Nursing Question

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Health Medical

Foundations of Professional Nursing NUR3846

Los Angeles Valley College

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INTRODUCTION

The goal of using evidence-based research findings is to enhance safety and quality of patient care and ensure optimal outcomes are achieved. It is not uncommon to hear a nurse say, "why change it as we've always done it this way." However, this is no longer acceptable in today's practice environment. The profession of nursing has evolved, and the expectation is that the professional nurse has a scientific foundation to support the care that is provided. As the profession of nursing continues to evolve and engage in health care transformation, baccalaureate-prepared nurses are expanding taking on leadership roles that include incorporating EBPs. To be able to do this, the nurse needs to understand the criteria and makes a resource credible, as this is crucial when deciding if the research is valid and reliable for implementation into health care settings. The nurse will need to incorporate the use of evidence-based practice models. EBP models are designed to assist the nurse in developing a plan to gather evidence to answer a practice problem or question. It is a systematic approach to direct the user to incorporate scholarly findings into current practice. These EBP models lead the nurse through the decision-making process of evaluating the literature to determine the best practice evidence for the practice issue or question.

It would be an excellent choice to complete the Vila Health Determining the Credibility of Evidence activity prior to developing the report. The activity is a media simulation that offers an opportunity to review a scenario and work on determining the credibility of presented evidence. These skills will be necessary to complete Assessment 2 successfully. This media simulation is one potential source of context on which to base your assessment submission. This will take just a few minutes of your time and is not graded.

PERSONAL CONTEXT
As a baccalaureate-prepared nurse, you will be responsible for locating and identifying credible and scholarly resources to incorporate the best available evidence for the purposes of enhancing clinical reasoning and judgement skills. When reliable and relevant evidence-based findings are utilized, patients, health care systems, and nursing practice outcomes are positively impacted.

SCENARIO

For this assessment, use the specific diagnosis/health issue you selected for the first assessment.

INSTRUCTIONS

The purpose of this analysis is to better understand what constitutes credibility of journal articles as well as websites. The role of the baccalaureate-prepared nurse in incorporating evidence-based research continues to growth in clinical practice. As quality improvement (QI) measures to reduce safety risks continue to be emphasized, the need for evidence-based models and evidence-based templates is growing. This type of systematic approach to incorporating evidence-based findings allows nurses to make clinical and operational decisions based upon the best available evidence. When the most up-to-date evidence-based findings are utilized, patient-centered care improves outcomes and enhances the patient experience.

Below is a quick review table of several well-known Evidence-Based Practice Models used to guide exploration:

Evidence-Based Practice Models

Iowa Model of Evidence-Based Practice
Stetler Model
Ottawa Model
PARiHS (Promoting Action on Research Implementation in Health Services) Model
ACE (Academic Center for Evidence-Based Practice) Star Model
ARCC (Advancing Research and Clinical Practice Through Close Collaboration) Mode
John Hopkins Model
KTA (Knowledge-to-Action) Model

For this assessment:

  • Explain the criteria that should be used when determining the credibility of journal articles as well as websites.
  • Support your explanations with references to the literature or research articles that describe criteria that should be used to determine credibility.
    • Your identification and determination of credibility should be done within the context of your chosen diagnosis for this assessment. Your initial identification of resources should be of resources that will best help address the presented diagnosis you selected. Since you are locating resources to help provide evidence-based care for the diagnosis/health care issue you identified in the first assessment, you may want to begin your literature and evidence search from the databases that were identified.

Be sure to address the following in this assessment, which correspond to the grading criteria in the scoring guide. Please study the scoring guide carefully so that you will know what is needed for a distinguished score.

  • Describe a chosen diagnosis that could benefit from an evidence-based approach.
  • Explain criteria that should be considered when determining credibility of resources such as journal articles and websites.
  • Analyze the credibility and relevance of evidence and resources within the context of a chosen diagnosis.
    • This is where you are selecting the specific resources to help address the diagnosis you selected for the first assessment.
  • Identify the Evidence-Based Practice model and explain the importance of incorporating credible evidence into the EBP model used to address a chosen diagnosis. Review the literature below and choose the appropriate model for your diagnosis.
  • Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style.

ADDITIONAL REQUIREMENTS

Your assessment should meet the following requirements:

  • Length of submission: 2-4-page scholarly paper, this does not include the APA-formatted title page and reference list.
  • Number of references: Cite 3-5 sources of scholarly or professional evidence that support your findings and considerations. Resources should be no more than five years old.
  • APA formatting: References and citations are formatted according to current APA style.

Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final capstone course.

