Exam (elaborations)
N580 Midterm 2024/2025 graded A+ by Experts
- Course
- MN 580
- Institution
- Purdue University
N580 Midterm 2024/2025 graded A+ by Experts
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N580Midterm
nurses
on
the
cutting
edge
-
ANSpromote
improvement
in
patient
outcomes
accomplish
this
through:
research,
EBP,
and
QI
nurses
achieve
personal
growth
through
and
expand
clinical
decision-making
skills
through...
-
ANSdevelopment
of
clinical
questions
literature
reviews
evaluation
of
evidence
in
literature
application
of
"best
available
evidence"
in
your
practice
nurses
as
knowledgable
consumers
-
ANSnurses
must
be
knowledgable
consumers
of
research
who
can
evaluate
the
strengths
and
weaknesses
of
research
evidence
and
use
existing
standards
to
determine
the
merit
and
readiness
of
research
for
use
in
clinical
practice
to
use
research
for
an
EBP
and
to
practice
using
the
highest
quality
processes,
you
do
not
have
to
conduct
research;
however,
you
do
need
to
understand
and
appraise
the
steps
of
the
research
process
in
order
to
read
the
research
literature
critically
and
use
it
to
inform
clinical
decisions
research
definition
-
ANSa
systematic
investigation,
including
research
development,
testing
and
evaluation,
designed
to
develop
or
contribute
to
generalizable
knowledge
quantitative
and
qualitative
research
studies
are
guided
by
research
questions
nurses
employ
the
same
methods
used
by
other
disciplines
yet
study
questions
are
relevant
to
nursing
practice
quantitative
vs.
qualititative
research
-
ANSquantitative:
encompasses
the
study
of
research
questions
and/or
hypotheses
that
describe
phenomena,
test
relationships,
assess
differences,
seek
to
explain
cause-and-effect
relationships
between
variables,
and
test
for
intervention
effectiveness--numeric
data
are
summarized
and
analyzed
using
statistics--techniques
are
systematic
and
methodology
is
controlled
qualititative:
question
is
about
understanding
the
meaning
of
a
human
experience
such
as
grief,
hope,
or
loss--meaning
of
an
experience
is
based
on
the
view
that
meaning
varies
and
is
subjective--context
of
experience
also
plays
a
role--generally
conducted
in
natural
settings
and
uses
data
that
are
words
or
text
rather
than
numeric
to
describe
the
experiences
being
studied--guided
by
research
questions
and
data
are
collected
from
a
small
number
of
subjects,
allowing
an
in-depth
study
of
a
phenomenon--subjective
approach
but
systematic
in
its
method
QI
definition
-
ANSsystematic
use
of
data
to
monitor
the
outcomes
of
care
processes
and
improvement
methods
to
design
and
test
changes
to
continuously
improve
the
quality
and
safety
of
health
care
systems
uses
currently
available
knowledge
to
improve
health
care
delivery
within
the
local
setting QI
elements
-
ANS1.
conducting
an
assessment
2.
setting
specific
goals
for
improvement
3.
identifying
ideas
for
changing
current
practice
4.
deciding
how
improvements
in
care
are
measured
5.
rapidly
testing
practice
changes
6.
measuring
improvements
in
care
7.
adopting
practice
change
as
new
standard
of
care
want
to
create
measurable
change
across
quality
domains
through
application
of
these
7
steps,
often
through
the
plan,
do,
study,
act
model
research
vs.
QI
-
ANSresearch
studies
generate
new
knowledge
that
is
generalizable
to
other
populations
and
settings
QI
projects
use
currently
available
knowledge
to
improve
health
care
delivery
within
the
local
setting
IRB
should
have
a
written
policy
and
template
for
determining
the
difference
between
humans
subjects
research
and
QI
research
and
EBP
-
ANSbest
research
evidence,
clinical
expertise,
and
patient
values
all
come
together
in
EBP
(see
Venn
diagram)
EBP
allows
one
to
systematically
use
the
best
available
evidence
from
research
with
the
integration
of
individual
clinical
expertise
as
well
as
the
patient's
values
and
preferences
to
make
clinical
decisions
developing
EBP
expertise
-
ANSconduct
effective
literature
reviews
develop
critical
reading
skill
process
1.
preliminary:
skimming
article
abstracts,
title
2.
comprehensive:
understanding
the
purpose
of
the
study
3.
analysis:
examining
the
study
components
4.
