Exam (elaborations)

N405 - Exam 1 questions with correct answers

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Course
NURS 405

Institution
Liberty University

"To be competent, a nurse must have the ability to provide care based on ___." Correct Answer-evidence Most definitions of evidence-based practice include 3 components: Correct Answer-1. Research-based information -info we gather from research 2. Clinical expertise -the nurse takes research ...

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N405 - Exam 1 questions with correct answers
"To be competent, a nurse must have the ability to provide care based on
___." Correct Answer-evidence

Most definitions of evidence-based practice include 3 components:
Correct Answer-1. Research-based information
-info we gather from research
2. Clinical expertise
-the nurse takes research and figures out if it is pertinent to the
population
3. Patient preferences

"the conscientious, explicit, and judicious use of theory-derived,
research-based information in making decisions about care delivery to
individuals or groups of patients and in consideration of individual needs
and preferences" Correct Answer-EBP

What does it mean? Correct Answer-EBP is a process involving the
examination and application of research findings or other reliable
evidence that has been integrated with scientific theories.

EBP is practice based on the best available ____, ____, and ____.
Correct Answer-evidence
patient preferences
clinical judgment

,For nurse to participate in the process of EBP, they must: Correct
Answer-1. Use their critical thinking skills to review research
publications and other sources of information.
2. Then, evaluate the information.
3. After evaluation, use their clinical decision-making skills to apply
evidence to patient care

____ and ____ are the basis of care decisions and therefore essential to
EBP Correct Answer-patient preferences and needs

Research utilization Correct Answer-Process that involves changing
practice based on the results of a single research study.

What did nurses come to realize about research utilization? Correct
Answer-Nurses recognized that shifting from this model to an EBP
framework would be more likely to improve patient outcomes and
provide more cost-effective methods of care.

Why did nurses believe that switching from the research utilization
model to an EBP framework would be better? Correct Answer--This is
because many nursing questions cannot be answered by a single study,
and human conditions are not always amenable to clinical trials.
-Also, the research utilization process does not place value on the
importance of clinical decision making, nor is it noted for being patient
focused.
-EBP framework allows for consideration of other sources of evidence
relevant to nursing practice.

,What are 3 EBP models that are well-known in nursing? Correct
Answer-1. Star Model of Knowledge Transformation
2. Iowa Model of EBP
3. Model of Diffusion of Innovations

What do all 3 models have in common? Correct Answer--each begins
with question or need for identification of acquiring knowledge about a
question
-all involve appraisal (evaluation) of evidence and making a decision on
how to use evidence
-all conclude by closing the loop through evaluation to determine that
the practice change is actually meeting expected outcomes

What are the different sources of evidence? Correct Answer-1.
traditional
2. authority
3. trial and error
4. personal experiences
5. intuition
6. borrowed evidence
7. scientific research

Traditional SOE Correct Answer--"This is the way we have always done
it"

, -Nurses can be so entrenched in practice traditions that they fail to ask
questions that could lead to change based on evidence
-Consistent use of tradition as a basis for practice limits effective
problem solving and fails to consider individual needs and preferences

Authority SOE Correct Answer--"Because i said so"
-Info provided may be based in personal experience or tradition rather
than scientific evidence
-has a place in nursing practice as long as nurses ascertain the legitimacy
of the info provided

Trial and error SOE Correct Answer--Often not the preferred approach
fro delivering nursing care
-Not based on systematic scientific approach; therefore, patient
outcomes may not be a direct result of the intervention.
-Ex.) In long-term care, the treatment of decubitus ulcers is often based
on this haphazard approach. Nurses frequently try a variety of
approaches to heal ulcers. After time, they settle on one approach that is
more often than not effective
-This approach can lead to reduced critical thinking and wasted time and
resources

Personal experiences SOE Correct Answer--Biased by perception and
values that are frequently influenced by tradition, authority, and trial and
error
-Can bring confidence to the experience, but often rooted in tradition
and authority which can lead to negative outcomes

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