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Terms in this set (119)
the national institute for nursing research and other experts in our profession identify priorities for nursing research. which of the following are nursing research PRIORITIES identifies by Schmidt and Brown? select all
- cultural and ethnic issues
-safe administration of medications
- symptom management
- end- of- life/palliative care
- addressing health disparities
some of the step of the research process are listed. order the steps from the first in the process to the last in the process.
1. identify the research question
2. conduct a review of the literature
3. implement the study
4. draw conclusions
a researcher's published articles report that "in the total of 218 survey respondents, nearly 60% (n=218) were female. " which of the sections of the research article contains this statement
which of the following was an example of unethical research experimentation on human beings?
nazi experiments during WWII
the belmont report (developed in baltimore in 1979) identified three major principles to be considered when conducting research with human beings. identify the 3 principles
respect for persons
nurses may encounter various professionals conducting research with their patients and/or family members. they may include nurses, physicians, pharmasists, social workers etc. which of the folllowing is a TRUE statement about the role of the nurse?
the nurse has a research imperative and a therapeutic imperative when research is conducted with their parents
according to schmidt and brown, the nurse plays an integral role in advancing EBP in the clinical setting. the authors stated that the registered nurses are responsible for designing and conducting studies that support the best practice on their unit. TRUE OR FALSE
no. RNs do not have the education and skills to design and implement research studies
when nurses adopt new practices that the research supports as best practice for their patients, they may need to use specific strategies in collaboration with their organizations to be successful. the approach to bringing research to the bedside for improving care is called which of the following?
translational research model
EBP considers all of the following EXCEPT:
EBP is applying the best research evidence in a situation, considering the nurse's experience and the patient's preference
there are researchers who conduct quantitative studies using surveys, measurements, or control groups. there are qualitative researchers who interview people or conduct focus groups. there are no researchers who conduct both kinds of research. true or false?
yes. false. some conduct mixed-methods studies or conduct different types at different times
the researcher is testing the effect of two doses of mag. supplements on leg cramps. one group gets 320 mg daily of the supplement. the other group s administered 400 mg daily. each day, the presence of leg cramps are measured with a valid and reliable tool. the researcher is using what kind of approach to the research question?
quantitative (numbers), empirical (can measure the variables)
a researcher needs to obtain approval from an IRB to conduct research with human beings. which of the following are areas of concern for the IRB? select all
-informed consent language
-the process for selecting subjects
-inclusion or exclusion of vulnerable mpopulations
-risks and benefits of participations
natch the correct description with the correct type of variable
A. dependent variable: outcome variable that is influenced by one or more other variables
B. independent variable: variable that the researcher manipulates to try to affect the outcome variable
C. confounding variables: unknown variable that distorts the relationship between the IV and DV
D. mediator variable: known variable affecting relationship between IV and DV
which of the following best describes the role of the RN in research projects?
the RN may be trained to collect samples or data according to the research protocol
a nurse is using the PICOT model to generate an EBP question about how virtual health education, as compared to face-to-face health education, affects information retention and recall in patients 5-8 years of age. which component of PICOT does "information retention and recall" represent?
outcome of interest
the nurse may use which of the following as a source for identifying a research question to study? select all
-government publication on health priorities for 2020-2030
-a journal article describing an unusual COVID-19 case in the ER
- research article on successful HIV prevention in LA
- a theory of expanding consciousness in community settings
-colleagues discussing mutual concerns about managing perinatal loss
- pilot study that tested weight loss strategies
a nurse develops a PICOT question for the unit's EBP task force. "do patients on ventilators who receive music therapy sleep better?" what best describes this question?
it is not a complete PICOT question
a researcher recruited a small number of persons with MS to test if a new exercise routine would be effective in reducing muscle fatigue. the intervention was received well by the 8 participants, though there were not enough enrolled to show statistical significance in reducing measures of fatigue; a larger study is needed. this researcher conducted what type of study?
