ans: C Feedback: EBP in an organizational context involves many of the same steps as individual EBP efforts, but is more formalized and must take organizational factors into account. Triggers for an organizational project include both pressing clinical problems (problem- focused) and existing knowledge (knowledge-focused), such as Page 23 TO GET THE FULL TEST BANK OR SOLUTION MANUAL 100% Guarantee Pass email me at mitchiekaranja13@gmail.com assessing implementation potential. Individual nurses have opportunities to put research into practice. The five basic steps for individual EBP are: (1) asking an answerable clinical question; (2) searching for relevant research-based evidence; (3) appraising and synthesizing the evidence; (4) Integrating the evidence with your own clinical expertise, patient preferences, and local context; (5) Assessing the effectiveness of the decision, intervention, or advice. 13. Asking a clinical question is the first step in evidence-based practice. What are the four components of a PICO clinical question? A) Population, implication, comparison, outcome Page 24 TO GET THE FULL TEST BANK OR SOLUTION MANUAL 100% Guarantee Pass email me at mitchiekaranja13@gmail.com B) C) D) Population, intervention, clinical, outcome Population, intervention, comparison, outcome Population, implication, clinical, outcome Ans: C Feedback: A crucial first step in evidence-based practice (EBP) involves asking relevant clinical questions that reflect uncertainties in clinical practice. Most guidelines for EBP use the acronyms PIO or PICO to help practitioners develop wellworded questions that facilitate a search for evidence. In the acronym PIO, the P stands for population or patients; the I stands for intervention; and the O stands for outcome. The acronym PICO includes these same three components plus a fourth, C, which stands for comparison. 14. Which following level of evidence includes systematic reviews of multiple studies? A) Level IV B) Level III C) Level II D) Level I Ans: D Feedback: Systematic reviews are at the pinnacle of the hierarchy (Level I), because the strongest evidence comes from careful syntheses of multiple studies. The next highest level (Level II) includes individual randomized controlled trials (RCTs). Going down the “rungs” of the evidence hierarchy for Therapy questions results in less reliable evidence, for example, Level III evidence comes from a type of study called quasi-experiment. In- depth qualitative studies are near the bottom, in terms of evidence regarding intervention effectiveness. 15. A nurse in the United States is scheduled to care for a child with an ostomy. Which of the following resource would best assist the nurse with specific guidelines for evidence- based decision making for this patient? A) MEDLINE B) TRIP C) www.guidelines.gov D) www.rnao.org/bestpracti ces Ans: C Page 25 TO GET THE FULL TEST BANK OR SOLUTION MANUAL 100% Guarantee Pass email me at mitchiekaranja13@gmail.com Feedback: Finding clinical practice guidelines can be challenging, because there is no single guideline repository. A standard search in bibliographic databases such as MEDLINE will yield many references, but could yield a mixture of citations to not only the actual guidelines, but also to commentaries, implementation studies, and so on. A recommended approach is to search in guideline databases, or through specialty organizations that have sponsored guideline development. In the United States, nursing and health-care guidelines are maintained by the National Guideline Clearinghouse (www.guideline.gov). In Canada, the Registered Nurses Association of Ontario (RNAO) (www.rnao.org/bestpractices) maintains information about clinical practice guidelines. Two sources in the United Kingdom are the Translating Research into Practice (TRIP) database and the National Institute for Clinical Excellence (NICE). 16. Which of following study types is a systematic review used for integration of statistical quantitative research findings? A) Meta-synthesis B) Meta-analysis C) Randomized controlled trial D) Quasi-experiment Ans: B Feedback: Systematic reviews can take various forms. One form is a narrative (qualitative) integration that merges and synthesizes findings, much like a rigorous literature review. For integrating evidence from quantitative studies, narrative reviews increasingly are being replaced by a type of systematic review known as a meta-analysis. Meta-analysis is a technique for integrating quantitative research findings statistically. For qualitative studies, integration may take the form of a meta-synthesis. A meta-synthesis, however, is distinct from a quantitative meta-analysis: a meta-synthesis is less about reducing information and more about interpreting it. Randomized controlled trials and quasi- experiments are not types of systematic reviews. 17. The best-known early research utilization (RU) project sought to bridge the gap between research and practice. Which following is the name of that well-known project? A) Cochrane Collaboration B) Stetler Model of Research Utilization C) Conduct and Utilization of Research in Nursing (CURN) Project Page 26