Credibility of Evidence and Resources Discussion

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Assessment 2 Instructions: Determining the Credibility of Evidence and Resources

Develop a 2-4-page scholarly paper in which you describe a quality or safety issue, or a chosen diagnosis, and then identify and analyze credible evidence that could be used as the basis for applying EBP to the issue.

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.

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.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision.
- 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 quality or safety issue, or a chosen diagnosis.Credibility of Evidence and Resources Discussion
Competency 3: Apply an evidence-based practice model to address a practice issue.
- Explain the importance of incorporating credible evidence into an EBP model used to address a quality or safety issue, or a chosen diagnosis.
Competency 4: Plan care based on the best available evidence.
- Describe a quality or safety issue, or a chosen diagnosis, that could benefit from an evidence-based approach.
Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.
- Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style.

Professional 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.Credibility of Evidence and Resources Discussion

Scenario

For this assessment, you may choose from the following options as the context for the quality or safety issue or chosen diagnosis for researching and completing this assessment:

The specific diagnosis you identified in your previous assessment.
The simulation Vila Health: Determining the Credibility of Evidence.
A personal practice experience in which a sentinel event occurred.Credibility of Evidence and Resources Discussion

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.

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 scenario for this assessment. For example, if you choose to use the provided Vila Health scenario, your initial identification of resources should be of resources that will best help address the presented issue. However, if you are locating resources to help provide evidence-based care for the diagnosis you identified in the first assessment, you may want to begin your literature and evidence search from the databases that identified. Any of the three scenario options are acceptable. So, pick the one that most interests you.Credibility of Evidence and Resources Discussion

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 quality or safety issue, or 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 quality or safety issue, or a chosen diagnosis.
- This is where you are selecting the specific resources to help address the issue in your chosen scenario.
Explain the importance of incorporating credible evidence into an EBP model used to address a quality or safety issue, or a chosen diagnosis.
Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style.Credibility of Evidence and Resources Discussion

Submission 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.Credibility of Evidence and Resources Discussion

Evidence-Based Practice in Nursing & Health Sciences This guide covers some of the basic principles of EBP in healthcare, as well as links to EBP resources. HOW TO USE THIS GUIDE The ability to find and use evidence for informed decision-making is an importance skill to have. Use the left navigation menu for resources and search tips to help you do the following: • • • • • • • Create PICO(T) questions Find EBP articles Locate EBP Books Review levels of evidence Critically appraise the evidence See addtional selected websites to learn more Contact the library for further assistance (Ask a Librarian) WHAT IS EVIDENCE-BASED PRACTICE? The book, Johns Hopkins Nursing Evidence-Based Practice, states: EBP is a problem-solving approach to clinical decision-making within a health care organization. It integrates the best available scientific evidence with the best available experiential (patient and practitioner) evidence (Dearholt & Dang, 2014, p. 4) The Joanna Briggs Institute (JBI) website defines EBP this way: The JBI considers evidence-based healthcare as decision-making that considers the feasibility, appropriateness, meaningfulness and effectiveness of healthcare practices. The best available evidence, the context in which care is delivered, the individual patient and the professional judgment and expertise of the health professional inform this process. In simpler terms, these are the three types of information that health professionals must consider when practicing evidence-based care: 1. Evidence pulled from the best available research. 2.Credibility of Evidence and Resources Discussion

Knowledge from their own expertise. 3. Values, needs and preferences of their clients. References • • Dearholt, S. L., & Dang, D. (2014). Johns Hopkins evidence-based practice model and guidelines: models and guidelines (2nd ed.). Joanna Briggs Institute: The JBI Approach 1 Locating Credible Databases and Research Learner’s Name Capella University NURS-FPX4030: Making Evidence-Based Decisions Instructor Name August, 2020 Copyright ©2020 Capella University. Copy and distribution of this document are prohibited. 2 Locating Credible Databases and Research Evidence-based practice (EBP) is the use of the best evidence available for problemsolving and decision-making in patient care. Pain is considered to be one of the most adverse outcomes of a surgery. If not treated effectively, pain can lead to sleep deprivation, anxiety, and acute neurohormonal changes. Pain management in postsurgical patients requires high-quality care. Evidence suggests that a lack of encouragement or support of EBP research for postoperative pain management lowers nurses’ confidence in functioning efficiently (Mędrzycka-Dąbrowska et al., 2018). In this assessment, the scenario considered is that of a newly trained nurse assigned to a patient suffering from prolonged postoperative pain. It is the nurse’s first assignment, and she is not confident about implementing evidence-based practice in the context of the patient’s diagnosis. The focus of this assessment is to identify communication strategies that a head or senior nurse can use to encourage newly trained nurses to effectively research their patients’ diagnoses. Recommendations on how to evaluate credible sources during the research process and the criteria to be considered when selecting the best sources will be identified. Finally, a list of recommended sources will be provided along with the rationale behind choosing them. Communication Strategies to Encourage Diagnosis-Based Research Learning while on the job through structured mentoring gives new nurses a clearer idea of how to approach a problem. Competent mentors help new nurses build confidence and enable an atmosphere that promotes communication within a practice. Mentors display personal characteristics such as empathy, respectfulness, and patience. They practice active listening by conducting unscheduled discussions frequently with new nurses to address queries. They Copyright ©2020 Capella University. Copy and distribution of this document are prohibited. 3 also provide constructive feedback to support the learning process (Mikkonen et al., 2020).Credibility of Evidence and Resources Discussion

