Promoting the Utilization of Science in Healthcare (PUSH) Project: A Description of the Perceived Barriers and Facilitators to Research Utilization Among Pediatric Nurses

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• Read the article on page 113.
• Take the test. Each question has only one correct answer.
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CE TEST QUESTIONS

GENERAL PURPOSE: To present a study of the barriers to using research and evidence-based practice (EBP) to inform and drive clinical nursing.

LEARNING OBJECTIVES/OUTCOMES: After completing this educational activity, you should be able to:

1. Describe the background supporting the relevance of the research study and the study methodology.

2. Explain the facilitators and barriers identified by the study and the implications for practice.

1. How does EBP differ from research utilization?
1. EBP is the use of knowledge typically from one study.
2. EBP involves the synthesis of evidence from multiple sources.
3. Research utilization refers only to peer-reviewed published studies.
2. As identified by Atkinson et al. (2008), barriers to research utilization and EBP among nurses include
1. difficulty in understanding terminology and statistics.
2. lack of interest in research.
3. unavailability of relevant publications.
3. In the studies by Black et al. (2015), Fink et al. (2005), and Hutchinson and Johnston (2006), nurses reported a lack of knowledge and skill related to
1. integrating EBP into policy and procedure.
2. searching for relevant research articles.
3. critiquing and appraising evidence.
4. What type of research design was used in the study?
1. quasiexperimental
2. descriptive cross-sectional
3. randomized controlled trial
5. Nurses were invited to participate in the study through recruitment e-mails sent by
1. their immediate supervisors.
2. the department of human resources.
3. the hospital’s information technology department.
6. What served as the theoretical basis for the Barriers to Research Utilization Scale (BARRIERS Scale)?
1. Neuman’s Systems Model
2. Rogers’ Diffusion of Innovation Theory
3. Roy’s Adaptation Model of Nursing
7. The four factors of the BARRIERS Scale are characteristics of the adopter, innovation, communication, and
1. organization.
2. education.
3. experience.
8. The number of eligible nurses who responded and returned a completed baseline questionnaire was
1. 890.
2. 369.
3. 337.
9. The majority of the respondents were
1. staff nurses.
2. nurse educators or preceptors.
3. advanced practice nurses.
10. Some of the nurses’ responses described a research friendly environment/organizational culture as one that
1. conducts ongoing research in every department.
2. requires a desire for best practice.
3. integrates nursing theory into patient care.
11. Professional incentives that nurses identified as facilitators included
1. competitive pay scales.
2. management buy-in.
3. clinical ladders that encourage research.
12. Examples of shared governance include
1. clinical ladders.
2. practice councils.
3. centralized scheduling.
13. The six common themes identified as moderate to severe barriers to using research and EBP included all of the following except
1. management does not support new ideas.
2. the nurse is unaware of the research.
3. not enough time to read research.
14. Of the common themes identified as barriers, which ranked the highest?
1. statistical analyses are not understandable
2. amount of information is overwhelming
3. insufficient time on the job to implement new ideas
15. Results indicated that the nurses’ attitude toward research was mostly
1. positive.
2. slightly positive.
3. negative.
16. The study results indicated a need to provide greater education and
1. increased staffing.
2. mentorship support.
3. clinical supervision.
17. The most significant limitation of this study as identified by the authors was its
1. small sample size.
2. low response rate.
3. inability to be replicated.