"elder patients who have difficulty managing polypharmacy are more likely to have poorer clinical outcomes and more hospitalization." what part of a research proposal is this sentence
"the mean baseline (pre-intervention) scores on the physical endurance test will differ by gender." this is best described as what type of hypothesis?
non-directional, associative hypothesis
which is the best term to describe the following hypothesis? "increasing numbers of daytime snacks, coupled with less physical exercise, leads to weight gain in older adults."
complex and causal
the nurse is collecting research data from patients in a primary care setting. the study is exploring grief and loss experiences. the nurse notices the participant becoming visibly upset talking about her son dying in a car accident. which of the following nursing actions is most appropriate when she says she doesn't want to talk about it anymore?
say "i can see that this is upsetting you. lets stop for now." and cease asking questions
research hypothesis: "baccalaureate degree prepared nurses will practice more rehabilitative nursing measures on a client in the ICU than will associate degree prepared nurses." in this study, what is the independent variable?
what best describes the following statement from a research project? "the significantly lower BPs noted on the intervention group were directly attributed to the higher doses of drug X over the course of the study."
the RN is doing a basic search in a database to find research on nurses' stress in the ICU setting, in conducting a subject search in an electronic database. what is the most effective way for the nurse to narrow the search to get the relevant articles?
type selected keywords into the title search box
in a research report by scafide (2020), the author stated "factors that influence the legal outcomes in case of interpersonal violence may include the quality of the evidence collected and the scientific accuracy of the lab tests used to detect DNA evidence (baigly & Thompson, 2017)" which article would be labeled the PRIMARY source for the information about factors influencing legal outcomes?
the article by baigly and thompson (2017) is the primary
which of the following can be used to determine if an article is a reliable soirce of accurate evidence?
- the authors have appropriate credentials to conduct research
-it is published in a peer-reviewed journal
-the article is indexed and available in MEDLINE
- the authors' conclusions are fair, balanced, and supported by their data
the nurse is conducting an initial search of the literature, entering two key words (asthma) (adolescents) in the title search box connected with the Boolean operator "AND" what effect will this have on the results of the search of the database?
it narrows the results to include only articles that contain both of the words in the title of the article
true or false? a researcher who has located a reputable source can often locate other useful and reputable sources by consulting the reference list of the original source
which of the following is NOT a reliable source of information for nurses conducting an EBP literature review?
wikipedia online encyclopedia
a group of RNs on a nursing unit are embarking on a search for evidence to support a change in practice. freely available EBP resources to make their search more efficient and less time consuming may be obtained from which of the following?
Joanna Briggs institute
what is the purpose of the peer-review process?
to ensure that published works are high quality as rated by experts in the field
match each of the articles with the type of publication in which t is most likely to be found by the RN
a. scholarly research journal: factors influencing adherence to medication regimens by adolescent males: a descriptive study
b. popular press: throw away the blues! living well in the midst of quarantine
c. trade journal for nurses: performing an assessment of the patients with a spontaneous pneumothorax
d. nursing specialty organization journal: targeted therapy- and - chemotherapy- associated skin toxicities: tips for oncology nursing
some GMU nursing students have the complete reference for an article by bambinu, washburn, and perkins (2009) they have searched the CINAHL and pubmed databases, but with no success. which of the following would be alternative avenues for obtaining the specific article? select all
-the google scholar search engine
-expanding the search to other databases on the library site
-checking availability on the journal's official website
-interlibrary loan request
some features of an electronic search are similar across databases. which of the following is an example of a truncation approach to locating relevant articles?
which of the following are TRUE of the double blind peer review process in the dissemination of research findings? select all
-peer review seeks to ensure clearly written, accurate, and up-to date publications
-authors are not aware of who is reviewing their scholarly material
-the expert reviewers are not given the names of the manuscript authors
-experts in the field judge the material being published
true or false? one of the reasons that a researcher may share the findings of their research study with the RNs on a nursing unit is to assess the feasibility of intervening to improving the patients' clinical outcomes
the highest level of theoretical thinking in our profession is the metaparadigm of nursing. select the elements of the metaparadigm from the list below. select all
true or false? a psychologist is conducting a study of the physical and emotional impact on nurses who are caring for COVID-19 patients in the ICU setting. this s an example of nursing research
match each of the theoretical elements with the best example of its meaning
a. conceptual definition: compassion satisfaction is the pleasure you receive from providing nursing care to your clients
b. operational definition: compassion satisfaction will be measured with the 7 items on the CS subscale of the PROQOL instrument
c. empirical indicator: a score of >25 om the CS subscale indicates high levels of compassion satisfaction
d. theoretical model: diagram or figure showing study concepts and the proposed relationships between them
e. proposition: "sunlight has tangible and positive effects on human healing"
florence nightingale's definition of health as more than "the absence of disease" but the "ability to use well every power we have" s an example of which type of definition
true or false? the primary purpose of quantitative research is to test a theory and the primary purpose for qualitative research is to develop theory
a researcher has determined that very little is known about the impact the ICE detention centers on the health and well-being of its detainees. without findings from previous studies, the researcher will most likely need to do which of the following?