Online training or video-based modules have also added value to the learning process. Interacting through visual aids such as the Practice Nurse Postcard tool can help mentors communicate necessary information to new nurses (Dadich & Hosseinzadeh, 2016). The Best Places to Complete the Research Credible sources can be identified using the CRAAP test, which stands for the five criteria for evaluating an online source, namely currency, relevance, authority, accuracy, and purpose (Central Michigan University, 2020). The CRAAP test provides a handy checklist to identify credible online sources. However, nurses must ensure that they look for resources in the right places. Practicing nurses have had the best EBP-oriented research experiences in health care settings and clinical trials (Galassi et al., 2014). Additionally, it is recommended that nurses use the hospital or university library, hospital policy manuals, and hospital guidelines to complete their research. Identification of Five Sources for Evidence of Clinical Diagnosis Based on the factors indicated in the CRAAP model, five credible online sources have been identified. The sources are as follows: the Cumulative Index to Nursing and Allied Health Literature database run by EBSCO publishing, the PubMed website (https://pubmed.ncbi.nlm.nih.gov/) published by the National Library of Medicine, the Journal of Pain by the American Pain Society, the Journal of Pain and Relief, and the Columbian Journal of Anesthesiology by Wolters Kluwer. These sources provide validated information for research on postoperative pain management. Based on the CRAAP model, these five sources have been ranked in the order of their usefulness. Explanation of Why the Sources Provide the Best Evidence Copyright ©2020 Capella University. Copy and distribution of this document are prohibited. 4 These sources have been selected because they provide access to vetted, full-text articles from the most sought-after medical journals and peer-reviewed articles by practicing nurses, medical professionals, or research scholars in the field of medical science. These journals and websites provide information on EBP-oriented research on postoperative pain management, which is backed by scientifically collected data. These sources are regularly updated with the latest findings. Credible articles in these journals are easy to find and most of them are available free of cost. Conclusion Competent mentoring by using appropriate communication strategies can help nurses adopt EBP-oriented research in their practice. Support from mentors helps new nurses research effectively when they encounter new patient diagnoses. For effective research, nurses can evaluate the credibility of the online sources using the CRAAP model. Copyright ©2020 Capella University. Copy and distribution of this document are prohibited. 5 References Central Michigan University. (2020). Website research: CRAAP test.

Credibility of Evidence and Resources Discussionhttps://libguides.cmich.edu/web_research/craap Dadich, A., & Hosseinzadeh, H. (2016). Communication channels to promote evidence-based practice: A survey of primary care clinicians to determine perceived effects. Health Research Policy and Systems, 14. https://doi.org/10.1186/s12961-016-0134-z Galassi, A. L., Grady, M. A., O’Mara, A. M., Ness, E. A., Parreco, L. K., Belcher, A. E., & Hastings, C. E. (2014). Clinical research education: Perspectives of nurses, employers, and educators. Journal of Nursing Education, 53(8), 466–472. https://doi.org/10.3928/0148483420140724-04 Mędrzycka-Dąbrowska, W., Dąbrowski, S., Gutysz-Wojnicka, A., Basiński, A., & Kwiecień-Jaguś, K. (2018). Nurses’ knowledge and barriers regarding pain management. Journal of PeriAnesthesia Nursing, 33(5), P715–726. https://doi.org/10.1016/j.jopan.2017.03.005 Mikkonen, K., Tomietto, M., Cicolini, G., Kaucic, B. M., Filej, B., Riklikiene, O., Juskauskiene, E., Vizcaya-Moreno, F., Pérez-Cañaveras, R. M., De Raeve, P, & Kääriäinen, M. (2020).

Credibility of Evidence and Resources Discussion Development and testing of an evidence-based model of mentoring nursing students in clinical practice. Nurse Education Today, 85. http://doi.org/10.1016/j.nedt.2019.104272 Copyright ©2020 Capella University. Copy and distribution of this document are prohibited. Assessment 2 Instructions: Determining the Credibility of Evidence and Resources Develop a 2-4-page scholarly paper in which you describe a quality or safety issue, or a chosen diagnosis, and then identify and analyze credible evidence that could be used as the basis for applying EBP to the issue. 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, baccalaureateprepared 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. 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. Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria: • • Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision. 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 quality or safety issue, or a chosen diagnosis.

Credibility of Evidence and Resources DiscussionCompetency 3: Apply an evidence-based practice model to address a practice issue. Explain the importance of incorporating credible evidence into an EBP model used to address a quality or safety issue, or a chosen diagnosis. Competency 4: Plan care based on the best available evidence. Describe a quality or safety issue, or a chosen diagnosis, that could benefit from an evidence-based approach. Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence. Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style. Professional 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, you may choose from the following options as the context for the quality or safety issue or chosen diagnosis for researching and completing this assessment: • • • The specific diagnosis you identified in your previous assessment. The simulation Vila Health: Determining the Credibility of Evidence. A personal practice experience in which a sentinel event occurred. 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.

Credibility of Evidence and Resources DiscussionThis 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. 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 scenario for this assessment. For example, if you choose to use the provided Vila Health scenario, your initial identification of resources should be of resources that will best help address the presented issue. However, if you are locating resources to help provide evidence-based care for the diagnosis you identified in the first assessment, you may want to begin your literature and evidence search from the databases that identified. Any of the three scenario options are acceptable. So, pick the one that most interests you. 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 quality or safety issue, or 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 quality or safety issue, or a chosen diagnosis. This is where you are selecting the specific resources to help address the issue in your chosen scenario. Explain the importance of incorporating credible evidence into an EBP model used to address a quality or safety issue, or a chosen diagnosis. Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style. Submission Requirements Your assessment should meet the following requirements: • Length of submission: 2–4-page scholarly paper, this does not include the APAformatted 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. …