The dressing covering the pressure ulcer on a client's heel ...

[lunatika]

The dressing covering the pressure ulcer on a client's heel frequently becomes loosened and re-quires repeated reinforcement. The nurse asks, What can be done to improve the adhering prop-erties of this type of dressing? The nurse has just formulated a:
 
  1. PICO-formatted question
  2. Research question (hypothesis)
  3. Problem-focused triggered question
  4. Knowledge-focused triggered question

Question 2

A nurse reads about a case study involving the potential positive effects of the early stimulation of posthead-injury clients. Which of the following questions should be a priority consideration before use of the research results?
 
  1. What was the cost of the study?
  2. Were ethical principles maintained?
  3. Were the results of this study published in other journals?
  4. Are the clients in the study similar to clients I work with?

[1_Step_At_ATime]

Answer to Question 1

ANS: 3
A problem-focused trigger question is one you face while caring for a client or a trend you see on a nursing unit. For example, while caring for an unconscious client, you think, What is the best solution to use when giving mouth care to this client?
The more focused a question you ask, the easier it will be to search for evidence in the scientific literature. PICO is a formatting process used when searching the literature for information on a specific topic.
Hypotheses are predictions made about the relationship or difference between study variables (a concept, characteristic, or trait that varies within subjects).
A knowledge-focused trigger is a question regarding new information available on a topic. For example, What is the current evidence to improve pain management in clients with migraine headaches?

Answer to Question 2

ANS: 4
Determination of whether the subjects and environment in the study are similar to the clients for whom the nurse provides care in the particular practice setting is necessary before research can be considered for use in practice.
Although cost may be a consideration in determining the feasibility of applying research findings, it is not the priority consideration for research utilization. The research findings would first have to be applicable to the practice setting and client population.
Even though research may indicate ethical principles were maintained, it does not necessarily mean that it is feasible to apply the findings in practice. For example, cost issues may limit the use of research findings.
The number of journals that published the research results of the study should not be the priority consideration in implementation of its findings. To judge the scientific worth of the study; how-ever, it is important to examine the amount of supportive evidence provided by other scientific studies that have obtained similar results.

[lunatika]

Both answers were spot on, thank you once again

[1_Step_At_ATime]

Great! Please up vote