Question 1

The unit manager is interested in reducing infections on a surgical unit by changing the unit's handwashing policy. Which information should the nurse draw from to support the need for change?&#10;A) Systematic reviews&#10;B) Practices of other facilities&#10;C) Infection rates of a nearby hospital&#10;D) Local studies of prevalent infections

Accepted Answer

Systematic reviews provide cumulative evidence from the findings of pertinent studies that policy makers and clinical practitioners can draw on. Therefore, systematic reviews can be used to employ evidence-based best practice, designed to
achieve positive outcomes and patient satisfaction.

Question 2

The nurse leader is interested in influencing standards of patient care. Which should the nurse leader look to for guidance?&#10;A) Evidence-based practice&#10;B) Systematic reviews&#10;C) Trending research&#10;D) Hospital data

Accepted Answer

Systematic reviews provide cumulative evidence from the findings of pertinent studies that policy makers and clinical practitioners can draw on. Other benefits include helping to reform and direct policy, and clinical decision making, and the development of standards to ensure correct implementation of recommended guidelines.

Question 3

What does the nurse leader recognize as a benefit of systematic review?&#10;A) Access to single, independent studies&#10;B) Access to a variety of outcomes for a topic&#10;C) Condensed information&#10;D) Research topics from various places and times

Accepted Answer

Systematic reviews contain large amounts of information from research that are condensed and easier to grasp, which is a benefit.

Question 4

Systematic reviews are criticized because they:&#10;A) contain large amounts of information that is condensed.&#10;B) lack precise guidance on what indicates evidence of effective or ineffective interventions.&#10;C) lack study topics.&#10;D) contain outdated information that is hard to follow.

Accepted Answer

Systematic reviews often receive criticism for not incorporating precise information on what indicates evidence of effective or ineffective interventions.

Question 5

The nurse is working with a team to perform data extraction on a sample of studies. What should the nurse keep in mind when creating the data extraction form?&#10;A) Create a system of codes that the team will understand&#10;B) Create a new date extraction form for each project.&#10;C) Use a form that has been tested and approved.&#10;D) Refrain from adapting the systematic review to suit the purpose.

Accepted Answer

A copy of the date extraction form should be included in the review protocol. Because reviews are carried out on several studies, it is pragmatic to use a well-devised, purposeful, tested, and approved data extraction form.

Question 6

During the process of data extraction, what should the nurse keep in mind?&#10;A) The reviewer's full names should be included in the review.&#10;B) The overall opinions of the reviewers should be included in the review.&#10;C) Contact should not be made with the authors of the study.&#10;D) The social implications of the studies should be recorded.

Accepted Answer

It is important that the social and economic implications of the studies be recorded, as well as the cost-effectiveness.

Question 7

Which statement is true about meta-analysis?&#10;A) Meta-analysis creates specific findings for populations.&#10;B) Meta-analysis is always an option for organizing information in studies.&#10;C) Meta-analysis offers an unbiased synthesis of data.&#10;D) Meta-analysis involves a hands-off approach to data collection.

Accepted Answer

Meta-analysis allows for generalizing findings from related studies to the target population indicated in those studies, and offers an unbiased synthesis of data.

Question 8

Which should the nurse be prepared to do in ground theory synthesis?&#10;A) Compare unrelated occurrences within in a group.&#10;B) List categories according to size and relevance.&#10;C) Report in generalities.&#10;D) Delimit the emerging theory.

Accepted Answer

In grounded theory synthesis, concepts are developed from the qualitative data by carrying out simultaneous coding and analyzing. The nurse should be prepared to delimit the emerging theory.

Question 9

What should the nurse be prepared to do in the third stage of thematic synthesis?&#10;A) Produce analytical themes.&#10;B) Analyze data.&#10;C) Enter data into the clinical system.&#10;D) Develop codes of themes from the word-based findings.

Accepted Answer

Thematic synthesis involves three stages: developing codes of themes from word-based findings, organizing codes into appropriate categories of descriptive themes, and producing analytical themes.

Question 10

In qualitative cross-case analysis, how should the nurse be prepared to organize data?&#10;A) Tables or matrices&#10;B) Graphs or bars&#10;C) Detailed paragraph report of findings.&#10;D) Abstract overview of findings.

Accepted Answer

Qualitative cross-case analysis findings are organized into tables or matrices.

Deck 3: Systematic Reviews: Consolidating Research Evidence for Ebp