conduct qualitative interviews with detainees about their health
a researcher reporting findings from a study involving subjects who are deaf states in a published article "ASL is a distinct language with its own vocabulary, syntax, and grammar (author 2000; author & author, 1999; author, 2001) " what are professional reasons for including these citations
-scientists acknowledge the previous work that serves as the foundation for their study
it is ethical to cite the ideals of other published scholars and not present them as your own
- providing citations allows the reader to locate the primary sources of important information provided in one's article
in theory, we may use concepts and constructs. which of the following is an example of a construct
which of the following statements is correct about the development of theory in nursing?
qualitative research studies may use inductive reasoning to uncover unique and valuable insights into a phenomenon that contributes to the development of theory
a researcher is designing a study to test a theory about success for students who are the first in their family to attend college. the researcher writes "we suggest our theoretical model will illustrate how student success will benefit from 1. faculty mentorship 2. adequate resources, and 3. social support from classmates." this sentence that describes how concepts are related would be labeled which of the following?
how to practice and theory relate to research?
practice relies on research for evidence and theory provides questions that may drive research
following extensive research and examination of multiple patients, an oncologist makes the assertion that environmental contamination is the most probable cause of elevated cancer rates observed in the population of a specific area. which of the following statements best describes why the oncologist states the findings as a probability rather than a certainty?
the oncologist knows it is possible that other factors contributed to elevated cancer rates
nurses around the country are reading a research article reporting on a 2 year study of young women diagnosed with PPD. there is widespread concern that the researchers used an instrument that measured anxiety and depression symptoms, but not exactly PPD sx. what kind of threat was this to the external validity of the research study?
participants in trials of an experimental intervention are asked to track their daily food and liquid intake during the length of the trial period. which of the following statements would best explain why the participants reporter higher-than-average water intake of juices and sodas when compared with the general population?
it is describing how research subjects change their behaviors when they know they are being observed (likely to do what they know to be right or best to please the researcher or not embarrass themselves)
which of the following characteristics differentiates the study as a "quasi-experimental" research study design and not true experimental design? select all
- there is a treatment group, but no control group
-subjects were not randomly assigned to either the control group or the intervention group
a researcher is studying absorption rates of natural and synthetic vitamins. the researcher has three groups of randomly assigned subjects: one group that will receive the natural vitamin, one group that will receive synthetic vitamin, and a control group that will receive a placebo. which type of quantitative design is the researcher using?
a researcher has designed a study in which 150 subjects with seasonal affective disorder (SAD) will be asked to provide data upon entry into the study (at baseline) and then complete study surveys every 4 months for the next 2 years. this design would be labeled which of the following?
longitudinal, panel design
this study follows the same subjects over the two years- it is a longitudinal panel design. a trend design obtains information from different groups of subjects. this design is not a cross-over, nor is it an intervention. therefore, it cannot be a quasi-experimental design either
some patients with COVID-19 are hospitalized while others have few sx. that are easily managed at home. a study designed to extract medical hx. information from the computer records to uncover possible patient factors contributing to a higher risk for being admitted to the ICU with COVID-19. which of the following quantitative designs would the researcher be using
this kind of designs look back into data that already exists (ie medical hx. ) cross-sectional designs are collecting data at one point in time. longitudinal studies span months or years of data collection. a cross-over design is testing the effects of two or more treatment interventions.
which of the following design types is most accurate for determining a 'cause and effect' relationship between the independent variables and the outcome?
the randomization and control group characteristics of the experimental design provides the best evidence for cause and effect relationships
a researcher is studying the effect of hearing loss on self-esteem in adolescents from grades 6-12. which threat to internal validity is most likely to impact the study?
the researcher uses a computer program to identify which study participants will be in the control (placebo) group and which will be in the intervention (treatment) group. this is an example of which basic principle of quantitative research designs?
