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 c
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RA 4030 assessment 2
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.
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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.
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, 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 PracticeStetler ModelOttawa ModelPARiHS (Promoting Action on Research Implementation in Health Services) ModelACE (Academic Center for Evidence-Based Practice) Star ModelARCC (Advancing Research and Clinical Practice Through Close Collaboration) ModeJohn Hopkins ModelKTA (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.
- 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.
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.
Competencies Measured
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.
- Competency 3: Apply an evidence-based practice model to address a practice issue.
- Identify an evidence-based practice model (such as Iowa, Stetler, John Hopkins, etc.) and explain the importance of incorporating credible evidence into an EBP model used to address a quality or safety issue, or a chosen diagnosis/health care issue.
- 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.
- Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
- Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.
- https://connect.springerpub.com/content/book/978-0-8261-2759-4/back-matter/bmatter1
6
COPD Evidence Search
Student’s name
Institution Affiliation
Instructor’s Name
Date
COPD Evidence Search
Collaboration and Communication
Supervising clinical staff nurses as a baccalaureate-prepared nurse it is important to collaborate and communicate with the staffs in the process of finding evidence for nursing practice scenarios as this will play a role in enhancing patient care and evidence based practice. Effective teamwork and communication is very important in establishing a healthcare team that is helpful and knowledgeable. My first responsibility in this case is to ensure that I promote and encourage open communication. This basically means that there is a need to create an atmosphere where nurses may freely ask about patient treatment plan and even diagnosis. Open communication is specifically important as it helps in the process of identifying evidence and research gaps.
Online Databases and Sources
To facilitate research on Chronic Obstructive Pulmonary Disease (COPD), I would recommend the following five online databases and sources for clinical staff nurses:
1. PubMed
PubMed is a database of biomedical literature that is comprehensive that does offer access to different reviews, articles and even clinical studies. The database can be specifically be used for COPD by directing nurses to PubMed for extensive and broad search on COPD that is including its evidence based interventions, current research and even its pathophysiology.
2. CINAHL (Cumulative Index to Nursing and Allied Health Literature):
CINAHL is basically a specialized nursing and allied health database that specifically does put more focus on nursing literature, articles and research. I would recommend CINAHL database to nurses as this can be used to access literature, interventions and best practices that are nursing specific that are directly related to COPD care.
3. National Guidelines Clearinghouse:
In this website -National Guidelines Clearinghouse- it does put together clinical practices that are evidence based that are gathered from different sources. I would specifically recommend this website and direct nurses to this resource as they can find in it standardized guidelines on COPD interventions and even management.
4. American Thoracic Society (ATS) Website:
The ATS website is specifically important as it does play a role in providing guidelines and even resources on different respiratory diseases including COPD. I would recommend the ATS website as this will provide up-to-date information, recommendations and even recent research from experts on COPD.
5. Hospital Policy and Procedure Database:
The Hospital Policy and Procedure Database is specifically important as it does contain in it specific guidelines and protocols that can be used in addressing different health conditions including COPD. I would recommend and direct nurses to this website as it will help in the process of aligning nursing interventions with the standardized practices that the facility has when it comes to COPD management.
Workplace Research
In the workplace, I would help clinical staff nurses find pertinent research by directing them to use their own computers and the hospital's computer lab. I would assist the research process in the following ways:
1. Hospital’s Computer Lab:
The hospitals computer lab which in this case does serve as the library is located in a central place and is fully equipped with computers and also has medical research databases. To access the computer lab, clinical staff nurses have the liberty to visit the computer lab during designated hours when they need to conduct any research. At the lab, Nurses have the ability to browse databases like PubMed and CINAHL, simulate the hospital's online library, and connect in to the hospital's network at the computer lab (de Jong et al. 2020). They are able to explore extensively for COPD-related evidence here.
2. Nurse Workstations
Personalized workstations are situated all over the hospital and this is specifically important as it does provide nurses with convenient access during their shifts. Nurses have the freedom to access and use their assigned workstations during their breaks or when not actively attending to patients and this helps them access relevant information. At their workstation Nurses may access databases and resources including PubMed, CINAHL, and the hospital's policy database by logging in to the hospital's network and using the online library (Brown et al., 2020). Nurses may adopt evidence-based procedures in real-time while caring for patients with COPD thanks to this decentralized approach, which enables them to effortlessly incorporate research into their workflow.
References
Brown, J., Pope, N., Bosco, A. M., Mason, J., & Morgan, A. (2020). Issues affecting nurses' capability to use digital technology at work: an integrative review. Journal of clinical nursing, 29(15-16), 2801-2819. https://onlinelibrary.wiley.com/doi/abs/10.1111/jocn.15321
Campbell, A. R., Layne, D., Scott, E., & Wei, H. (2020). Interventions to promote teamwork, delegation and communication among registered nurses and nursing assistants: An integrative review. Journal of Nursing Management, 28(7), 1465-1472. https://onlinelibrary.wiley.com/doi/abs/10.1111/jonm.13083
de Jong, A., Donelle, L., & Kerr, M. (2020). Nurses’ use of personal smartphone technology in the workplace: scoping review. JMIR mHealth and uHealth, 8(11), e18774. https://mhealth.jmir.org/2020/11/e18774
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