Chapter 1 Integrating Research EBP And Quality Improvement Processes

Question 1

What is the domain of nursing?

Answer 1

Medicine, nursing, collaborative problem

Question 2

What is medicine?

Answer 2

Identification and treatment of a disease condition based on specific evaluation of signs and symptoms, standard of care, evidence on likelihood of positive outcome

Question 3

What is nursing?

Answer 3

Identification and treatment of the patients response to an actual or potential health problem

Question 4

What is collaborative problem?

Answer 4

Actual or potential physiological complication that nurses monitor to detect a change in patient status

Question 5

What does EBP allow?

Answer 5

One to systematically use the best available experience from research with the integration of individual clinical expertise, as well as the patients values and preferences to make clinical decisions

Question 6

Nurses should be…

Answer 6

Knowledgeable consumers of research

Question 7

What is nursing research?

Answer 7

The systematic, rigorous, critical investigation that aims to answer questions about nursing phenomena

Question 8

What are the methods used by nurse researchers?

Answer 8

The methods are the same methods used by other disciplines; the difference is that nurses study questions relevant to nursing practice

Question 9

What steps do nurse researchers follow?

Answer 9

the steps of the scientific process

Question 10

What are the two types of research?

Answer 10

Quantitative and qualitative

Question 11

What does qualitative research include?

Answer 11

Seeks to understand meaning of human experience
Usually conducted in natural settings 
Seeks to DESCRIBE experiences 
Subjective approach
Theory generating

Question 12

What is quantitative research?

Answer 12

Seeks to test relationships or answer a question
Explains cause-and-effect relationships
Seeks to DESCRIBE phenomena
Objectivity is important 
Theory testing

Question 13

What is a research critique?

Answer 13

The process of critical appraisal that objectively and critically evaluates a research reports content for scientific merit and application to practice

Question 14

What does a research critique require?

Answer 14

Some knowledge of the subject matter and knowledge of how to critically read and use critiquing criteria

Question 15

What is quality?

Answer 15

The extent to which a study’s design, implementation, and analysis minimize bias

Question 16

What is quantity?

Answer 16

The number of studies that have evaluated the research question including sample size as well as strength of the findings from data analysis

Question 17

What is consistency?

Answer 17

The degree to which other studies, with similar or different designs, investigating the same research question report similar findings

Question 18

Quality improvement in nursing practice settings?

Answer 18

Conducting an assessment
Setting goals for improvement
Identifying ideas for change
Deciding how improvements will be measured
Rapidly testing practice changes
Measuring improvements in care
Adopting the practice change as a new standard of care

Question 19

What is the most common first step in the quality improvement process?

Answer 19

C. Conducting an assessment

Question 20

What is an assessment of a group of research studies that test a similar research question?

Answer 20

A. Systematic review