1.       What is the evidence that this journal is peer-reviewed? Find the home page of this journal on the Web. Does the journal have an editorial board?

2.       Does the journal have anything to gain by publishing positive or negative results from this study?

3.       Is there evidence of bias in the way the study was designed or implemented? If so, how does it affect the nurses’ use of these data in the practice setting?

4.       Appraise the level of evidence this research study provides the nurse and the strength of the recommendation for practice provided by the results.

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