Evidence-Based Practice & Research Flashcards

Before implementing an evidence-based practice change that affects patient care, which approval is typically required at the institutional level?

Answer: Institutional Review Board (IRB) approval for research; quality improvement projects may follow a separate approval pathway

Research involving human subjects requires IRB approval; quality improvement projects typically follow a separate institutional review pathway that does not require full IRB review.

A CNL implements a new evidence-based protocol and evaluates it using a run chart showing data over 12 weeks. Which pattern would indicate a true practice improvement?

Answer: A non-random shift of six or more consecutive data points above or below the median

Statistical process control rules define a non-random signal as six or more consecutive points on one side of the median, indicating a true shift in performance.

Which organization published 'To Err is Human,' the landmark report that catalyzed the modern patient safety movement?

Answer: Institute of Medicine (IOM), now the National Academy of Medicine

The 1999 IOM report 'To Err is Human' estimated 98,000 annual preventable deaths in U.S. hospitals and fundamentally shaped the patient safety and quality improvement agenda.

In conducting a literature review for EBP, a CNL should prioritize which type of source?

Answer: Peer-reviewed primary research and systematic reviews published in indexed journals

Peer-reviewed primary research and systematic reviews from indexed journals represent the most rigorous, independently validated sources of clinical evidence.

A CNL implements an EBP change and collects data showing improvement. The CNL then presents findings to hospital leadership. This step is BEST described as:

Answer: Dissemination of EBP outcomes

Dissemination involves communicating EBP findings and outcomes to stakeholders, which is essential for sustaining change and spreading successful practices.

Which model was specifically developed to guide nurses through the process of translating research evidence into clinical practice?

Answer: Iowa Model of Evidence-Based Practice

The Iowa Model provides a structured, decision-point-driven framework for nurses to evaluate evidence and implement practice changes within clinical organizations.