chapter 4

Question 1

what is critical appraisal of a research?

Answer 1

in-depth review of how each step of the research was undertaken

Question 2

why is critical appraisal important?

Answer 2

it helps distinguish good evidence from unreliable evidence and unbiased evidence from biased evidence

Question 3

what should nurses be careful of in terms of research?

Answer 3

nurses should NOT accept research at face value.

need skills to determine the strengths and limitations of both quantitative and qualitative research when reviewing the available literature on a topic

Question 4

what are the THREE evidence necessary to integrate into decision making?

Answer 4

1) systematic inquiry (research aka external evidence as PRIMARY basis for clinical decision)

2) practitioners expertise - fill gaps and combine external evidence with practice based evidence aka internal evidence to result in aesthetically knowledge

3). patient’s choices and concerns

Question 5

true or false? all 3 are needed to make a decision in terms of evidence based practice?

Answer 5

TRUE. each alone is NOT sufficient

Question 6

what are the 3 areas we use to grade the strength of evidence?

Answer 6

1) quality (critical appraisal) i.e., sample size, variables, measurements

2) quantity - number of studies conducted on the issue to confirm the evidence

3) consistency - similar findings across various design

Question 7

what is internal evidence generated by?

Answer 7

quality improvement which focus on improving practice

Question 8

what do you get when you combine internal and external evidence?

Answer 8

The PDSA cycle
Plan
Do
Study
Act

Question 9

what internal evidence is used to track outcomes in canada?

Answer 9

Canadian institute of health information