a researcher studying alcohol usage at colleges and universities may investigate and compare alcohol usage of young adults that attend a college or university against those who do not. this is primarily an example of which type of quantitative study?
true or false? allowing study participants to choose which study group (treatment or control) they are a part of protects human rights and contributes to the internal validity of the study
a researcher who uses a double-blind experimental design is most likely trying to reduce which threat to external validity?
experimenter bias (reactivity towards desired effects)
a study of data compiled from emergency departments reveals that the number of hospital visits for cooking-related knife injuries significantly increase around major holidays. what do the variables examined in the study show?
covariance between the measured variables
true or false? randomization is one way researchers can control for extraneous variables
for the next 3 months a group of researchers will be investigating the relationships between the coping strategies used by caregivers of older adults with the degree of cognitive changes (in the older adult) and the occurrence of elder abuse? what kind of experimental design is being used?
a researcher is providing an intervention (review of prescription medications and tailored education) to older adults in the oakview senior center and comparing knowledge and skills with older adults in another senior center who did not receive the intervention. one of the weaknesses of this design is that the researcher could not randomize individals to either the intervention or control group. this design would be identified as quasi-exerimental?
yes, an intervention study missing an essential element makes it quasi-experimental
which of the following design types is most accurate for determining causality
which research design do subjects receive a treatment, then have a 'washout' period, and then receive a different treatment; the subjects serve as their own controls?
randomization within a crossover design is an especially powerful method of ensuring equivalence between groups being compared-- participants serve as their own controls. this is a classic cross-over design
the researcher is studying adolescents with diabetes at a 2 week summer camp. as each camper arrives, they are randomly assigned to either the red team (cabins 1 &3) or the blue team (cabins 2&4). on day 4 of the camp, the red team receives a 2 hr interactive educational intervention on self-managing one's diabetes. at the same time the blue team is canoeing on the lake. on the last day of the camp. all of the campers are given a paper anc pencil test about diabetes self management. scores for the red team are compared with the blue team. what is the major weakness of this experimental design
lack of baseline scores on diabetes self-management may mean the two groups were not equivalent
subjects are randomly assigned to one of four study groups: a control group, a group that receives an experimental intervention, a group that receives a different experimental intervention, and a group that receives both the experimental interventions. which type of research design does this study demonstrate?
the researcher is testing the effectiveness of one or the other interventions vs. both interventions, as compared to getting no intervention at all
why are descriptive designs sometimes called 'exploratory' studies
they are used to explore nd gather knowledge when little is known about a phenomenon
when little is known about the topic under study, a descriptive design is used to explore the possible variables that may be involved
how does the nonequivalent control group pretest-posttest design differ from the classical experimental design?
researchers are unable to randomly assign subjects to groups
this design lacks the randomization of subjects to groups before the collection of baseline data and the provision of the intervention
a report of a small group of young men (n=5) all homosexuals, having been treated for a rare pneumonia was reported in the CDCs morbidity and mortality weekly report in 1981. for the epidemiologist, this would be termed which of the following?
a case report
this was an example of a case report of a rarely occuring disease in a population not known to have the disease
in the clinical setting, obtaining a false positive result on a health screen is preferable to obtaining a false negative result
it is better to find that it was a false positive and you really didn't have the disease than for it to be a false negative and receive no follow u when you really have the disease
a group of nurse researchers is investigating the long term effects of an intervention to help children with developmental delays. they recruit 150 eligible children between 1-2 years old (parental consent) and collect data on the children every 6 months for 3 years. this research design is which of the following?
a cohort study
which of the following is an accurate statement concerning the incidence and prevalence of hep B in a community?
as the incidence of hep B remains stable, the prevalence in the community will continue to rise
nurses are conducting a screening test for a disease among asymptomatic patients in their clinical setting. the test has very high sensitivity. they know that a negative result on the screening means which of the following?
patients are assured that they do not have the disease
a highly sensitive test is excellent at indicating who does NOT have the disease when the result is negative
which of the following statements is accurately reporting prevalence data?
it is estimated that 26.7% of adults in the country of Lesotho are currently living with HIV infection
the virginia HIV report calculated that females had a much lower incidence of new HIV infections than males between 2015-2019. which of the following best explains the gap in reported numbers?
