Owing to the complexity of the human body and its physiological functions, care must be provided only by professionals and following evidence obtained from the current literature.
Evidence-based practice is applying the best available evidence from any credible source to guide optimal nursing practice, aiming to improve the quality and safety of patient care (Kim et al., 2020).
The ability to use evidence-based evidence necessitates the presence of an experienced practicing healthcare professional who has legitimately gained the credibility to function as a care provider.
Day-to-day challenges for nurses range from making a diagnosis to designing an appropriate care plan for patients. To address this, a nurse must understand how to obtain scholarly resources and identify databases and websites that contain credible medical and nursing data.
As such, the purpose of this paper, with reference to a case scenario provided, is to highlight what it entails in locating evidence in a nursing practice scenario.
Also Read:
NURS-FPX4030 Assessment 2 Determining the Credibility of Evidence and Resources
NURS-FPX4030 Assessment 3 PICOT Questions and an Evidence-Based Approach
NURS-FPX4030 Assessment 4 Remote Collaboration and Evidence-Based Care
During my duties at a nationally recognized hospital in terms of nursing and medical student education and training, I was assigned to supervise three nurses who work in the medical-surgical department. During daily ward rounds, I assign specific patients to the nurses and participate in my shift report.
A new nurse approaches me, having just completed orientation and training a week before, and expresses his difficulty making a diagnosis in one of the patients assigned to him. Knowing the importance of evidence-based practices in patient outcomes, I am responsible for assisting the nurse in locating the literature that will be useful in caring for the patient.
Communication and collaboration are critical pillars of nursing practice that when done well, benefit both patients and caregivers. Because I am responsible for directing the nurses during their clinical rotation, I am responsible for communicating with the one who requires assistance locating evidence-based practice.
First, I would devote time to educating the nurse on evidence-based practice. This will be accomplished by carefully considering both my and the nurse’s schedules and arriving at a convenient time for both of us. A face-to-face communication strategy would be the most effective in conveying the gravity of the situation.
During the meeting, I would be courteous to the nurse and recognize his lack of knowledge as a strength and a need to learn. Even though there is a hierarchical ranking in nursing based on academic and professional achievements, everyone in the healthcare sector is considered a colleague (Schot et al., 2020).
As a result, the decision to communicate with junior colleagues in the most welcoming and cautious manner is informed. Demonstrating kindness and sincerity is an additional communication and collaboration strategy when addressing the issue.
By doing so, I will communicate to the nurse that people progress from ignorance to knowledge and that ignorance is merely an ethereal, transient state that can be corrected. Furthermore, because people have different learning strengths and styles, it is best to hold the meeting in a location where computers and medical databases are easily accessible to demonstrate to the nurse what is expected of her.
Besides being a teaching hospital, the facility also takes pride in having the most modern computer laboratory, where staff can access medical databases whenever they want. Aside from the computer laboratory, each department has its computer and a stable internet connection to assist staff in accessing evidence-based practice data.
The medical-surgical floor, nurses and physician workstations, research department, patient monitoring room, theatre, IT/health informatics room, and imaging department are among the departments with computers and a stable internet that the nurses can use.
While having access to a computer is necessary, the real deal is being able to obtain relevant medical sources and literature from the internet. According to Kim et al. (2020), the search for evidence-based practice information begins with being aware of credible medical databases.
Some online reputable medical databases that will be very useful during this practicum are PubMed, CINAHL, Medline, Google Scholar, ProQuest, and the Cochrane Library.
Assuming the patient has diabetes, the search for evidence-based practice information begins by entering relevant search details into medical databases. The search strategy is important because it determines the types of sources obtained.
Typing the words “diabetes mellitus,” “diagnosis of diabetes mellitus,” “management of diabetes mellitus,” “diabetes mellitus guidelines,” and many other specific word combinations can assist in locating the sources.
Article journals, guidelines from national ministries of health or professional bodies, hospital guidelines and guidebooks, and recommendations or fact sheets from federal agencies like the CDC, as well as information from non-profit health organizations like the American Diabetes Association (ADA), are all resources I would like to find.
