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 A

Explanation

A. Incidence of catheter-induced urinary tract infections: Outcome audits measure the results or outcomes of care, such as the incidence of infections, reflecting the effectiveness of care interventions.
B. Nursing staff ratios: This pertains to a process or structure audit, which examines staffing levels and their adequacy rather than the outcomes of care.
C. Availability of resources, such as fire extinguishers: This is assessed by a structure audit, focusing on the availability and adequacy of resources rather than client care outcomes.
D. Quality of nursing care provided: While important, quality of care is typically assessed through various audit types including process and outcome audits, and is not specifically categorized under outcome audits alone.

A. Evidence-based practice should focus solely on the advancement of the nursing profession, while prohibiting involvement of other healthcare disciplines. B. Evidence-based practice replaces continuous quality improvement. C. Evidence-based practice integrates the best research evidence with clinical expertise and the patient's unique values and circumstances in making care decisions. D. Evidence-based practice began with medicine and assists in determining which medical models can be applied in nursing practice.

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.

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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

A nurse in an acute care setting is serving on a committee whose charge is to use the auditing process to client care. Which of the following aspects of client care is measured by an outcome audit?

Correct Answer is A

Explanation

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

Correct Answer is C

Explanation

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?

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

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