Question: During a quality improvement initiative, nursing staff utilized the PDSA cycle. This cycle concludes with which of the following actions?
Answer Choices:
Relying, refining, and repeating the change that was implemented
Publishing or presenting the results of the quality improvement initiative
Analyzing the results of the change in a test prevention practice
Enacting the change in practice on a small scale
Answer: Relying, refining, and repeating the change that was implemented
Question: In your literature search, you find a recently published article that recommends a unit practice change around peripheral intravenous sites. How should the findings of this article be best translated into practice?
Answer Choices:
You should search for further evidence before changing unit practices
Unit practices should be amended to reflect the findings of the study
You should combine the study results with staff/provider expertise to create a new guide for practice
You should conduct a trial similar to that in the published study
Answer: You should search for further evidence before changing unit practices
Question: A short unit suggests the need for EBP in an effort to prevent central-line associated blood infections. In an effort to bring about this change, the leadership team has opted to use the Advancing Research and Clinical practice through close Collaboration (ARCC) model. The team will begin the process by doing which of the following?
Answer Choices:
Assessing the readiness of the workplace culture
Consulting experts to guide the change process
Developing and revising the nursing and multidisciplinary failure that addresses line infections
Exploring the problems that have triggered the need for change
Answer: Assessing the readiness of the workplace culture
Question: A clinic is considering incorporating an EBP that has demonstrated positive clinical outcomes in multiple settings. They believe it will improve the care they are providing to the clients and improve the health of the community. Which of the following is NOT a strategy to engage staff and providers in adopting the EBP?
Answer Choices:
Develop an implementation team of directors and managers
Identify clinical experts and mentors
Create short-term attainable goals
Provide recent scenarios to support the need for the EBP
Answer: Provide recent scenarios to support the need for the EBP
Question: Which of the following statements is correct regarding Quality Improvement (QI)?
Answer Choices:
QI is a data-driven approach to improve internal systems
QI is the decision maker when evaluating sources of initiative for evidence
QI projects do not need outcomes to be successful
QI only focuses on patients’ clinical outcomes
Answer: QI is a data-driven approach to improve internal systems
Question: A clinician has consulted a CPG addressing the prevention of foot complications among clients with diabetes. Which of the following considerations should the clinician prioritize when appraising the guideline?
Answer Choices:
The author’s affiliations and qualifications
The nature and reputation of the sponsoring body
Validity and reliability of the recommendations
Clinical applicability of the recommendations
Answer: Validity and reliability of the recommendations
Question: Caregivers and leaders of a university medical center are pleased that their facility has recently been granted Magnet recognition by the American Nurses Credentialing Center (ANCC). What does this designation indicate about the hospital?
Answer Choices:
The hospital has demonstrated a positive nursing care environment that promotes performance through the use of EBP
The hospital has met specific outcomes for which KPIs form the foundation
The hospital has proven to be a site where new research is conducted and new evidence is generated
The hospital has demonstrated the presence of a cohort of staff committed to providing EBP
Answer: The hospital has demonstrated a positive nursing care environment that promotes performance through the use of EBP
Question: Controversy exists on an intensive care unit regarding the best ways to prevent ventilator-associated pneumonia (VAP). What is the initial step in developing an evidence-based solution to this problem?
Answer Choices:
Formulate a question and conduct a thorough search of the existing evidence
Organize a small-scale clinical trial to test current practices on the unit
Elicit the views of the most senior nurses and those nurses who exemplify EBP
Seek input from physicians with expertise in the area of VAP
Answer: Formulate a question and conduct a thorough search of the existing evidence
Question: A clinician has encountered skepticism from colleagues when attempting to introduce CPGs at a long-term care facility. The clinician will attempt to explain the most significant benefit of CPGs is their potential to do which of the following?
Answer Choices:
Make the change process occur more quickly
Personalize care while acknowledging context
Translate research into clinical practice
Increase nurses’ accountability for the care they provide
Answer: Translate research into clinical practice
Question: Nurses are applying the PARiHS framework in order to guide their implementation of evidence-based diabetes education in the hospital. Which of the following considerations will the team examine under the dimension of ‘context’?
Answer Choices:
A. The character and quality of leadership that exists in the hospital.
B. The similarities between sites where research was conducted and the site where it will be implemented.
C. The significance that a new diagnosis of diabetes has for patients and families.
D. The existing EBP work in hand in other medical facilities in the neighborhood.
Answer: A. The character and quality of leadership that exists in the hospital.
Question: A clinician has consulted a CPG addressing the prevention of foot complications among clients with diabetes. Which of the following considerations should the clinician prioritize when appraising the guideline?
Answer Choices:
A. The author’s affiliations and qualifications.
B. The nature and reputation of the sponsoring body.
C. Validity and reliability of the recommendations.
D. Clinical applicability of the recommendations.
Answer: C. Validity and reliability of the recommendations.
Question: The effectiveness of change that is implemented according to the PDSA cycle can be best improved by which of the following measures?
Answer Choices:
Collecting quantitative data at multiple stages
Comparing results with a control group
Extending the length of the cycle
Soliciting and incorporating feedback from all staff members
Answer: Collecting quantitative data at multiple stages
Question: A clinician is conducting a search for CPGs that address the management of constipation in the elderly. Which of the following principles should the clinician integrate into the search?
Answer Choices:
The nurse should appraise the applicability and relevance of guidelines before implementing them
The geographical origin of the authors and sponsoring body should determine clinical applicability
A high-quality CPG should have universal applicability
The nurse should reject guidelines that have included Level III and IV evidence
Answer: The nurse should appraise the applicability and relevance of guidelines before implementing them