Deck 17: Using Research Findings in Practice Settings

Question 1

The conduction of nursing research is a costly and time-consuming intellectual exercise unless nurses

A) read, critique, and replicate research findings, and test their effectiveness in practice.
B) understand the application of specific data collection and analysis methods.
C) use studies to make changes in practice even when experience proves otherwise.

Answer 1

read, critique, and replicate research findings, and test their effectiveness in practice.

Question 2

Without thinking critically about a study's quality and the implications of a proposed innovation, the application of research findings can be inappropriate, ineffective, and even _______________.

A) Dangerous.
B) Innocuous.
C) Insipid.

Answer 2

Dangerous.

Question 3

The comparative evaluation phase of the research utilization/evidence-based practice process entails

A) deciding on instrumental versus conceptual utilization of study findings.
B) determining the cost-benefit ratio of the innovation.
C) evaluating the scientific integrity of the studies being used as evidence.

Answer 3

determining the cost-benefit ratio of the innovation.

Question 4

Research utilization provides the means through which nursing science is solidified and expanded so that

A) evidence-based practice becomes a reality.
B) new nursing textbooks can be written.
C) studies will continue to be funded.

Question 5

Research utilization is generally considered to be a __________ of evidence-based practice.

A) Product.
B) Result.
C) Subset.

Question 6

Evidence-based practice begins with a(n)

A) determination of the cost-benefit ratio of the innovation.
B) need to test out a new idea or new clinical knowledge.
C) search for evidence to solve an identified clinical problem.

Question 7

Which of the following research findings would be considered a good example for a research utilization project versus an evidence-based research project?

A) Regularly structured nursing rounds, either hourly or every two hours, reduce frequency of call light use and patient falls and increase patient satisfaction.
B) Results from a random controlled trial comparing a new medication regimen for prevention of MI versus the current regimen.
C) Study results were statistically significant in providing an

Question 8

Which of the following is an example of instrumental research utilization?

A) Using supplemental evidence to decide on program continuation.
B) Understanding of a subjectively experienced event that alters patient interaction.
C) Using findings from a qualitative study to develop an assessment tool.

Question 9

Which nursing theory is frequently used to guide the research utilization process?

A) King's General Systems of Framework.
B) Nightingale's Environmental Theory.
C) Rogers' Theory of Diffusion of Innovations.

Question 10

In which of the five stages of Rogers' theory does either a favorable or unfavorable attitude develop toward the innovation?

A) Confirmation stage.
B) Knowledge stage.
C) Persuasion stage.

Question 11

Stetler's model describes a five-phase research utilization process. In which stage, if none of the studies available for review are scientifically sound, would the research utilization project be discontinued?

A) Comparative evaluation.
B) Preparation.
C) Validation.

Question 12

Research utilization projects subject studies to three types of evaluation. Which type involves assessing research findings for their implementation potential?

A) Comparative analysis.
B) Cost-benefit appraisal.
C) Scientific validation.

Question 13

Which of the following are key components to the research utilization action plan?

A) Comparative analysis, cost-benefit appraisal, and scientific validation.
B) Forming the research utilization team, communication, and education.
C) Substantive evaluation, feasibility, and transferability.

Question 14

Barriers to research utilization include nurses' characteristics, research characteristics, and organizational characteristics. Which of the following would be considered an organizational characteristic?

A) Lack of authority to change patient care processes.
B) Lack of support for implementing change.
C) Readability of research reports.

Question 15

Newsletters, journal clubs, discussion groups, research grand rounds, and posters are strategies for

A) alternatives to formal research publication.
B) creating a culture of research utilization.
C) ideas for research presentation approaches.

Question 16

The focus of developing an understanding of the research process for the BSN nurse is so that

A) evidence-based research fills the gaps in the knowledge base.
B) nurses become experts in the design of high-quality research.
C) research becomes a meaningful and routine part of practice.

Question 17

The evidence-based practice movement has served to reinforce the need for nurses who are working at the bedside to have a(n)

A) knowledge of statistical analysis procedures and computer programs.
B) skill in research design methodology, data collection, and analysis.
C) understanding of the research process and some basic research skills.

Question 18

As evidence-based practice becomes the norm, which of the following is essential for professional survival?

A) Basic understanding of the research process.
B) Principal investigator communication skills.
C) Research design and methodology skills.

Question 19

As a __________________ problem-solving process, research stands to provide information that is reliable, credible, and worthy of being considered as evidence for practice decisions.

A) Practice-driven.
B) Scientific.
C) Technical.

Question 20

The most highly valued evidence for evidence-based practice is

A) clinically expert experience.
B) randomized-controlled studies.
C) qualitative literature reviews.

Question 21

Which of the following is the first skill needed in evidence-based practice?

A) The ability to ask important and answerable questions about clinical situations.
B) The ability to critically appraise evidence and to select the best evidence from the literature.
C) The ability to integrate research evidence with clinical expertise, expert opinion, and patient values and preferences.

Question 22

The first skill (asking important and answerable questions about clinical situations) reflects which of the following?

A) How to evaluate a problem for generalizability.
B) What constitutes a research problem.
C) Where to find studies that pertain to the question.

Question 23

Which of the following skills are inter-related?

A) Asking important and answerable questions about the clinical situation.
B) Critical appraisal and integrating research evidence with other information.
C) Performing efficient searches for evidence and evaluating the literature reviews.

Question 24

A continuous cycle between clinical practice and the research process begins with

A) generating research problems and questions from clinical practice experiences.
B) identifying practice experience that provides the best patient outcomes.
C) using research findings to provide guidelines for changing practice.

Question 25

Nurses prepared at the baccalaureate level are expected to be able to initiate (select all correct answers)

A) basic safety and quality investigations.
B) meta-analysis literature reviews for research development.
C) original research studies based on clinical questions.

Question 26

What type of theory provides insight to create a nursing practice that institutionalizes nursing research activities?

A) Change theory.
B) Leadership theory.
C) Nursing theory.