1. A nurse is conducting a systematic review of randomized
controlled trials on the effectiveness of acupuncture for
chronic pain. She searches several databases and finds 10
relevant studies. She then assesses the quality of each study
using a standardized tool. What is the next step in her
systematic review process?
a) Summarize the results of each study in a table
b) Perform a meta-analysis to combine the results of the
studies
c) Write a conclusion based on the findings of the studies
d) *Synthesize the findings of the studies and identify any
gaps or inconsistencies*
Rationale: The next step after assessing the quality of the
studies is to synthesize the findings and identify any gaps
or inconsistencies that may affect the validity or
generalizability of the results. A meta-analysis is a
statistical technique that can be used to synthesize the
findings, but it is not always appropriate or feasible. A
summary table and a conclusion are part of the final report,
but they are not the next step in the process.
2. A nurse is caring for a patient with diabetes who has a
foot ulcer. She wants to use an evidence-based practice
guideline to inform her wound care. She searches online
and finds a guideline from a reputable source that was
published two years ago. What should she do before
applying the guideline to her patient?
a) *Appraise the guideline for its quality, relevance, and
applicability*
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