the MSM and MSM & IDU categories account for the majority of the new infections in VA 2015-2019
the MSM and MSM &IDU categories account for the majority of new infections (these are all males, many of whom are not having sex with females) the "no risk factor identified' category contains males and females and has nothing to do with incidence by sex. there is no relationship between women being black and the differences between incidence due to sex. both men and women face stigma from being infected with HIV; this is not a factor in the difference in new infections by sex
true or false? according to the text, when the sensitivity of a screening test increases, the specificity will decrease
sensitivity and specificity are inversely related. as sensitivity increases, specificity decreases
a researcher has been examining the records of 800 patients who were diagnosed with ALS. then the records of 800 patients who are similar in sociodemographic characteristics but do NOT have ALS are retrieved. the researcher is looking to detect differences between the two groups that much provide clues into why the one group had ALS and the other group did not develop the disease. the design for a study would be termed which of the following
a case-control study
on page 1 of the VA HIV report, there is a wealth of information about the new HIV diagnoses across the state of VA for each year 2015-2019. which of the following is an accurate statement concerning the rate of new HIV infections among the different groups by race/ethnicity in 2019?
the rate for hispanic/latino groups (all races) is higher than the rate for whites
the rate for hispanic/latino groups (all races) is higher than the rate for whites. the rate is the number per 100,000 in the population. the rate for the black category was actually lower than for some years. the figure at the bottom of the page illustrates that the rate was nearly 10/100,000 persons in the population and not that only 10 persons were diagnosed. finally, the 183 whites diagnosed in 2019 was the number of persons, not the rate per 100,000 population
true or false? the nurse is screening patients for a potentially dangerous infectious agent. it is preferable for the patient to receive a false positive result than a false negative result on the screening test
the false positive means that the patient does not have the disease
when the nurse is providing the patient with the results of their screening test for colon cancer, which of the following statements are appropriate when the results are highly sensitive test is NEGATIVE? select all
- although no test is perfect, there is a very high chance that your negative results means that you are really do not have colon cancer
-this test is highly sensitive, meaning if you do not have colon cancer, it is very likely that you will test negative
-you are not describing any sx of colon cancer and have screened negative. at this time, there is no need for a follow-up with more specific tests
a highly sensitive test provides high assurance that someone testing negative is truly negative (knowing that no test is perfect). testing negative on a highly sensitive screen means that there is no need for further follow-up at this time. in the absence of sx, a negative screen with this test is sufficient
a nurse is reading a research report describing how adolescent patients with heart disease transitioned from a pediatric specialty clinic to an adult clinic when they reached 18 yo. the nurse is wondering if the findings might be helpful in understanding how adolescents with HIV make that transition to an adult HIV clinic. which element of trustworthiness is the reader expecting to find in the research report?
recommendations for the transferability of the findings
transferability refers to the usefulness of the findings from one study to a different population or setting
a researcher is studying the lived experience of individuals on kidney transplant waiting lists. which participant would join the study as a result of snowball sampling?
patients who were referred to the researcher by other participants in the study
which of the following correctly states the relationship between quantitative and qualitative research in terms of data collection and data analysis
in quantitative research, data analysis takes place after the completion of data collection: in qualitative research, data collection and analysis are ongoing and simultaneous
a researcher is planning to investigate the process by which rehabilitation nurses teach patients how to walk again following spinal cord injuries?
grounded theory research
grounded theory approaches uncover processes by which something is accomplished. they also identify the facilitators and barriers to that process
a researcher who interviews subjects who were recruited from six health policy interest organizations in the state of alabama is most likely using which sampling method
which of the following is an example of a phenomenological research question
what is the lived experience of airline pilots who can no longer fly a plane after being diagnosed with diabetes
qualitative research often have preconceived notions of what they may find when conducting their interviews or focus groups. which of the following is a main strategy for preventing researcher biases or prejudices from influencing the outcomes of the study
a challenge before qualitative researchers is how to manage issues of privacy and confidentiality; maintaining anonymity is unusual in qualitative research studies
true or false? a researcher who divides nursing staff at a hospital into categories of CNAs, LPNs, RNs, and nurse practitioners before selecting seven participants from each category to participate in a focus group is using stratified random sampling
qualitative researchers may use focus group discussions to explore the beliefs and attitudes of specific groups on a range of issues. which of the following statements is accurate when using focus group designs
focus groups are designed to gather a range of diverse perspectives on a topic rather than in-depth data on a specific topic
little is known about how a hospital system supports is consumers. an oncology nurse collaborates with a nurse researcher to identify what kinds of services and resources would be must beneficial to outpatient oncology patients and their families. it is determined that individual interviews will be conducted. which of the following is the appropriate design for this study
a researcher has interviewed 15 participants. during the last 5 interrviews, the researcher has received confirmation of information gathered in the earlier interviews but has not gained any new information. which conclusion by the researcher is most reasonable?
