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Evidence-Based Practice for Nursing and Healthcare Quality Improvement by Wood Geri Test Bank
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Evidence-Based Practice for Nursing and Healthcare Quality Improvement by Wood Geri Test Bank
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,Chapter 01: Overview of Evidence-Based PracticeLoBiondo-wood: Evidence-Based Practice for Nursing and Health Care Quality Improvement,
MULTIPLE CHOICE
1. The first step in the evidence-based process is to
a. form a team of health care providers.
b. retrieve evidence.
c. select an EBP topic.
d. critically appraise evidence.
ANS: C
The steps for EBP are: select an EBP topic, form a team, evidence retrieval, critical appraisal of eviden
forth EBP recommendations, decision to change practice, convey EBP recommendations to local stand
implement practice change, evaluation, and dissemination.
2. Which agency is the National Guideline Clearinghouse of publicly available database of evidence-base
and related documents?
a. The Institute for Healthcare Improvement (IHI)
b. The Joint Commission on the Accreditation of Healthcare Organizations
(JCAHO)
c. The United States Preventative Services Task Force (USPSTF)
d. The Agency for Healthcare Quality and Research (AHRQ)
ANS: D
AHRQ provides a variety of EBP function including serving as the National Guideline Clearinghouse:
of evidence-based clinical practice guidelines and related documents. Updated weekly with new conten
accessible mechanism for obtaining objective, detailed information on clinical practice guidelines to fu
implementation. Examples of IHI Evidence-Based Standards or Recommendations include developme
family-centered ICU, Communication about end-of-life care, the opioid crisis and building systems of s
Evidence-Based Standards or Recommendations include fall prevention, patient/family education, prev
prevention of medication errors. The USPSTF assigns recommendations for prevention and evidence-b
grade (an A, B, C, or D grade or an I statement) based on strength of the evidence and balance of benef
preventive service. The Task Force does not consider costs of a preventive service when determining a
3. Which of the following statements comparing evidence-based practice to the conduction of research is
a. EBP poses research questions or hypotheses that advance the state of the science.
b. The purpose of EBP is to gain knowledge/science generation.
c. Standardized-dependent measures with known reliability and validity are used as
evaluation methods for EBP.
, 3-month period
ANS: A
The approach in EBP is a nonresearch design. For a specific period of time measures are tracked pre-im
implementation, post-implementation. The other responses are examples of the conduct of research app
the research questions/hypotheses (e.g., observational; RCT; step-wedge design).
, 5. Which of the following is the best description of translational research? Translational research
a. is the systematic investigation of a phenomenon to answer research questions or
hypotheses that advances the state of the science.
b. focuses on the generation and synthesis of evidence that compares benefits and
harms of alternative methods to prevent, diagnose, treat, and monitor a clinical
condition, or to improve the delivery of care.
c. is a dynamic continuum from basic research through application of research
findings in practice, communities, and public health settings to improve health
and health outcomes, progresses across five phases.
d. is a field of science that focuses on testing implementation interventions to
improve uptake and use of evidence to improve patient outcomes and population
health, and explicate what implementation strategies work for whom, in what
settings, and why.
ANS: C
Conduct of research is the systematic investigation of a phenomenon to answer research questions or h
state of the science. Comparative effectiveness research (CER) focuses on the generation and synthesis
benefits and harms of alternative methods to prevent, diagnose, treat, and monitor a clinical condition,
care. Implementation science (also called translation science) is a field of science that focuses on testin
interventions to improve uptake and use of evidence to improve patient outcomes and population healt
implementation strategies work for whom, in what settings, and why.
6. Which statement regarding evidence-based practice is true?
a. The nursing profession is the sole contributor and user of EBP.
b. Evidence-based practice and conduct of research have distinct purposes,
questions, approaches, and evaluative measures.
c. Teams working with EBP should consist of only health care providers.
d. EBP and translation science are interchangeable terms.
ANS: B
Participation in and contribution to EBP is essential for many professionals to plan, provide, and evalu
application of evidence to improve quality of care and patient outcomes is central to health care improv
for EBP is clearly in the forefront of health care. When considering members of the EBP team, conside
including lay-persons who have experience with the selected topic. Involving consumers may increase
certain EBPs are used in what circumstances and why they are important. EBP and translation science
terms. Translational science is a dynamic continuum from basic research through application of researc
communities, and public health settings to improve health and health outcomes, progresses across five
7. Leaders of health care systems have an opportunity to promote an organizational culture that makes evi
decisions, and creates evidence-based practice environments to promote high quality, safe patient care
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