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Exam 24: Translating Research Into Practice

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Question 1

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Which of the following is a meta-analysis?

A) Review of 35 studies on nurse work satisfaction to determine the significance of the aggregated research findings
B) Review of multiple chart audits to determine which errors are being reduced through implementation of evidence-based guidelines
C) RCT comparing the effectiveness of a local anesthetic in reducing the pain of venipuncture in young children
D) Analysis of factors contributing to nurse burnout and dissatisfaction at emergency room sites

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Question 2

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As the unit manager,you are interested in determining whether patient autonomy is preserved through informed consent in surgical settings.You determine that participatory action research is the best method to address this question.Which of the following is consistent with a participatory action research design?

A) You interview 125 patients who have recently undergone surgery and transcribe the interviews to determine themes. Themes are validated with an expert in informed consent.
B) You circulate a questionnaire to patients who recently underwent surgery and ask for their opinions regarding consent. Data is analyzed and the findings distributed to administration and other groups.
C) An audit is undertaken of signed consents for treatment, to determine if the consent is properly witnessed and signed. Findings are used to inform changes in policies.
D) You meet with a patient group to determine which questions should be asked about patient informed consent and what issues might be encountered and addressed during the research.

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Question 3

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The implementation of saline flushes for capped angiocatheters across all areas of practice in the facility is an example of:

Which of the following would be most effective in implementing the findings of a new clinical treatment for problems associated with bowel motility for the staff nurses?

Once evidence related to the use of prompted voiding in patients with cognitive impairment has been appraised and integrated with practice,it is important to:

The nurse manager wants to use evidence-based recommendations to prevent ventilator-associated pneumonia.What is the critical first step to effectively gather evidence for guiding practice?

To help staff nurses adjust to using research in practice,what strategy would the nurse manager use?

The clinical guidelines for management of incontinence developed by the Registered Nurses Association of Ontario (RNAO) :

Marie is a long-term staff nurse on the rehab floor.Her unit manager has been eager to adopt evidence-based recommendations related to family-centered care on the unit.Marie's response has been that she rarely has time to provide care to patients,let alone families,and that there is no good reason to do anything different than what she is already doing.An approach that may gain Marie's support of the idea is to:

Before implementation of the new policy and procedure on central line catheter care,the nurse manager uses an appraisal system to evaluate the evidence.What is important in using an appraisal system to evaluate the evidence gathered in preparation for development of a new protocol?

Volunteers in a study are assigned randomly to groups.Some of the volunteers receive an herbal supplement that is reputed to control nausea,and some of the volunteers are assigned to a control group where a placebo is administered.This is an example of a(n) :

As a nurse manager,you trial a new pain scale on your unit that is supported by numerous research studies.You compare the patient outcomes with the new scale against the existing scale.Feedback from staff suggests that the new scale is too difficult for patients who have limited language skills and who are already under duress to understand.The difficulty in implementing the new scale refers to testing:

After searching the literature,Tara,the unit manager develops a table that outlines the findings of studies on management of incontinence.She then examines the studies in terms of risk and whether the findings fit within her practice context and for her population of moderately to severely cognitively impaired patients.This is which phase of a research utilization model?

A nurse manager introduces prompted voiding into nursing practice on a unit,which is supported by clinical guidelines based on evidence-based practice.The nurses on the unit resist implementation,indicating that the bathroom facilities are too far away for efficient implementation of the guidelines,and that resources are too few to accomplish the initial voiding observations.For the nurse manager in this situation,it is important to have further discussion with the staff regarding:

The chief nursing officer at a local hospital seeking Magnet status creates staff development classes about incorporating evidence-based practice in nursing.What best describes evidence-based practice?

The chief nursing officer at a local hospital seeking Magnet status creates staff development classes concerning translation of research into practice (TRIP) .What best describes TRIP?

Which of the following is an effective approach in the appraisal of research studies?

Within a multisite healthcare system,the most appropriate strategy for translation of research would be:

The nurse manager of an ICU wants to implement the revised policy and procedure on central line catheter care.What would be the most effective method of getting the staff nurses to incorporate a new evidence-based practice into their care?

A strategic goal for nursing in the facility developed by the chief nursing officer is to implement an evidence-based practice program.What is an appropriate strategy that can be used by a nurse manager who is beginning to implement an evidence-based practice program on the unit?