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Journal of Neuroscience Nursing:
doi: 10.1097/JNN.0000000000000071
CE Test: Online Only

The Effectiveness of Four Translational Strategies on Nurses’ Adoption of an Evidence-Based Bladder Protocol

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PURPOSE: The purpose of this learning activity is to examine a study measuring translational interventions related to stroke patients who are incontinent.

OBJECTIVES: After reading this article and taking this test, the reader will be able to:

1. State the purpose of translational strategies and their use for changing nursing practice.

2. Understand this study’s design.

3. Identify results of this research study.

1. The main purpose of this study was to

a. evaluate the difference in incontinence episodes of stroke patients before and after nurses received intervention.

b. examine effects of four translational strategies on nurse’s adoption of an evidence-based bladder program for stroke patients.

c. evaluate the influence of nurses’ attitudes on adoption of an evidence-based program after receiving intervention.

d. evaluate the influence of nurses’ demographics on the adoption of an evidence-based program after receiving intervention.

2. Best evidence for nursing practice is clinically relevant research from

a. patient-centered clinical research.

b. basic sciences of medicine.

c. experimentally designed studies.

d. studies that incorporate multiple disciplines.

3. Which is the most commonly studied translational strategy?

a. audit and feedback

b. educational materials

c. reminders

d. educational meetings

4. Evidence from a meta-analysis showed which strategy had the largest effect on guideline implementation?

a. educational materials

b. educational meetings

c. audit and feedback

d. reminders

5. The primary translational strategy used in this study was

a. research reports.

b. policy changes.

c. clinical practice guideline.

d. interdisciplinary working teams.

6. Which aspect within the prompted voiding algorithm has the highest level of evidence?

a. initiate individualized prompted voiding schedule

b. minimize caffeinated and alcoholic beverages

c. history of incontinence

d. address constipation and fecal impaction

7. This study took place in a/an

a. rehabilitation unit.

b. long-term care unit.

c. observational unit.

d. acute care unit.

8. Effectiveness of the intervention was measured by

a. an e-mailed survey.

b. observation.

c. chart reviews.

d. an on-line questionnaire.

9. Nurses’ attitudes toward research utilization was measured using

a. a survey.

b. observation.

c. chart reviews.

d. on-line questionnaires.

10. A dependent variable for this study was

a. age.

b. adoption rate.

c. basic nursing education.

d. years worked as a nurse.

11. The mean age of the participating nurses was about

a. 22.

b. 34.

c. 45.

d. 56.

12. About what portion of the nurses completed a baccalaureate degree?

a. one-quarter

b. one-third

c. one-half

d. three-quarters

13. How many patients with incontinence were included in this study?

a. 15

b. 29

c. 63

d. 108

14. After the intervention, the mean protocol adoption rate

a. vacillated.

b. halved.

c. remained almost unchanged.

d. approximately doubled.

15. After the intervention, the mean rate of incontinence episodes was reduced by about

a. 2%.

b. 16%.

c. 57%.

d. 84%.

16. Which independent variable was highly correlated with protocol adoption?

a. gender

b. education

c. research attitudes

d. nursing years

17. Which concept was not studied but was an area of concern?

a. the role of boundary spanners

b. combined use of 4 translational strategies

c. sustainability

d. the effect of combined academic and practice models for research

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