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QUESTION
Determining the Credibility of Evidence related to specific diagnosis
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.
Develop a 2-4-page scholarly paper in which you describe a quality or safety issue, or a chosen diagnosis, and then identify and analyze credible evidence that could be used as the basis for applying EBP to the issue.
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.
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.
Demonstration of Proficiency
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. ◦Explain the importance of incorporating credible evidence into an EBP model used to address a quality or safety issue, or a chosen diagnosis.
- 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. ◦Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style.
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, you may choose from the following options as the context for the quality or safety issue or chosen diagnosis for researching and completing this assessment:
- The specific diagnosis you identified in your previous assessment.
- The simulation Vila Health: Determining the Credibility of Evidence.
- A personal practice experience in which a sentinel event occurred.
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.
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 scenario for this assessment. For example, if you choose to use the provided Vila Health scenario, your initial identification of resources should be of resources that will best help address the presented issue. However, if you are locating resources to help provide evidence-based care for the diagnosis you identified in the first assessment, you may want to begin your literature and evidence search from the databases that identified. Any of the three scenario options are acceptable. So, pick the one that most interests you.
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 quality or safety issue, or 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 quality or safety issue, or a chosen diagnosis. ◦This is where you are selecting the specific resources to help address the issue in your chosen scenario.
- Explain the importance of incorporating credible evidence into an EBP model used to address a quality or safety issue, or a chosen diagnosis.
- Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style.
Submission 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.
| Subject | Nursing | Pages | 7 | Style | APA |
|---|
Answer
Determining the Credibility of Evidence Related to Specific Diagnosis
The healthcare industry has experienced transformation in the recent past to ensure quality and safety through effective decision making. In most facilities, baccalaureate-prepared nurses apply evidence-based practices (EBP) for quality improvement (QI) steps to reduce misdiagnosis risks and increase patients' satisfaction levels. In this paper, explanations on criteria for establishing a journal's credibility for diabetes mellitus diagnosis will be provided. Additionally, the paper will describe how nurses can establish competency using the provided approach in a practical situation.
Diabetes mellitus is a metabolic condition that result from high sugar levels in the blood. During an attack, increased blood sugar levels may affect the normal functioning of nerves, eyes, kidney, and other body organs. During the diagnosis of patients with such conditions, sufficient evidence is required to make a clinical decision to lower underlying risks (Brozek et al., 2020). Further, the evidence offers scientific research for making a clinical decision, understand emerging practices for diabetes patient care, and increase patients' chances of recovering from effective practices applied. On the other hand, using shreds of evidence to inform decisions leads to economic resource use, thus lowering the operational cost to treat patients in a given health facility. Patients also experience satisfaction when nurses apply evidence-based practices to diagnose medical conditions.
Management of diabetes patients requires considerations for coming up evidence on clinical intervention to be administered. Thus, nurses opt to use journals and articles to gather scientific tips for making a decision (Souza et al., 2020). However, problems are typically faced when choosing journals and articles when some journals fail to meet terms for open access policies. To assess reliable journals for collecting diabetes pieces of evidence, an initial consideration is on predatory journals that seek awareness to users but may lack academic evaluation to address health issues. Such journals may contain information that has not been subjected to scientific proof for medical uses. Secondly, users need to consider journals that embrace contemporary approaches or peer review for new clinical innovations. Such journals are trusted as they contain new health issues likely to influence clinical decisions.
Consumers of health informatics are generally subjected to a credibility evaluation for selecting reliable online resources. However, this process requires a methodological approach for screening the web to pick reliable resources that can be used in the diagnosis of diabetes mellitus. A step to step meta-analysis of resources begins by selecting all resources addressing diabetes mellitus (Whitehead et al., 2020). Second, the resources are separated into books, journals, or articles followed by a specification of a year of publication that is not more than two years from the current year. The next credibility of resources is collected by analyzing diagnosis methods outlined that apply the modern scientific approach and technology to monitor diabetes patients. From a provided list, users can gather specific journals addressing diabetes mellitus diagnosis and management measures.
Applying EBP for Addressing Practical Issues
In diabetes mellitus patients' diagnosis, EBP on credible resources begins by selecting all journals covering different types of diabetes. Second, the resources are classified into topics covering diabetes mellitus, followed by a specification of years of publication that are not older than two years from the current date. Similarly, selecting reliable resources on diabetes mellitus management is ensured by choosing articles that allow modern technological interventions to allow symptoms analysis from patients. The role of including credibility in the EBP model is that it allows consideration to address current issues affecting patients and applying the emerging trends to increase safety and reliability of service delivery.
From the credibility outlined to ensure that EBP has safety and lesser risk, a planning model for patient management is required. A care plan effective for managing diabetes begins by outlining different types of diabetes alongside general symptoms (Wonder & Spurlock, 2020). The next step is on specifications to diabetes mellitus followed by observation of general symptoms that include and not limited to evidence of increased hunger, feeling thirsty, and loss of weight. The next move is to classify symptoms in men and women, then laboratory tests for glucose levels. The care plan should also contain a provision for home management interventions and a monitoring model for patients' blood sugar levels. Lastly, the plan needs to apply reference from other credible resources that have attained inclusion criteria minimums.
Generally, a baccalaureate nurse requires evidence in making critical clinical decisions. This process is attained by designing an EBP model that outlines measures for selecting a credible resource that can be used as a reference. Typically, selecting credible resources for managing diabetes mellitus patients entails several processes to end up with relevant material that will meet patient treatment requirements. The critical importance of incorporating credible evidence into an EBP is that it offers quality information, leading to patient satisfaction and practical resource use by healthcare institutions.
References
Brozek, J. L., Canelo-Aybar, C., Akl, E. A., Bowen, J. M., Bucher, J., Chiu, W. A., ... & Gordon, A. A. (2020). GRADE Guidelines 30: The GRADE Approach to Assessing the Certainty of Modelled Evidence-an Overview in the Context of Health Decision-making. Journal of Clinical Epidemiology.
Souza, J., Pimenta, D., Caballero, I., & Freitas, A. (2020). Measuring data credibility and medical coding: a case study using a nationwide Portuguese inpatient database. Software Quality Journal, 1-19.
Whitehead, D., Ferguson, C., LoBiondo-Wood, G., & Haber, J. (2020). Nursing and midwifery research: Methods and appraisal for evidence-based practice.
Wonder, A. H., & Spurlock Jr, D. (2020). A National Study Across Levels of Nursing Education: Can Nurses and Nursing Students Accurately Estimate Their Knowledge of Evidence-Based Practice?. Nursing education perspectives, 41(2), 77-82.