A nurse is assisting in the preparation of an in-service about evidence-based practice (EBP).
Which of the following questions should the nurse include when discussing critical appraisal of collected evidence?(Select All that Apply.)
What were the costs associated with the research?
Does the study have reliability?
Is the research applicable to other populations?
What methods were used to conduct the research?
How were the study results analyzed?
What was the purpose of the study?
Correct Answer : B,C,D,E,F
Explanation:
A. What were the costs associated with the research?
While the costs associated with research can be important in certain contexts, such as resource allocation or budget considerations, it is not typically a primary consideration in the critical appraisal of research evidence for evidence-based practice.
B. Does the study have reliability?
Reliability refers to the consistency and stability of research findings. It is important to assess whether the study's methods and measurements are reliable to ensure that the results are trustworthy and reproducible.
C. Is the research applicable to other populations?
Applicability or generalizability of research findings refers to whether the results can be applied to populations or settings beyond those directly studied in the research. Evaluating applicability helps determine the relevance of the study findings to different patient populations or clinical scenarios.
D. What methods were used to conduct the research?
Understanding the research methods is crucial for evaluating the quality and rigor of the study. This includes assessing the study design, sampling methods, data collection procedures, interventions or exposures studied, and statistical analyses used.
E. How were the study results analyzed?
Examining how the study results were analyzed helps determine the validity and reliability of the findings. It is important to assess whether appropriate statistical methods were used, whether potential biases were addressed, and whether the results are robust and meaningful.
F. What was the purpose of the study?
Understanding the purpose or research question of the study is fundamental for evaluating its relevance and significance to clinical practice. The research question should be clearly stated and align with the study's objectives, methods, and conclusions.
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Related Questions
Correct Answer is B
Explanation
Explanation:
A. Expert opinions:
Expert opinions are valuable in clinical practice and decision-making, but they are considered a lower level of evidence compared to systematic reviews and meta-analyses. Expert opinions are often classified as Level V evidence in the hierarchy.
B. Systematic review
A systematic review is a comprehensive and rigorous synthesis of multiple studies on a particular topic, and it often includes a meta-analysis that statistically combines the results of these studies to provide a high level of evidence. This type of evidence is considered Level I because it provides a strong foundation for making clinical decisions due to its methodological rigor and ability to summarize findings from multiple studies.
C. Credible websites:
Credible websites can provide valuable information, but they are not classified as Level I evidence. The evidence hierarchy typically places systematic reviews and meta-analyses at the highest level due to their methodological rigor and synthesis of multiple studies.
D. Qualitative studies:
Qualitative studies are valuable for exploring complex phenomena and understanding individuals' experiences, beliefs, and perspectives. However, they are generally considered lower in the hierarchy of evidence compared to systematic reviews and RCTs, which are categorized as Level I evidence.
Correct Answer is B
Explanation
Explanation:
A. Arrange referral for family therapy to deal with home stressors:
While family therapy may be beneficial for addressing home stressors, it is not the first step when there is a suspicion of physical abuse. The priority in cases of suspected abuse is to ensure the client's safety and to report the suspicion to the appropriate authorities.
B. Follow the agency's guidelines for reporting suspected abuse:
This is the correct action to take first. Nurses are mandated reporters, and they must follow their agency's protocols and legal requirements for reporting suspected abuse. Reporting ensures that the client's situation is investigated promptly, and appropriate interventions are implemented to protect the client.
C. Check the bruises at the next visit to the client's home:
Delaying action and waiting until the next visit to check the bruises is not appropriate in cases of suspected abuse. Immediate action is necessary to address the safety of the client. Suspected abuse should be reported promptly to the relevant authorities for investigation.
D. Institute more frequent visits to the client's home:
Increasing the frequency of visits may not address the immediate safety concerns of the client if abuse is suspected. While increased monitoring may be necessary in certain situations, reporting the suspicion of abuse and initiating appropriate interventions should take precedence.
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