Determining the Credibility of Evidence and Resources

 

 

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.
INTRODUTION
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 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) Mode
John Hopkins Model
KTA (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.
o 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.
o 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.
o 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.
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.
o Explain criteria that should be considered when determining credibility of resources such as journal articles and websites.
o 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.
o 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.
o 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.
o Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
o Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.

 

Sample Solution

The Power of Evidence-Based Practice: Improving Patient Outcomes in Pressure Injury Prevention

Introduction

The healthcare landscape is constantly evolving, demanding a shift from traditional practices to evidence-based approaches. Nurses play a pivotal role in ensuring patient safety and optimal outcomes by incorporating the best available evidence into their decision-making. This paper explores the importance of evaluating resource credibility for successful implementation of evidence-based practice (EBP) in pressure injury (PI) prevention.

Criteria for Credible Resources

Evaluating the credibility of resources is crucial for reliable and relevant evidence in EBP. Several key criteria guide this process:

  • Authorship:
    • Credible resources are authored by experts in the field with relevant qualifications and affiliations (Polit & Beck, 2018). Look for authors with degrees in nursing, medicine, or related fields, and affiliations with reputable institutions.
  • Publication Type:
    • Peer-reviewed journals published by established organizations are considered the gold standard for credible evidence (Melnyk & Fineout-Overholt, 2019). These journals undergo a rigorous review process by subject matter experts, ensuring the quality and validity of the research.
  • Date of Publication:
    • Medical knowledge advances rapidly, so utilizing current resources is essential. Aim for publications within the last five years, especially for clinical practice guidelines and research studies (Polit & Beck, 2018).
  • Content Accuracy and Objectivity:
    • Credible resources present information factually and objectively, avoiding bias or commercial influence (Melnyk & Fineout-Overholt, 2019). Look for resources with clear methodology, data analysis, and a balanced discussion of limitations.
  • Website Source:
    • When considering websites, evaluate the organization behind it. Reputable government agencies (.gov), professional associations (.org), and educational institutions (.edu) offer trustworthy information (Polit & Beck, 2018). Be cautious of websites with commercial interests or those lacking clear authorship or affiliation.

Applying Credibility Criteria to Pressure Injury Prevention

Pressure injuries (PIs), also known as bedsores, are a significant patient safety concern. Following a systematic approach to resource selection is critical for identifying evidence-based strategies to prevent PIs.

For example, searching a reputable medical database like PubMed with keywords like “pressure injury prevention” and “evidence-based practice” might yield results including:

  • A 2022 article in the Journal of Wound, Ostomy, and Continence Nursing titled “Pressure Injury Prevention: An Updated Clinical Practice Guideline” published by the Wound, Ostomy and Continence Nurses Society (WOCN). This resource meets the criteria for credibility due to its peer-reviewed publication in a respected nursing journal, authored by wound care experts, and focusing on current best practices.
  • A 2021 website from the Agency for Healthcare Research and Quality (AHRQ), a government agency (.gov), might provide information on patient repositioning techniques, another key PI prevention strategy. This website would be considered credible due to its government source and focus on evidence-based interventions.

By critically evaluating resources based on established criteria, nurses can ensure they are using the most reliable and relevant evidence to guide their practice in PI prevention.

EBP Model Selection and Importance of Credible Evidence

Several EBP models exist to guide nurses in implementing evidence-based care. For PI prevention, the JBI Model of Evidence-Based Nursing is a well-suited framework. This model emphasizes a structured approach, starting with formulating a clear clinical question about PI prevention. Nurses would then search for credible resources using the criteria discussed earlier. The JBI model then guides the critical appraisal of the evidence, followed by synthesis of findings and integration of the evidence into practice for PI prevention (JBI, 2020).

The importance of incorporating credible evidence into the EBP model cannot be overstated. Flawed or outdated information can lead to ineffective interventions and potentially worse patient outcomes. Credible evidence ensures nurses are implementing the most up-to-date and effective strategies to prevent PIs, ultimately improving patient safety and quality of care.

Conclusion

Evidence-based practice is a cornerstone of safe and effective nursing care. By critically evaluating the credibility of resources based on authorship, publication type, date, content accuracy, and website source, nurses can ensure they are using the best available evidence to guide their practice. In the context of PI prevention, employing a structured EBP model like the JBI model and integrating credible evidence is crucial for optimizing patient outcomes. As nurses embrace EBP principles and utilize credible resources, they empower themselves to deliver high-quality, evidence-based care.

 

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