Even though the information in the various medical databases has been peer reviewed and is credible, it is up to the searcher to determine the most reliable data.
The five online resources listed below can be used to provide evidence-based valuable information in the management of the assigned patient. Guidelines from the ADA, the International Society for Pediatric and Adolescent Diabetes (ISPAD), and the International Working Group on the Diabetic Foot (IWGDF) are among the sources.
An article journal containing information on insights into diabetes management, as well as an ADA consensus report, are also included. The links to the articles are provided and attached to the reference section, as are the documents. The order in which the sources are arranged below is determined by the relevance and superiority of the information.
The sources used are from the most reliable medical databases and were authored by medical experts. Furthermore, some of the sources come from internationally recognized health organizations that have long been trusted to provide reliable medical information. Moreover, the sources chosen were published within the last five years, ensuring that the information is up to date and applicable in practice. The reasons stated above predict the reliability and credibility of the sources and, thus, why they were chosen to impact practice concerning the nursing practical scenario provided.
Caring for patients necessitates knowledge and expertise in nursing and related fields. Apprenticeship or evidence-based literature can be used to gain knowledge and expertise. As a result, it is critical for a nurse to develop research skills that allow them to search for information online and sift through it to find evidence-based practice data to use.
As part of my job, I assist nurses doing clinical rotations in the medical-surgical department to locate evidence-based practice literature they can implement. Using various communication and collaborative strategies, nurses learn about medical databases, information search strategies, and how to assess the information’s relevance, reliability, and credibility.
Welcome to your Capella University online course, NURS-FPX4030 – Making Evidence-Based Decisions
Baccalaureate-prepared nurses use the best available evidence in the processes of clinical reasoning and judgement, which lead to interventions that result in desired patient, systems, and population outcomes.
This course focuses on the development of generalist nursing practice competencies for evidence-based decision making. In this course, you will access a variety of databases and other sources of evidence. By analyzing the credibility of evidence, you will work toward defining evidence-based solutions and plans to improve outcomes in care.
Related resources are provided for each assessment. Additional resources that may be useful throughout your courses have been gathered for easy access. Refer to the link in the courseroom navigation panel to access these resources.
For one of the assessments in this course, you are required to create a video recording using Kaltura or similar software. Refer to Using Kaltura for more information about this courseroom tool.
To create your recording, you will need a built-in or external microphone and, for video, a webcam.
Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact DisabilityServices@Capella.edu to request accommodations.
Creating an ePortfolio is not required in the BSN program, but you may find it helpful to create one to attach to your professional resume while job hunting. Online ePortfolios serve two key purposes: 1) to support learning and reflection, and 2) to be used as a showcase tool.
Your learning journey can be documented, and ePortfolios contribute to lifelong learning and growth through reflection and sharing. Online ePortfolios can also be shared with employers and peers to present artifacts that demonstrate your accomplishments at Capella.
As you are preparing to tell your story in the professional world, leverage your ePortfolio artifacts to demonstrate the knowledge and competencies you have gained through your program in professional conversations, performance reviews, and interviews.
To do that, reflect on the knowledge and skills you have gained from your courses and the elements you have put in your portfolio, along with how you have already applied these things to your professional life or how you might apply them in the future.
Next, create your story or talking points to tell your professional story.
You will need a place to store your documents in an organized fashion so that you can access them at a later date. Do not rely on the courseroom to store your assignments for you as you will lose access to the courseroom after you have completed the course. Capella uses a cloud-based portfolio platform to facilitate your organization of the artifacts you create throughout your program.
To make an online portfolio useful, it is essential that it is organized clearly and that important files of any format are accessible. Read the Online ePortfolio Guidelines [PDF] to ensure you set up your online portfolio correctly. For more information on ePortfolio, visit the Campus ePortfolio page.
Capella complies with privacy laws designed to protect the privacy of personal information. While you may voluntarily share your own information publicly, you are obligated to protect the personal information of others that may be associated with your academic or professional development.
