NURS FPX 4030 Assessment 2 Determining the Credibility of Evidence and Resources
University:
Capella University
NURS FPX 4030 Assessment 2 Determining the Credibility of Evidence and Resources
Paper Instructions
Develop a 2-4 page scholarly paper in which you describe the diagnosis you researched for the previous assessment, and then identify and analyze credible evidence that could be used as the basis for applying EBP to the issue.
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.
SCENARIO
For this assessment, use the specific diagnosis/health issue you selected for the first assessment.
NOTE; Can you please stick to either Stroke or Cardiovascular. I felt the writer for Assessment was all over the place. Also, the PDF with the diagnosis is attached. Assessment1 is attached.
INSTRUCTION
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) Model
- John Hopkins Model
- KTA (Knowledge-to-Action) Mode
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.
Selecting a model for evidence-based practice changes. [PDF] and Evidence-Based Practice Models help explain the various evidence-based nursing models.
Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style
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Sample Answer
Healthcare professionals, particularly nurses, ought to emphasize the credibility and quality of sources of information when implementing evidence-based practice to enhance patient care quality and safety (Zheng et al., 2023). It is crucial to prioritize research supported by scholarly publications over internet-based sources, once the gravity of the healthcare issue has been established. This paper aims to emphasize the utilization of credible journal articles to support evidence-based practice in the appropriate management of stroke in the emergency department.
Quality or Safety Issue
Stroke is a critical medical condition associated with a mortality rate that surpasses that of many types of cancer. According to Zheng et al. (2023), it is the second leading cause of mortality in developed nations and the primary cause of significant and enduring disability among adults. Besides affecting patients and their families, there are significant economic repercussions. Moreover, the prevalence of stroke is rising due to the aging of populations, posing a significant challenge for health planners.
According to Liu et al. (2022), using an evidence-based guideline may optimize post-stroke patient outcomes and emergency nursing treatment for acute stroke patients. Since the Emergency Department is where the continuum of stroke treatment begins, multidisciplinary standards for acute stroke therapy must include evidence-based urgent nursing care recommendations (Rababah et al., 2021).
Criteria for Determining Credibility of Resources
Certain criteria should be taken into account while assessing the reliability of resources. The Currency, Relevance, Authority, Accuracy, and Purpose (CRAAP) test allows healthcare providers to assess the purpose, authority, relevance, accuracy, and currency of a source. First, a source’s currency should be considered while evaluating its trustworthiness. The currency test ensures that the reference is up-to-date and has been used within the last five years. Considering the author’s qualifications, publication date, and indexing when analyzing a journal or website’s reliability. Hence each of the sources I looked at not only did well on the CRAAP tests but also addressed issues that were pertinent to the safety concerns I had (Rababah et al., 2021).
Analysis of the Credibility and Relevance of the Evidence and Resources
Middleton et al. (2019) conducted a randomized controlled trial to assess the efficacy of an intervention aimed at enhancing triage, therapy, and transfer processes for individuals with acute stroke in the emergency department. This study is current and relevant to the research topic, as it is authored by medical professionals who provide credibility to the information presented. The purpose statement is also clearly defined. In their study, Liu et al. (2022) conducted a quality improvement project to assess the efficacy of a standard care bundle intervention in preventing stroke-associated pneumonia. This study is also current and relevant to the research topic, as it is authored by medical professionals who provide credibility to the information presented. The purpose statement is also clearly defined.
Zheng et al. (2023) used the acute ischemic stroke-associated pneumonia scoring scale in quasi-intervention pilot research to examine the effects of nurse-led hierarchical management care on patients with acute ischemic stroke (AIS). This study is also current and relevant to the research topic, as it is authored by medical professionals who provide credibility to the information presented. The purpose statement is also clearly defined. In a recent research, Rababah et al. (2021) evaluated the effect of an evidence-based training program on healthcare workers’ general knowledge of stroke by using a randomized block design with a post-test-only approach. Rababah et al. (2021) provided the most valuable evidence among the four sources, suggesting that Stroke education should be a mandatory component of professional development for all healthcare professionals in emergency settings.
Evidence-Based Model
Several models and frameworks have been created to help nurses better understand the process of implementing evidence-based practice. Frameworks and models are essential in facilitating the promotion of safe and outstanding nursing practice. The EBP implementation process will be guided by the Iowa model, which will facilitate the incorporation of principles related to stroke prevention and treatment into real clinical practice within the emergency department. The model was chosen for its problem-solving approach that emphasizes structured procedures to facilitate the effective implementation of evidence-based practice (Rababah et al., 2021). The method is broken down into manageable steps that help nurses see problems and choose trustworthy sources to figure out the best course of action. The model’s objective is to effectively address stroke by identifying its causes, evaluating various sources, planning the execution of necessary changes, and promoting long-term sustainability.
Conclusion
Stroke is a global issue that necessitates an increased number of skilled healthcare professionals and enhanced collaboration among them. Improving healthcare providers’ understanding and proficiency in stroke management is crucial in mitigating the significant consequences of stroke on individuals, their families, and the healthcare system. Healthcare providers should have access to evidence-based resources and ongoing educational opportunities for acute stroke care.
References
- Liu, Z.-Y., Wei, L., Ye, R.-C., Chen, J., Nie, D., Zhang, G., & Zhang, X.-P. (2022). Reducing the incidence of stroke-associated pneumonia an evidence-based practice. BMC Neurology, 22(1). https //doi.org/10.1186/s12883-022-02826-8
- Middleton, S., Dale, S., Cheung, N. W., Cadilhac, D. A., Grimshaw, J. M., Levi, C., McInnes, E., Considine, J., McElduff, P., Gerraty, R., Craig, L. E., Schadewaldt, V., Fitzgerald, M., Quinn, C., Cadigan, G., Denisenko, S., Longworth, M., Ward, J., D’Este, C., & Grimley, R. (2019). Nurse-initiated acute Stroke Care in Emergency Departments. Stroke, 50(6), 1346–1355. https //doi.org/10.1161/strokeaha.118.020701
- Rababah, J. A., Al-Hammouri, M. M., & AlNsour, E. (2021). Effectiveness of an educational program on improving healthcare providers’ knowledge of acute stroke A randomized block design study. World Journal of Emergency Medicine, 12(2), 93. https //doi.org/10.5847/wjem.j.1920-8642.2021.02.002
- Zheng, D., Li, S., Ding, Y., Chen, H., Wang, D., Wang, H., Xie, Y., Li, C., & Luo, J. (2023). Effects of nurse-led hierarchical management care on acute stroke patients A pilot study to promote stroke-associated pneumonia management. Frontiers in Neurology, 14. https //doi.org/10.3389/fneur.2023.1121836
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