synthesis:
assessing
the
study's
validity
levels
of
evidence
-
ANSsee
pyramid
Level
I:
systematic
review
or
meta-analysis
of
RCTs,
evidence-based
clinical
practice
guidelines
based
on
systematic
reviews
Level
II:
well-designed
RCT
Level
III:
controlled
trial
without
randomization
(quasi-experimental
study)
Level
IV:
nonexperimental
study
(case-control,
cohort
studies)
Level
V:
systematic
reviews
of
descriptive
and
qualitative
studies
(metasynthesis)
Level
VI:
qualitative
studies
or
descriptive
studies
Level
VII:
opinion
of
experts
and
authorities,
expert
committee
reports
or
organizations,
not
based
on
research
EBP
steps
-
ANSask
gather
evidence
assess,
appraise,
synthesize
literature
act
evaluate
research
article
format
-
ANSabstract intro
or
background
section:
literature
review,
theoretical
framework,
hypothesis
and/or
research
question,
purpose
statement
methods:
research
design,
sampling,
instruments,
data
collection,
data
analysis
plan
results
discussion
(ties
everything
together):
recommendations
and
implications
references
research
journal
article
-
ANSqualitative,
quantitative,
mixed
methods
systematic
review
-
ANSsummation
and
assessment
of
group
of
studies
that
test
a
similar
research
question
meta-analysis
-
ANSsummary
of
a
number
of
studies
focused
on
one
question
or
topic,
and
uses
a
specific
statistical
methodology
to
synthesize
the
findings
in
order
to
draw
conclusions
about
the
area
of
focus--systematic
review
that
uses
statistical
techniques
to
summarize
and
assess
studies
integrative
review
-
ANSfocused
review
and
synthesis
of
research
or
theoretical
literature
in
a
particular
focus
area,
and
includes
specific
steps
of
literature
integration
and
synthesis
without
statistical
analysis;
can
include
both
quantitative
and
qualitative
articles
(sometimes
used
interchangeably
with
systematic
review)
meta-synthesis/meta-summary
-
ANSsynthesis
of
a
number
of
qualitative
research
studies
on
a
focused
topic
using
specific
qualitative
methodology
clinical
guidelines
-
ANSevidence-based
guidelines
are
those
developed
using
research
findings
consensus
or
expert-based
guidelines
are
developed
by
expert
panels
guidelines
have
been
developed
to
assist
in
bridging
practice
and
research
provide
clinicians
with
an
algorithm
for
clinical
management,
or
decision
making,
for
specific
diseases
(e.g.,
colon
cancer)
or
treatments
(e.g.,
pain
management)
NIH
strategic
plan
-
ANS1.
symptom
science:
promoting
personalized
health
strategies
2.
wellness:
promoting
health
and
preventing
disease
3.
self-management:
improving
QOL
for
individuals
with
chronic
illness
4.
end
of
life
and
palliative
care:
science
of
compassion
integrate
behavioral
and
biological
sciences
cross-cutting
areas
are
vital
to
the
advancement
of
nursing
science
1.
promoting
innovation:
technology
to
improve
health
2.
21st
century
nurse
scientists:
innovative
strategies
for
research
careers
PICO
question
-
ANSproblem/patient
population
intervention
comparison
outcome
nursing
research
is
significant
to
the
profession
of
nursing
because
it
promotes...
-
ANSgeneration
of
a
specialized
body
of
nursing
knowledge
for
use
in
nursing
practice action
that
demonstrates
the
role
of
a
knowledgable
consumer
of
nursing
research
-
ANSevaluating
the
credibility
of
research
findings
primary
value
of
evidence-based
practice
in
nursing
-
ANSincorporating
research
findings
with
clinical
expertise
when
individualizing
patient
care
the
research
question
and
study
purpose
are
located
in
the...
-
ANSintroduction
critical
step
for
the
QI
process
in
health
care
settings
-
ANSadopting
a
practice
change
as
a
new
standard
of
care
the
review
of
literature
is
important
to
the
research
process
because...
-
ANSit
guides
all
steps
of
the
research
process
most
relevant
and
frequently
used
source
of
nursing
literature
-
ANSCINAHL
how
far
back
should
a
literature
search
for
an
academic
paper
or
project
go?
-
ANS3-5
years
website
that
is
an
important
source
for
clinical
evidence
but
limited
as
a
provider
of
primary
documents
for
literature
reviews
-
ANSCochrane
Library
(see
pp.
52
&
56
for
tables)
where
do
research
problems
come
from?
-
ANSdirect
clinical
experience
critical
appraisal
from
the
scientific
literature
theories
and
conceptual
models
direct
clinical
experience
-
ANSday-to-day
interactions
lead
to
questions:
do
patients
being
discharged
from
a
hospital
have
special
learning
needs?
literature
search
is
needed
to
help
you
find
out
what
has
been
done,
and
to
refine
or
focus
in
on
the
specific
problem
you
will
address
critical
appraisal
from
the
scientific
literature
-
ANSliterature
can
serve
as
a
starting
point
a
reader
may
begin
to
question
practices
or
findings
because
of
flaws
in
logic
or
methodology,
due
to
personal
anecdotal
experience
or
the
source
of
the
study
you
may
find
conflicting
findings
in
literature
or
identify
gaps
in
literature
previous
studies
may
have
recommended
replication
or
extension/refinement
of
a
study
theories
and
conceptual
models
-
ANStheory:
provides
explanation
of
how
certain
concepts
or
abstract
ideas
are
related
to
each
other
and
serves
as
a
basis
for
explaining
events
or
predicting
future
events
conceptual
model:
not
in
itself
testable,
but
rather
focuses
attention
on
certain
concepts
and
their
relationships,
and
places
these
within
a
context
of
the
discipline
normally
need
many
theories
to
explain
a
conceptual
model
defining
the
problem
area
-
ANSstart
with
broad
area
of
interest
ask
what
about
this
topic
specifically
interests
me,
what
is
it
I
really
want
to
know
continue
to
ask
yourself
these
questions
until
you
have
focused
your
thoughts
into
a
specific
statement
that
you
can
write
out
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