Before sharing information and material in any ePortfolio that is set up to be shared externally to your program at Capella, please consider privacy obligations in relation to protected populations who may be included or referenced in your academic or clinical work.
Refer to the Family Educational Rights and Privacy Act (FERPA) and/or the Health Insurance Portability and Accountability Act (HIPAA) if you have specific questions or concerns about your choices.
To successfully complete this course, you will be expected to:
Create a 2-4 page resource that will describe databases that are relevant to EBP around a diagnosis you chose and could be used to help a new hire nurse better engage in EBP.
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.
Creating an ePortfolio is not required in the BSN program, but you may find it helpful to create one to attach to your professional resume while job hunting. Online ePortfolios serve two key purposes: 1) to support learning and reflection, and 2) to be used as a showcase tool.
Your learning journey can be documented, and ePortfolios contribute to lifelong learning and growth through reflection and sharing. Online ePortfolios can also be shared with employers and peers to present artifacts that demonstrate your accomplishments at Capella.
As a baccalaureate-prepared nurse, you will be responsible for providing patient-centered, competent care based on current evidence-based best practices. You will be required to do research, analysis, and dissemination of best evidence to stay abreast of these best practices. Understanding where to go to find credible sources and locate evidence, as well as which search terms to use, is the foundation of incorporation of best practices.
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.
You may choose the diagnosis for the patient in this scenario or health care issue/diagnosis of your choice. Or you may choose something you would find interesting to research or that applies to a clinical problem/diagnosis you would be interested in addressing.
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.
To help ensure you are prepared to complete this assessment, review the following resources related to the Capella library. These resources will provide you an overview of the types of tools, resources, and guides available in the library. This may be useful in forming a better understanding of the library to apply to the hypothetical situation laid out in the scenario of this assessment.
Remember, it is also appropriate to look toward databases and resources outside of the Capella library, such as organizational policies, professional organizations, and government health care resources.
You are encouraged to complete the Evaluating the Credibility of Evidence activity. This activity offers an opportunity to practice evaluating the credibility of evidence. These skills will be necessary to complete Assessment 1 successfully and is for your own practice and self-assessment. Completing this activity is also a way to demonstrate course engagement.
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 NURS 4030 Assessment 1 assessment:
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.
Note: While you are not selecting and evaluating specific evidence to help with the clinical diagnosis/practice issue, you should still be citing the literature and best practices to support your description of your communication and collaboration approach.
Additionally, it is appropriate to cite best practices related to EBP and evaluating databases to support your explanation as to why you selected the five sources of online information that you did.
Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:
Your assessment should meet the following requirements:
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED
Describe communication strategies to encourage nurses to research a diagnosis, as well as strategies to collaborate with the nurses to access resources. Does not describe communication strategies to encourage nurses to research a diagnosis, as well as strategies to collaborate with the nurses to access resources. Lists communication strategies to encourage nurses to research a diagnosis, as well as strategies to collaborate with the nurses to access resources.
Describes communication strategies to encourage nurses to research a diagnosis, as well as strategies to collaborate with the nurses to access resources. Describes communication strategies to encourage nurses to research a diagnosis, as well as strategies to collaborate with the nurses to access resources. Additionally, notes specific benefits of strategies in helping to build professional competence or a positive professional relationship. Cites literature to support discussion.
Describe the best places to complete research within the workplace environment and what types of resources one would want to access to find pertinent information for a diagnosis. Does not describe the best places to complete research within the workplace environment and what types of resources one would want to access resources to find pertinent information for a diagnosis. Lists the best places to complete research within the workplace environment and what types of resources one would want to access resources to find pertinent information for a diagnosis.
Describes the best places to complete research within the workplace environment and what types of resources one would want to access resources to find pertinent information for a diagnosis. Describes the best places to complete research within the workplace environment and what types of resources one would want to access resources to find pertinent information for a diagnosis. Notes one or more
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