NURS FPX 4030 Assessment 1 Locating Credible Databases and Research
University:
Capella University
NURS FPX 4030 Assessment 1 Locating Credible Databases and Research
Paper Instructions
Create a 2-4 page resource that will describe databases that are relevant to EBP around one of the diagnoses found in the provided PDF supplement and could be used to help a new hire nurse better engage in EBP.
INTRODUCTION
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 evidence-based changes in practice.
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 patient-centered 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.
To select the diagnosis for the patient in this scenario, review the three diagnoses presented in the Assessment 01 Supplement Locating Credible Databases and Research [PDF] Download Assessment 01 Supplement Locating Credible Databases and Research [PDF]resource and select one. You will use this same diagnosis to complete the next two assessments.
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, journal article, 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.
INSTRUCTION
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 self-improvement in your clinical role, but you will also serve as a mentor to supervised nursing staff.
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 the diagnosis in 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 work place 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/practice issue, as well as strategies to collaborate with the nurses to access resources.
- Describe the best places to complete research and what types of resources you would want to access to find pertinent information for the diagnosis/health care issue 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/practice issue.
- Explain why the sources of online information selected should provide the best evidence for the chosen diagnosis/health care issue.
- Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style.
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Sample Answer
Evidence-based practice (EBP) allows healthcare practitioners to employ a systematic approach incorporating scientifically validated and critically evaluated evidence to offer safe and high-quality care services to a wide range of patients (Thiel et al., 2019). 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. As a nurse leader with a bachelor’s degree, it is incumbent upon me to provide education and support to clinical nursing staff on the significance and implementation of research and multidisciplinary collaboration in advancing patient-centred care and enhancing patient outcomes. The purpose of this paper is to elucidate the procedure of acquiring pertinent and up-to-date evidence to increase the diagnosis and treatment of patients, hence fostering evidence-based practice (EBP) among recently employed nurses.
Communication and Collaboration Strategies
Nurse managers are responsible for promoting the understanding and application of evidence-based practice by newly hired nurses within their unit to promote clinical decision-making when caring for patients. This can be achieved by first creating a culture of readiness and promoting a positive attitude among staff members in utilizing scientifically proven evidence to guide their practice. Communicating the different approaches that can be used to locate relevantly and update resources can be done by organizing departmental meetings to promote one-on-one discussion among staff members regarding the best strategies in addition to sending According to Nasrollah et al. (2019), there is a need to consider the most effective sources for utilization in memos and emails. In addition to their managerial responsibilities, nurse managers are required to coordinate evidence-based practice training programs to enhance their comprehension of integrating change into existing healthcare practices.
Further strategies that can be employed to foster collaboration with nursing personnel in the acquisition of pertinent and current resources encompass the allocation of distinct responsibilities to individual nurses for sourcing materials from diverse databases, followed by a comparative analysis of the outcomes to facilitate discussions on the most reliable sources (Steele-Moses, 2021). Promoting cooperation among nursing personnel in promoting evidence-based practice is advantageous for comprehending the professional variety among team members and facilitating the acquisition of new competencies and knowledge via peer learning.
Research in the Workplace
The Emergency Department staff members at a nearby teaching hospital are granted access to an online library that offers a diverse selection of study materials relevant to their professional responsibilities. Nurses can use various databases, such as the online library, during their designated working hours using the emergency unit nursing room and unoccupied conference rooms. According to Nasrollah et al. (2019), it has been observed that people have the ability to use computers or smartphones as a means to acquire current and relevant information to facilitate the process of diagnosing and effectively treating specific medical issues. Conference rooms and nursing staff spaces often exhibit minimal levels of activity and noise, so fostering an atmosphere that is favourable to study. It is recommended that nurses prioritize including national clinical standards and peer-reviewed tools sourced from medical journal databases in their study materials. In addition, Steele-Moses (2021) suggests using the CRAAP test as a method for assessing the pertinence, precision, credibility, timeliness, and intent of chosen references.
In the context of emergency room management of stroke, a wide range of studies may be readily accessible via several online medical databases. The survey conducted by Nasrollah et al. (2019) highlights the significance of nurse management in enabling the provision of multidisciplinary care for adult patients with stroke. Nurses play a crucial role in assisting patients in the direction of cardiovascular symptoms, avoidance of complications, and facilitation of secretion elimination via various interventions, such as chest physiotherapy and breathing exercises. The evidence-based clinical practice guidelines on non-pharmacologic airway clearing treatment, as issued by the American College of Chest Physicians, have been reported by Steele-Moses (2021). The ideas suggest that airway clearance therapy may serve as a viable strategy for enhancing the process of mucus clearance. However, it is essential to recognize that the efficacy of any intervention is relatively constrained, and the long-term benefits have yet to be shown.
Online Sources of Information
According to Ali-Abadi et al. (2020), it is advisable to consult various online sources, such as databases like the American Journal of Nursing, Clinical Nurse Specialist, Nursing Reference Centre, MEDLINE with Full Text, and CINAHL Complete, to access evidence about clinical diagnosis or health concerns within the nursing domain. The first three sources include current standards and norms for clinical practice, which are advantageous to nurses in several specializations as they streamline the process of patient diagnosis and treatment. The search tool offered by the Walden University Library offers users the ability to access all of the databases above. The library has a comprehensive and varied collection of books, journals, and materials about the discipline of gerontology and scholarly investigations on the aging population. To access the pool, the researcher may navigate the content by scrolling downwards since it has been categorized into several subject groups and material categories.
Selected Sources
Incorporating all previously cited sources of evidence has significance in ensuring the production of full-textual publications and clinical diagnostic suggestions. These elements are vital in improving the diagnosis of various health disorders. Nurses who need to be better-versed in the diagnosis of a particular healthcare issue are recommended to use the database of the Clinical Nurse Specialist medical journal for guidance. According to Ali-Abadi et al. (2020), the publication above provides a complete examination of the requirements for clinical nurse specialists, focusing primarily on their ability to identify and treat various health disorders.
Conclusion
Promoting the adoption of evidence-based practice among newly recruited nurses is paramount, given their low level of competence, which, therefore, heightens the potential for medical mistakes. Nurse leaders are responsible for using effective communication tactics to augment the nursing staff’s comprehension in discerning relevant literature sources. The acquisition of this information is of utmost importance in enhancing diagnostic and therapeutic strategies for severe medical conditions such as stroke. This responsibility especially relates to the procedures of diagnosis and treatment.
References
- Steele-Moses, S. K. (2021). Predicting medical-surgical nurses’ work satisfaction and intent to stay. Nursing Management, 52(8), 16–25. https //doi.org/10.1097/01.numa.0000758672.01825.25
- Ali-Abadi, T., Babamohamadi, H., & Nobahar, M. (2020). Critical thinking skills in intensive care and medical-surgical nurses and their explaining factors. Nurse Education in Practice, 45, 102783. https //doi.org/10.1016/j.nepr.2020.102783
- Nasrollah, S., Rafii, F., & Ghezeljeh, T. (2019). Design and implementation of clinical competency evaluation system for nursing students in medical-surgical wards. Journal of Family Medicine and Primary Care, 8(4), 1408. https //doi.org/10.4103/jfmpc.jfmpc_47_19
- Thiel, L. M., Ko, A., & Turner, J. A. (2019). Home Healthcare Nursesʼ Attitudes, Confidence, and Engagement in Evidence-Based Practice. Home Healthcare Now, 37(2), 79–87. https //doi.org/10.1097/nhh.0000000000000723
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