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:
• 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.
Sample Solution
Evidence-Based Practice: Examining Credibility for Improved Patient Care in Heart Failure
Introduction
The nursing profession thrives on continuous improvement, striving to deliver the best possible care based on the most up-to-date scientific evidence. This is where Evidence-Based Practice (EBP) comes into play. EBP empowers nurses to move beyond tradition and anecdotal evidence, instead basing their decisions on rigorous research and proven interventions. This paper explores the concept of EBP, focusing on the crucial skill of evaluating the credibility of resources used to inform clinical practice. We will specifically delve into the diagnosis of heart failure (HF) and analyze how credible evidence can be used to optimize patient care.
Full Answer Section
Criteria for Credible Resources
The cornerstone of EBP lies in the ability to critically appraise the sources used to gather information. Here are some key criteria to consider when evaluating the credibility of journal articles and websites:
Authorship:
Are the authors experts in the field with relevant qualifications and experience? Look for credentials such as MD, PhD, RN, and their affiliation with reputable institutions. (Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare: A guide to best practice (3rd ed.). Wolters Kluwer.)
Publication Type:
Is it a peer-reviewed journal article, a reputable nursing organization's website, or a government health agency's publication? Peer-reviewed journals undergo a rigorous review process by experts, ensuring the research is methodologically sound and the findings are reliable. (Polit, C. F., & Beck, C. T. (2017). Nursing research: Principles and methods (10th ed.). Wolters Kluwer.)
Currency:
Is the information up-to-date and reflects the latest scientific advancements? Look for publication dates within the last 5-10 years for topics like HF, where treatment guidelines evolve constantly. (AHA/ACC/HFSA Focused Update on New ACC/AHA/HFSA Guidelines for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Heart Failure Society of America, 2013. Circulation, 128(16), e240-e272. https://doi.org/10.1161/CIR.0b013e31829e8776)
Objectivity:
Does the resource present a balanced view, acknowledging limitations of the study or potential biases? Be wary of sources with a strong commercial agenda or those promoting specific products.
Accuracy:
Are the claims supported by citations from credible sources? Look for references to peer-reviewed journals and reputable organizations.
Website Design:
Does the website have a professional layout with clear authorship and contact information? Beware of websites with grammatical errors, misleading information, or hidden agendas. (U.S. National Library of Medicine, [2020). How to evaluate health information on the internet. National Institutes of Health. [invalid URL removed])
Applying Credibility Criteria to Heart Failure
Let's consider the example of heart failure (HF). This chronic condition weakens the heart's ability to pump blood effectively, leading to a cascade of symptoms and complications. Nurses play a crucial role in managing HF through medication administration, patient education, and monitoring for signs and symptoms of worsening condition. Here's how EBP can be applied:
Identifying a Clinical Question: A nurse caring for a patient with HF might ask, "What is the most effective medication regimen to manage this patient's specific type of HF?"
Locating Credible Evidence: Using the criteria mentioned above, the nurse would search for peer-reviewed journal articles published by reputable cardiology or nursing organizations within the past 5 years. These articles would ideally report on randomized controlled trials (RCTs) comparing different medication regimens for the specific type of HF the patient presents.
Critically Appraising Evidence: The nurse would then critically evaluate the articles, assessing the methodology, sample size, and strength of the conclusions.
Implementing Evidence-Based Practices: Based on the most credible and relevant evidence, the nurse can collaborate with the physician to determine the most appropriate medication regimen for the patient.
Improved Patient Outcomes: Evidence-based interventions lead to better clinical outcomes, reducing complications and improving quality of life for patients with HF. (Naylor, M. D.,
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