NURS FPX 4030 CU Locating Credible Databases and Research Essay

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). 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. https://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). 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. Create a 1-2-page resource that will describe databases that are relevant to EBP around a diagnosis you chose and could be used to help a new hire nurse better engage in EBP. Evidence-based practice (EBP) integrates the best evidence available to guide optimal nursing care, with a goal to enhance safety and quality. EBP is crucial to nursing practice because it incorporates the best evidence from current literature, along with the expertise of the practicing nurse. The concern for quality care that flows from EBP generates a desired outcome. Without these factors, a nurse cannot be an effective leader. It is important to lead not only from this position but from knowledge and expertise. To gain the knowledge, you require a good understanding of how to search for scholarly resources, as well as identify which databases and websites are credible for the purposes of implementing evidencebased changes in practice. 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 1: Interpret findings from scholarly quantitative, qualitative, and outcomes research articles and studies. Explain why the sources selected should provide the best evidence for the chosen diagnosis. Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision. Describe the best places to complete research and what types of resources one would want to access to find pertinent information for the diagnosis within the context of a specific health care setting. Competency 4: Plan care based on the best available evidence. Identify five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence for a clinical diagnosis. Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence. Describe communication strategies to encourage nurses to research the diagnosis, as well as strategies to collaborate with the nurses to access resources. 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 providing patientcentered, competent care based on current evidence-based best practices. You will be required to do research, analysis, and dissemination of best evidence to stay abreast of these best practices. Understanding where to go to find credible sources and locate evidence, as well as which search terms to use, is the foundation of incorporation of best practices. Scenario You are supervising three nurses working on the medical-surgical floor of a local teaching hospital. This hospital is nationally recognized as a leader in education and has a computer lab with an online library where staff has access to medical research databases (that is, CINAHL, PubMed, Medline, and Cochrane library) and online sources of all hospital policies, procedures, and guidelines, and computers at nurse workstations that also have access to these resources. (For this scenario, use the Capella University Library to simulate the hospital’s online library.) You have given the nurses their patient assignments and you have all participated in shift report. A new nurse who just completed orientation and training a week ago approaches you and tells you that one of the assigned patients has a diagnosis he or she is very unfamiliar with. Knowing that patientcentered care based on best practices is imperative to positive patient outcomes, you want to assist this nurse to find research that can be utilized to provide the best care for this patient. Describe how you would communicate with this nurse to encourage him or her to research the diagnosis. Assume you will assist in the quest to locate evidence, then describe where you would go within the facility and what resources you would look for. These resources may include websites, journals, facility policies or guidelines, or any other sources of online information. You may choose the diagnosis for the patient in this scenario. Choose something you would find interesting to research or that applies to a clinical problem you would be interested in addressing. Create a list of at least five sources that could be used to find evidence, with the best source listed first, and explain why the sources you chose are best to find evidence for the diagnosis you chose and the clinical scenario. You are only evaluating the sources of evidence (database, website, policy database or website, et cetera). You are not actually completing a search and selecting evidence. Consider the following examples: a nursing journal in CINAHL may not be the best source of evidence for information on how to administer medications through a central-venous catheter, whereas a hospital policy database found on a website may not be the best source of information on caring for a patient with a rare chromosomal abnormality. Preparation To help ensure you are prepared to complete this assessment, review the following resources related to the Capella library. These resources will provide you an overview of the types of tools, resources, and guides available in the library. This may be useful in forming a better understanding of the library to apply to the hypothetical situation laid out in the scenario of this assessment. • • • • BSN Program Library Research Guide. Evidence-Based Practice in Nursing & Health Sciences. Databases A-Z: Nursing & Health Sciences. Get Critical Search Skills. Remember, it is also appropriate to look toward databases and resources outside of the Capella library, such as organizational policies, professional organizations, and government health care resources. You are encouraged to complete the Evaluating the Credibility of Evidence activity. This activity offers an opportunity to practice evaluating the credibility of evidence. These skills will be necessary to complete Assessment 1 successfully and is for your own practice and self-assessment. Completing this activity is also a way to demonstrate course engagement. Instructions The purpose of this assessment is to understand where to find evidence that can be applied to clinical scenarios and to learn effective communication and collaboration with clinical staff during the process of evidence location. As a baccalaureate-prepared nurse, you will not only use research for selfimprovement in your clinical role, but you will also serve as a mentor to supervised nursing staff.NURS FPX 4030 CU Locating Credible Databases and Research Essay

Therefore, you will need to be able to communicate and collaborate effectively to guide them toward resources to find research, as well as support them through the initial evidence location process. In doing so, nurses can gain access to evidence that can be analyzed and utilized to stay current on best practices. This allows them to provide safe, patient-centered care and improve patient outcomes. For this assessment: • • Describe your role as a baccalaureate-prepared nurse supervising clinical staff nurses with regard to communication and collaboration in locating evidence for application to a nursing practice scenario. Compile a list of five online databases or other online sources (that is, websites, journals, facility policies or guidelines, et cetera) that can be used to research evidence to apply to this scenario and describe to which of these you would direct a nurse colleague to search for evidence. • Describe where you might go in the clinical setting to complete this research and how you would access the desired, relevant research within research databases or other online sources. 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 communication strategies to encourage nurses to research the diagnosis, as well as strategies to collaborate with the nurses to access resources.NURS FPX 4030 CU Locating Credible Databases and Research Essay

Describe the best places to complete research and what types of resources you would want to access to find pertinent information for the diagnosis within the context of a specific health care setting. Identify five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence for a clinical diagnosis. Explain why the sources of online information selected should provide the best evidence for the chosen diagnosis. Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style. Note: While you are not selecting and evaluating specific evidence to help with the clinical diagnosis, you should still be citing the literature and best practices to support your description of your communication and collaboration approach. Additionally, it is appropriate to cite best practices related to EBP and evaluating databases to support your explanation as to why you selected the five sources of online information that you did. Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

Assessment 1 Example [PDF]. • • • • • Submission Requirements Your assessment should meet the following requirements: • • • Length of submission: 1–2 pages (not including the reference page) description of communication, collaboration, and evidence location process, including a list of databases or other sources with description of why they are appropriate for clinical scenario diagnosis (that is, something that would be useable in professional practice for other nurses). Be sure to include an APA-formatted reference page at the end of your submission. Number of references: Cite a minimum of three sources of scholarly or professional evidence that supports 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. …NURS FPX 4030 CU Locating Credible Databases and Research Essay