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Which of the following is the last stage in Stetler's research utilization model?


A) Evaluation
B) Comparative Evaluation
C) Translation/Application
D) Preparation

E) A) and D)
F) None of the above

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The Agency for Healthcare Research and Quality (AHRQ) is noted for development of which of the following?


A) A use model for the implementation of research findings in the provision of health care
B) An international panel of experts to determine the areas requiring research to improve health care
C) Clinical practice guidelines to direct health care practices
D) Integrative reviews of nursing research to be shared with other health care providers

E) All of the above
F) A) and D)

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Which of the following correctly indicates the amount of clinical control nursing has over the implementation and evaluation of an intervention?


A) Dependent variables must be under nursing control.
B) Experimental controls must be maintained in the clinical area when the intervention is implemented in daily practice.
C) Nursing must have independent control over the intervention if it is to be implemented successfully.
D) Valid clinical measures need to be available to clinical nurses to monitor outcomes from interventions.

E) A) and C)
F) A) and B)

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Which of the following is one of the characteristics of an innovation that determines the probability and speed at which an idea will be adopted?


A) Authenticity
B) Compatibility
C) Multiplicity
D) Uniqueness

E) B) and D)
F) A) and D)

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Which of the following is a correct statement regarding a change in practice based on research evidence?


A) All members of the health care team need to be vigilant about monitoring the results of the implementation.
B) Generally the physician takes over the responsibility for monitoring effectiveness of the change.
C) It is not necessary to constantly monitor the results as with research use projects.
D) Because nurses are with the patients all the time, they alone are responsible for monitoring change.

E) A) and D)
F) All of the above

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A

Research utilization is characterized by:


A) a doctorally-prepared nurse directing a multisite study.
B) complicated and sophisticated protocols for collecting empirical evidence.
C) use of nursing research only by the nursing community.
D) using research knowledge in practice to achieve the desired outcomes.

E) B) and D)
F) None of the above

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D

As a nurse who identifies a need for improvement in patient care, what would you do first to establish a new evidence-based guideline for practice?


A) Conduct a thorough literature review.
B) Enlist the support of affiliating physicians.
C) Institute a research use project.
D) Write the National Guideline Clearinghouse for information.

E) A) and D)
F) All of the above

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Developing evidence-based guidelines involves which of the following?


A) Meta-analyses of a topic of interest
B) Panels of experts sharing their opinions on best practices
C) Quasi-experimental studies
D) Rigorous experimental studies

E) None of the above
F) C) and D)

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Which strategy would best address the difficulty practicing nurses have with understanding research terminology?


A) Authorization for a federally funded national program to educate all nurses regarding research terminology
B) Increased publication of research articles targeted at the practicing nurse instead of nursing scientists
C) Knowledge of the research process incorporated into the NCLEX
D) Mandated entry level for nursing at the baccalaureate level

E) C) and D)
F) B) and D)

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The best measure of successful evidence-based practice is:


A) acceptance of the practice to the point of being included in the policy manual.
B) agreement of the health care team, which leads to consistent care for the patient.
C) dissemination of the practice in nursing journals.
D) patient satisfaction and positive outcomes increasing.

E) A) and B)
F) A) and D)

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An organization that facilitates research use would be characterized by:


A) a management style that supports nurses.
B) committed use of acceptable nursing policies and practices.
C) reluctance to change.
D) support for new ideas and innovations.

E) A) and B)
F) A) and C)

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Use of research findings in clinical areas is slow because:


A) institutions prohibit use of nursing research.
B) little clinically relevant research is being done.
C) nurses are not usually rewarded for using research findings in practice.
D) there is no nursing research to guide clinical practice.

E) All of the above
F) A) and C)

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In developing an evidence-based practice, who should the nurse include in any plans to implement a new guideline?


A) CEO of the facility because support from the top is always needed for change to be successful
B) Patients because they must live with the treatment
C) Physicians who may admit patients to the unit where the new practice will be instituted
D) Researchers who provide the evidence

E) A) and B)
F) B) and D)

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Which of the following strategies for use is most amenable to adoption by baccalaureate nursing students and new graduates?


A) Making poster presentations at local and regional clinical nursing conferences
B) Preparing integrative reviews of completed research for publication in clinical journals
C) Reading professional journals critically and reporting the findings at staff meetings
D) Replicating studies and publishing the results in refereed journal

E) A) and D)
F) B) and C)

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Which of the following is related to the feasibility of implementing a new nursing intervention?


A) Degree of change people will need to make
B) Relevance to health care practice
C) Reliability and validity of the measures used
D) Significance of scientific merit

E) A) and C)
F) A) and B)

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A model of research use, such as the Stetler model, has been designed to:


A) provide a comprehensive framework to enhance the use of research evidence by nurses to facilitate an evidence-based practice.
B) help nurses find perfect research studies for clinical application.
C) promote implementation of detailed, structured protocols based on single studies in practice.
D) validate use of current practices and minimize change in practice.

E) All of the above
F) B) and D)

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Which of the following is an accurate statement about the research use process?


A) If nurses decide not to implement findings of a study or set of studies, they are resistant to change.
B) Making a decision to delay use of research findings in practice indicates the process was not carried out properly.
C) Support for change will be stronger when this type of process is used to introduce new ideas and treatments.
D) This process is only appropriate for experienced researchers and not staff nurses.

E) A) and B)
F) A) and C)

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Which of the following would new BSN graduates do if they wanted to develop an evidence-based practice?


A) Review literature related to the types of patients they see each day.
B) Subscribe to a specialty nursing journal that describes theoretical-based clinical concepts.
C) Submit a grant proposal to try a new method of wound dressing.
D) Write a report in which practices are evidence based on their unit.

E) B) and D)
F) None of the above

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A

Stetler and Marram developed a model concerned with:


A) research use.
B) role progression from novice to expert.
C) strategies for coping and change.
D) system stability and adaptability.

E) A) and D)
F) None of the above

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