data saturation has been achieved, and the researcher does not need to keep recruiting participants for further interviews
which of the following would be most likely to be analyzed as nominal level data
a researcher studying pain association with complications of lyme disease wants to make sure that other types of patient pain do not influence the research results. which action would best address the researcher's concerns and reduce the effect of confounding variables in the study?
set exclusion criteria to exclude participants with chronic pain disorders from the study
true or false? a researcher intending to describe the impact of diabetes mellitus type II on adults from different ethnic groups living in america would want a sample that is large and heterogeneous rather than homogenous
true or false? any study instrument that demonstrates reliability also shows adequate validity
which of the following actions would be most appropriate and ethical for a researcher who is concerned participant attrition will result in invalid study results?
begin the study with a larger sample than necessary
a study sample is made up of 73% female subjects and 27% male subjects, and the target pop is made up of 55% female and 45% male subjects. which of the following statements about the study is true
The study's validity is at risk from sampling bias that resulted in a non-representative sample
which is an example of a ratio measurement
which of the following lists the type of measurement in order from the weakest data to the strongest data for the researcher to analyze
nominal, ordinal, interval, ratio
which is an example of a variable measured at the interval level of measurement
temperature (degrees in Fahrenheit)
a researcher who is on faculty administers a quantitative questionnaire to 50 RN-to BSN students attending the same nursing is using which sampling method?
a nurse researcher measures participant's blood pressure readings early in the morning and late in the evening and compares the two readings. which data collection method is the nurse using?
true or false? a digital garden rain gauge that inaccurately records an extra one half of an inch of precipitation every 3 days when the lawn sprinklers are automatically turned on is an example of systematic measurement error
the text describes the pyramid of the 5 Ss as a structure of organizing evidence according to its importance in guiding EBP. each S is listed below. organize the 5 categories from lowest type of evidence to the highest type of evidence in the correct order
true r false? one of the benefits of becoming a member of the ANA or your specialty nursing organization may be receiving timely updates on topics of interest to your field of nursing
even with the best evidence from the highest level of the evidence pyramid, decisions in the clinical setting need to consider patient preferences and the clinician's judgement before action is taken in patient care
according to the text, a nurse should avoid the .gov websites when searching for accurate and up to date clinical information to support EBP
ethical problems arise when researchers publish their doing which of the following? select all
- they dont identify the limitations to their investigations/research
-they draw conclusions that go beyond their findings
-they miscategorize their reviews (mistakenly or intentionally)
all of the following are reliable internet sources of evidence to support EBP in nursing except which one
some clinical practice guidelines may also be termed an algorithm or decision-tree for clinicians who need guidance in navigating clinical options
the units team of EBP nurses have located a research report describing a longitudinal study of thromboembolisms in patients (n=169) living with lupus. the study suggests a change in practice may be necessary. the team should categorize this type of evidence as nonpropositional knowledge. true or false?
this evidence resulting from a research study would be propositional knowledge
after the death of their patient from malignant hyperthermia, a group of nurses decide to write an article about the situation. without breaching confidentiality, they describe a young man admitted to the ICU from the surgical suite having a rare reaction to anesthesia. in their article, they lay out what is known about the life-threatening condition, the actions they took to treat the patient, and specifics about his clinical decline. finally, they make recommendations for other nurses who may encounter this type of patient. this article would be categorized as which of the following?
which of the following is an accurate statement about the use of evidence in practice
a nurse is ethically obligated to adhere to practice guidelines when the evidence is clear
using the sumsearch.org website, you would have to locate an article using the searrch format: deaf AND hear
challenges in language, culture, and modality: translating english measures into ASL
the nurse has read an article in a research journal that clearly identifies the attributes and characteristics of a phenomenon in nursing called "failure to rescue" the scholarly paper distinguishes "failure to rescue" from similar...
a concept analysis paper
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