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

Evaluate the quality of the research against the standards for that type of research.

Select only studies with a sample size of at least 100 people.

Discard systematic reviews and meta-analyses since they are the weakest form of evidence.

Accept only studies that use a randomized controlled trial design.

Answer and Explanation

The Correct Answer is A

A. Evaluate the quality of the research against the standards for that type of research: Assessing research quality based on established standards ensures that the study's design, methodology, and findings are reliable and valid for its particular research type.
B. Select only studies with a sample size of at least 100 people: While sample size is important, it is not the sole determinant of a study's quality. Other factors like study design, methodology, and relevance also play crucial roles.
C. Discard systematic reviews and meta-analyses since they are the weakest form of evidence: Systematic reviews and meta-analyses are actually considered high levels of evidence as they synthesize data from multiple studies, providing comprehensive insights.
D. Accept only studies that use a randomized controlled trial design: While RCTs are a gold standard for certain types of research, other study designs are also valuable and appropriate depending on the research question and context.

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Correct Answer is C

Explanation

A. Evidence-based practice should focus solely on the advancement of the nursing profession, while prohibiting involvement of other healthcare disciplines: Evidence-based practice involves a multidisciplinary approach to improve patient outcomes, not limited to nursing alone.
B. Evidence-based practice replaces continuous quality improvement: Evidence-based practice complements continuous quality improvement rather than replacing it, as both aim to enhance patient care and outcomes.
C. Evidence-based practice integrates the best research evidence with clinical expertise and the patient's unique values and circumstances in making care decisions: This definition accurately describes evidence-based practice, highlighting the integration of research, clinical expertise, and patient preferences.
D. Evidence-based practice began with medicine and assists in determining which medical models can be applied in nursing practice: While evidence-based practice has roots in medicine, it has evolved to be a fundamental aspect of nursing and other healthcare disciplines, emphasizing a broader application beyond medical models.

A. Surgery to the wrong site was stopped prior to a procedure. B. Paralysis of a client's lower extremities occurred following epidural anesthesia. C. A client fall during ambulation did not result in client injury. D. A complaint that a nurse was culturally insensitive was made by a client's family member.

Correct Answer is B

Explanation

A. Surgery to the wrong site was stopped prior to a procedure: This incident was prevented before harm occurred and is not considered a sentinel event since no actual harm was inflicted.
B. Paralysis of a client's lower extremities occurred following epidural anesthesia: This represents a significant adverse outcome that has resulted in severe harm and is considered a sentinel event, which requires thorough investigation and response.
C. A client fall during ambulation did not result in client injury: Although falls are a concern, the lack of injury means this incident may not be classified as a sentinel event.
D. A complaint that a nurse was culturally insensitive was made by a client's family member: While important for addressing care quality and communication, this complaint does not typically constitute a sentinel event as it does not directly involve significant harm or risk.

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

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Naxlex Comprehensive Predictor Exams

Which of the following is most accurate regarding evidence-based practice?

Correct Answer is C

Explanation

A nurse is a member of a quality-improvement committee seeking to reduce the risk of adverse events in a health care facility. When reviewing recently submitted incident reports, which of the following incidents should the nurse identify as a sentinel event?

Correct Answer is B

Explanation

To help nurse managers better manage their time, the chief nursing officer suggests that they:

During an annual performance evaluation, a manager provides truthful feedback about the nurse's performance. What ethical principle does this represent?

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?

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