1. Referring to the Registered nurse standards for practice (2016), explain the role of evidence based practice in nursing profession? (Max 100 words, 2marks) 2. How the Evidence Based Practice model can be integrated in to the tanner’s model of clinical judgment to enhance nurses’ clinical decision makings? (Max 150 words, 2 marks) 3. One of the components of Evidence Based Practice is consideration of the patient’s values and preferences. What does this mean? Using an example, explain the importance of this component (max 100, 2 marks). 4. What are some barriers to implementation of evidence based practice? (Max 3 barriers, 1.5 marks) 5. What strategies canfacilitate evidence based practice in the clinical settings? (Max 3 strategies, 1.5 marks) 6. Why randomised controlled trails are considered as ‘higher level evidence’ compared with cohort studies? (max 50 words, 2 marks) 7. What is the difference between primary and secondary studies? (1 marks) PART THREEE: Research methodology and results (17 marks) Read the article by Skou et al. (2015) titled ‘A Randomized, Controlled Trial of Total Knee Replacement’. A copy of this article is in Assessment 2 folder. 8. What was the aim of this study (1 mark)? 9. What was the independent variable in this study (0.5 mark)? 10. What were dependant variables (name three dependant variables) (1.5 marks)? 11. The study used an intention to treat analysis. What does this mean (1 marks)? 12. How the risk of placebo effect can affect the results of this study? (2 marks) 13. Who was blind to the group allocations in this study (0.5 mark)? 14. Did the study use an adequate sample size? (Justify your answer, 1.5 marks): 15. In this study, the baseline characteristics were similar between intervention and control group participants, why is this important? (1 mark): 16. The study reports that in the total-knee-replacement group, the increase in the KOOS score (Knee Injury and Osteoarthritis Outcome Score) was 32.5 (95% CI, 26.6 to38.3), see Table 2. How would you interpret this result? (3 marks). 17. Was the intervention (knee replacement plus 12 weeks non-surgical treatment) effective in improving ‘Time on the 20-m walk test’?, see Table 2. (Justify your answer, 3 marks) 18. Would you recommend kneereplacement to patients with moderate to server osteoarthritis? (Justify your answer taking into consideration the benefits and harms or costs of the intervention) (2 marks)
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