1) A clinical educator is conducting a class on “Research in Practice”. What information about clinical practice guidelines should the educator include? Select all that apply.
CPGs are often based on multiple systematic reviews.
Authors of CPGs may conduct their own systematic reviews
CPGs always use only primary research reports to make recommendations.
CPGs use expert opinion to make recommendations in the absence of research
2) A home health nurse is reviewing clinical practice guidelines CPGS to create a policy on nursing interventions 4G tube placed in the stomach why is searching for the literature, the nurse finds a CPG how about temporary naso-gastric tubes placed in the nose. The nurse knows that none of the home health agency’s patients have naso-gastric tubes and rejects the CPG for review. What is the most likely reason the nurse rejected the CPG?
1) The CPG is not statistically significant
2) The CPG is not applicable to the agencies patients
3) The CPG is not credible
4) The CPG is not reliable
3)A team of nurses working for the American Nurses Associate is creating a new Clinical Practice Guideline for the discharge care of heart failure patients. No systematic reviews exist for the patient population. What should the team of nurses search for next?
A) qualitative research reports
B) quantitative reports for observational studies
C) quantitative reports of experimental studies
4) A team of nurses working for the American Nurses Association is searching for secondary source research evidence to create a Clinical Practice Guideline. Out of the following selections, what type of evidence should be searched for first and be used, if available?
1) systematic reviews
2) qualitative research reports
3) individual studies that use mixed methods
4) quantitative reports of individual studies
5) Which of the following improves upon the process of care delivery
1) evidence based practice
2) clinical practice guidelines
3) research
4) quality improvement
6) The following describes how articles were found for a systematic review and how the data from the articles were analyzed. What type of systematic review is described?
The sources of information for the researched data are the databases MEDLINE. PubMed and Scopus. The research was concluded using keywords found in descriptors. MeSH: diabetes mellitus, diabetic neuropathies, and risk factors. SPSS was used for statistical analysis, and the Odds Ratio was calculated with 95% confidence interval (CI), Eighty-three references were found, of which 17 met the criteria and were then included in the present review.
a) systematic review with statistical synthesis
b) systematic review of systematic reviews
c) systematic review with narrative synthesis
d) systematic review with qualitive synthesis
7) Which of the following are key features of systematic reviews? Select all that apply.
1) The search for relevant literature is limited
2) The production process is included in the report
3) Systematic reviews include expert opinion
4) The studies used are appraised
8) A systematic review contains the following wording. What does this wording represent?
An extensive review was made of the available literature in English and Persian databases (1985-2015), including ISI, SCOPUS, Ovid, ProQuest, Iranmedex, Google Scholar, Pub Med, and Scientific Information Database (SID). The keywords searched included “nursing student competency” nursing student ability”, undergraduate nurses competency. “Nursing student professional,” “nursing student skill,” clinical and educational nursing competency,” clinical qualification in nursing student and different combinations of the aforesaid words.”
1) Inclusion/ exclusion criteria
2) evidence table
3) quality appraisal of studies
4) search strategy for relevant articles
9) A systematic review of studies investigating the competency of nursing students contains the following wording. What does this wording represent?
“Articles selected were published between 1985 to August 2015; written in either the English or the Persian language; electronic published with a formal peer review process; addressed the study questions and purpose; and applied different aspects of competency in nursing students.”
1) inclusion/exclusion. criteria
2) quality appraisal of studies
3) search strategy for relevant articles
4) evidence table
10) There are several types of systematic reviews to synthesize research evidence. Which systematic review represents the strongest evidence?
1) Statistical analysis control trials
2) Narrative analysis of correlational studies
3) Summaries of qualitive studies
4) Statistical analysis of observational studies
1) A home health nurse reviewing Clinical Practice Guidelines (CPGs) to create a policy on nursing interventions for G-tubes placed in the stomach. While searching the literature, the nurse finds a CPG about temporary naso-gastric tubes placed in the nose. The nurse knows that none of the home health agency’s patients have naso-gastric tubes and rejects the CPG for review. What is the most likely reason the nurse rejected the CPG?
1) The CPG is applicable to the agency’s patients
2) The CPG is not credible
3) The CPG is not reliable
4) The CPG is not statistically significant
2) A nurse on a policy review committee is appraising a Clinical Practice Guideline on wound care. The nurse notices that the CPG was written by the Wound and Ostomy Nurse Society, was updated in 2016, and uses systematic reviews that contain randomized control trials to make recommendations. This information is important to appraise the CPG in which appraisal domain?
1) reliability
2) applicability
3) credibility
4) clinical significance
3) A clinical educator is conducting a class on “Research in Practice.” What information about Clinical Practice Guidelines should the educator include? Select all that apply.
1) CPGs are often based on multiple systematic reviews
2) Authors of CPGs may conduct their own systematic reviews
3) CPGs use expert opinion to make recommendations in the absence of research evidence
4) CPGs always use only primary research reports to make recommendations
4) A team of nurses for the American Nurses Association is creating a new Clinical Practice Guideline for the discharge care of heart failure patients. No systematic reviews exist for this patient population. What should the team of nurses search for next?
A) qualitative research reports
B) quantitative reports of observational studies
C) quantitative reports of experimental
D) systematic reviews
5) Which of the following are key features of systematic reviews? Select all that apply.
1) The production process is included in the report
2) Systematic reviews include expert opinion
3) The studies used are appraised
4) The search for relevant literature is limited
6) The following describes how articles were found for a systematic review and how the data from the articles was analyzed. What type of systematic review is described?
The sources of information for the researched data are the databases MEDLINE/PubMed Scopus. The research was conducted using the keywords found in descriptions/MeSH: diabetes mellitus, diabetic neuropathies and risk factors SPSS was used for statistical analysis, and the Odds Ratio was calculated with a 95% confidence interval (CI). Eighty three references were found, of which 17 met the criteria and were then included in the present review.
a) systematic review of systematic reviews
b) systematic review with systematical synthesis
c) systematic review with qualitive synthesis
d) systematic reviews with narrative synthesis
7) Systematic reviews (also know as “research summaries”) are based on multiple clinical practice guidelines.
1) True
2) False
8) A systematic review contains the following wording. What does this wording represent?
An extensive review was made of the available literature in English and Persian databases (1985-2015), including ISI, SCOPUS, Ovid, ProQuest, Iranmedex, Google Scholar, Pub Med, and Scientific Information Database (SID). The keywords searched included “nursing student competency” nursing student ability”, undergraduate nurses competency. “Nursing student professional,” “nursing student skill,” clinical and educational nursing competency,” clinical qualification in nursing student and different combinations of the aforesaid words.”
1) evidence table
2) search strategy for relevant articles
3) inclusion/exclusion criteria
4) quality appraisal of the studies
10) Which of the following improves upon the process of care delivery?
1) evidence-base practice
2) quality improvement
3) clinical practice guidelines
4) research
