Evidence-based nursing models.

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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

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.

Sample Solution

Assessing the Credibility of Journal Articles and Websites

In the realm of evidence-based practice (EBP), nurses play a crucial role in incorporating the latest research findings into clinical decision-making. As healthcare continues to emphasize quality improvement measures to minimize safety risks, the demand for evidence-based models and templates has grown significantly. This systematic approach to integrating research-backed evidence enables nurses to make informed clinical and operational decisions, ultimately enhancing patient-centered care, improving outcomes, and elevating the patient experience.

Criteria for Evaluating Journal Articles

When evaluating the credibility of journal articles, several key factors should be considered:

  1. Authorship and Expertise: The authors’ credentials, affiliations, and expertise in the subject matter directly impact the article’s credibility. Check for author affiliations with reputable research institutions or universities.

  2. Publication Source and Repute: The journal’s reputation, impact factor, and inclusion in recognized indexing databases, such as PubMed or MEDLINE, indicate the quality and rigor of its editorial review process.

  3. Methodology and Rigor: Assess the methodology employed in the study, ensuring it follows sound research principles and demonstrates a clear understanding of the research question. Look for evidence of peer review, a rigorous data collection process, and appropriate statistical analysis.

  4. Objectivity and Bias: Evaluate the article’s objectivity and potential biases. Does the article present a balanced view of the topic, considering opposing viewpoints and acknowledging limitations?

  5. Relevance and Currency: Ensure the article’s content is relevant to the research question and addresses the specific topic or diagnosis you are investigating. Check the publication date to ensure the information is up-to-date.

  6. References and Citations: Verify the article’s references, ensuring they are from reputable sources and support the claims made in the text.

Criteria for Evaluating Websites

When assessing the credibility of websites, consider the following criteria:

  1. Authority and Sponsorship: Identify the website’s owner or sponsoring organization. Is it a reputable institution, government agency, or academic institution?

  2. Purpose and Mission: Evaluate the website’s purpose and mission statement. Is it clearly stated and aligned with the information provided?

  3. Accuracy and Currency: Verify the accuracy and currency of the information presented. Check for regular updates, author credentials, and credible sources.

  4. Objectivity and Bias: Assess the website’s objectivity and potential biases. Does it present a balanced view, consider opposing viewpoints, and acknowledge limitations?

  5. Contact Information and Transparency: Check for clear contact information and transparency regarding website ownership, funding sources, and editorial processes.

  6. External Links and Affiliations: Evaluate the external links and affiliations provided. Do they link to reputable sources and organizations?

Example of a Diagnosis Benefiting from EBP

Congestive heart failure (CHF) is a chronic and debilitating condition affecting millions worldwide. EBP can play a significant role in improving CHF management and patient outcomes. By incorporating evidence-based guidelines and interventions, nurses can help patients manage their symptoms, optimize medication therapy, and reduce the risk of hospitalization.

Evidence-Based Practice Model

The Iowa Model of Evidence-Based Practice (IEM) is a widely recognized and adaptable framework for EBP implementation. It comprises seven steps:

  1. Identify the problem or issue: Clearly define the clinical question or problem that needs to be addressed.

  2. Search for the best evidence: Conduct a comprehensive literature search to identify relevant and credible research evidence.

  3. Appraise the evidence: Critically evaluate the quality, relevance, and applicability of the retrieved evidence.

  4. Synthesize the evidence: Integrate and summarize the findings from the appraised evidence.

  5. Summarize the practice recommendation: Based on the synthesized evidence, formulate a clear and actionable practice recommendation.

  6. Implement the recommendation: Translate the practice recommendation into a specific plan of action for clinical implementation.

  7. Evaluate the outcomes: Monitor and evaluate the impact of the implemented changes on patient outcomes and organizational goals.

Incorporating Credible Evidence into EBP Models

Incorporating credible evidence into EBP models is crucial for ensuring the effectiveness and impact of EBP initiatives. By selecting high-quality, relevant, and objective research evidence, nurses can formulate evidence-based practice recommendations that are grounded in sound scientific principles and likely to improve patient outcomes.

Conclusion

Assessing the credibility of journal articles and websites is essential for nurses in their role as EBP champions. By applying the outlined criteria, nurses can make informed decisions about the trustworthiness and relevance of resources, ensuring that their practice is guided by the best available evidence

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