Unformatted Attachment Preview

1 Locating Credible Databases and Research Kristina Apoyan Germika, Brandon Capella University NURS-FPX4030 March 4th, 2024 2 Locating Credible Databases and Research Introduction Evidence-based practice (EBP) is crucial to achieving optimal patient outcomes. Nurses, especially newly recruited ones, may face numerous challenges as they strive to locate evidencebased information concerning patient care. That is because there are many resources available for research, but not all of them are useful and credible. For instance, treating and managing patients with diabetes mellitus (DM) requires highly specialized care, which is only achievable if nurses embrace evidence-based practice. For example, management of DM involves interventions such as lifestyle changes such as increased physical activity, dietary modifications, etc. (Borse et al., 2021). A nurse is required to apply evidence-based data to know the best intervention for the patient. In the context of handling a patient with diabetes mellitus, this paper offers guidelines on how a newly recruited nurse, unfamiliar with diabetes management, can access evidence-based information on the same. The analysis focuses on the communication techniques the senior nurse can use to educate the new nurse on evidence-based practice, and ways to locate and evaluate credible sources. The Communication Strategies for Newly Trained Nurses As a supervisor, it is crucial to create and promote a supportive and friendly learning environment for newly trained nurses. A supervisor nurse can promote a learning environment by embracing open communication with the nurses, which is the first step to learning (Asiedu & Doe, 2023). The supervisor nurse should actively listen to their concerns and acknowledge their willingness to learn. For instance, in the case of the new nurse handling a patient with diabetes, the supervisor nurse should embrace the new nurse and commend her willingness to learn. She 3 should not use language that embarrasses the new nurse for her lack of familiarity with the diagnosis as such would discourage her from seeking clarifications in the future (Asiedu & Doe, 2023). The senior nurse should also facilitate research by guiding the new nurse on where and how to access credible resources within the hospital's online library. There should be an emphasis on the importance of relying on reputable and credible data sources for evidence-based interventions in diabetes management. Best Places to Undertake Research Not all online sources are reliable for research. The new nurse has to understand how to identify credible and relevant sources for the situation at hand. This is achieved by applying the CRAAP test, which stands for currency, relevance, authority, accuracy, and purpose. In this case, the best places to look for credible materials include hospital and university libraries, online databases and journals, hospital policy manuals, and professional organizations. Identified Sources for Evidence-Based Management of Diabetes Mellitus The following five platforms have been identified as the most appropriate sources of evidence-based information on diabetes management. The information sources have been in the order of importance to this particular case. They include: The PubMed website, managed by the National Library of Medicine, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), the Cochrane Library, the Journal of Diabetes Nursing (https://diabetesonthenet.com/journals/), and the Hospital Policies and Guidelines on diabetes management. Why the Sources Offer the Best Evidence 4 The PubMed website would be the most useful for the nurse handling the DB case. This website is recognized for its extensive collection of biomedical research, including DM management. It was the first choice since it has a user-friendly interface and also offers tools for advanced research, making it ideal for a newly trained nurse (National Library of Medicine, n.d.). The CINAHL platform offers a specialized database focusing on nursing and related health topics. It has vast materials such as evidence-based journals and systematic reviews on DM management. The Cochrane database and the Journal of Nursing Diabetes offer evidence-based practical insights into managing patients with DM. The Hospital Policy and Guidelines would help nurses align their care practices with the hospital's evidence-based practices. Conclusion To effectively navigate the various platforms and find evidence-based knowledge on DM management requires guidance and research. Through effective communication and guidance on how to find credible sources of information, nurses can offer patient-centered and evidencebased care. The above materials would help the new nurse gather adequate information to manage the patient. 5 References Asiedu, M.A. & Doe, J.K. (2023). Role of Openness in Communication in the Absorptive Capacity and Innovation Generation Link in Higher Education Institutions. Education Journal. https://doi.org/10.11648/j.edu.20231201.12 Borse, S.P. et al. (2021). Management of type 2 diabetes: Current strategies, unfocussed aspects, challenges, and alternatives. Med Princ Pract, 30(2), 109-121. https://pubmed.ncbi.nlm.nih.gov/32818934/ Connor, L. et al. (2023). Evidence-based practice improves patient outcomes and healthcare system return on investment: Findings from a scoping review. World Views on EvidenceBased Nursing, 20(1), 6-15. https://sigmapubs.onlinelibrary.wiley.com/doi/10.1111/wvn.12621#:~:text=Evidence%2 Dbased%20practice%20and%20decision,isolated%20reports%20throughout%20the%20l iterature. National Library of Medicine. (n.d.). PubMed database. https://pubmed.ncbi.nlm.nih.gov/?term=diabetes+mellitus
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Explanation & Answer

Attached.

1

Determining the Credibility of Evidence

Student’s Name
Institutional Affiliation
Course
Professor’s Name
Date

2
Determining the Credibility of Evidence
Diabetes mellitus (DM) is one of the diagnoses that can benefit from the evidence-based
approach. This is a chronic condition that occurs as a result of increased blood sugar in the body.
Diabetes interferes with the ability of the pancreas to produce enough insulin to convert blood
sugar into energy (CDC, 2023). This leads to excess glucose in the bloodstream, increasing the
risk of kidney and heart diseases and vision loss. Significantly, since diabetes is a long-lasting
condition, a comprehensive approach to treating and managing it is required. As such,
incorporating evidence-based practice in diabetes management will ensure better outcomes due
to enhanced clinical judgment and reasoning skills.
Criteria for Determining Credibility of Resources
Determining the credibility of a source, such as a website or journal article, depends on
different factors. For instance, the CRAAP test criteria indicate the credibility of a resourcebased currency, relevance, authority, accuracy, and purpose of the source (UW, 2024). The
currency criteria show the timelessness of the resources regarding their publication date. Usually,
articles that were published within the last five years are considered credible because they
contain current and up-to-date information. Similarly, the source's relevance indicates its
importance and alignment with the diagnosis (UW, 2024). In this case, a relevant resource
provides information about effective treatment and management of diabetes. The next criteria
involve considering the authors' expertise and authority and the source's reputation. In addition,
the credibility of...


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