NURS4030 Locating Credible Databases and Research

NURS4030 Locating Credible Databases and Research

 

Locating Credible Databases and Research

Nurses’ routine tasks predominantly involve patient care. As they execute this critical mandate, nurses must ensure that their practice is accurate and dominated by relevant and patient-centered care activities. Accordingly, they must collaborate as much as possible, consult their seniors, and apply the best evidence to guide decision-making. Applying evidence implies embracing evidence-based practice (EBP), which is highly recommended in present-day’s practice. The purpose of this paper is to describe the process of locating credible databases and research for a diagnosis unfamiliar to a nurse.

The Scenario to Guide Evidence-Based Practice

Three nurses are working on a medical-surgical floor of a local teaching hospital. In such a critical care unit, nurses must make accurate decisions and ensure that they are in the proper physical and mental state. In-depth knowledge of diseases and their management is imperative. However, a newly hired nurse who just completed orientation and training is unfamiliar with the diagnosis of abdominal pain management. She cannot establish whether the issue is related to the patient’s regular cramps, endometriosis, or complications due to recent stomach surgery. Since the nurse has never handled a similar situation before, it would be risky to continue handling the patient without sufficient evidence regarding the case.

Communication Strategies to Encourage Nurses to research a Diagnosis

All patients deserve patient-centered care based on best practices. A baccalaureate-prepared nurse must understand the essentials of such care and encourage it in everyday practice. The scenario above provides a unique opportunity for promoting patient-centered care through evidence-based practice. However, new nurses may not be conversant with all the procedures or the importance of evidence-based practice (EBP) in a particular setting. Communicating, guiding, and collaborating with them to get evidence and incorporate it into decision-making are critical.

Open communication would be critically required when encouraging nurses to research a diagnosis. In open communication, nurses are encouraged to share their thoughts without fearing any backlash or negative remarks from their colleagues (Howick et al., 2018). In this case, the supervising nurse would encourage the nurse unfamiliar with the diagnosis to share her thoughts about it, including issues contributing to her unfamiliarity with the diagnosis. The other communication strategy for encouraging nurses to take action is active listening. Here, the supervising nurse would listen to nurses attentively and offer appropriate feedback where necessary. It is also vital to exemplify what the nurses should do using case studies. For instance, nurses can be given case studies demonstrating how to use EBP and its importance in health care practice.

Besides communication, collaboration with the nurses being encouraged to research a diagnosis is vital. One of the most effective strategies is the supervising nurse to serve as a team player. In this case, such a nurse would team up with the nurse researching the diagnosis in every step to ensure that everything is done rightly. The supervising nurse should also help the nurse to research the diagnosis to set goals and evaluate whether they are achieved as expected. Active communication is also needed for collaborative practice.

The above communication and collaboration strategies play several beneficial roles towards a positive professional relationship. Open communication in the health practice is fundamental in encouraging team members to achieve a shared goal (Howick et al., 2018). In this case, it would encourage the nurse to search for current evidence regarding the areas she does not understand regarding the diagnosis. Active listening and feedback are the foundation of healthy communication. They would ensure that the nurse is understood and also understands the importance of evidence-based practice. Collaboration ensures that nurses work in a supportive work environment to develop their practice (Schot et al., 2020). Accordingly, teamwork and other strategies would ensure that nurses get the necessary support to search for evidence to improve patient care.

Best Places to Search for Evidence within the Workplace Environment

Evidence to guide diagnosis or other processes about a health condition must be relevant to practice, scholarly, and up-to-date. It should also be reviewed by experts within the profession (Oerther& Watson, 2018). Institutional libraries contain a broad range of information about issues facing different professions. The Capella University Library would be ideal to find pertinent information for abdominal pain and its management. The resources that a nurse would want to access include articles from established nursing journals, books, and expert knowledge from government and institutional publications.

There are several reasons for utilizing Capella University Library as the source of resources with pertinent information regarding the diagnosis. Firstly, Capella University Library provides access to nursing and health care databases (A-Z). Most of the information in such databases is peer-reviewed and addresses health care issues from multiple dimensions. Some examine causes, as others concentrate on prognosis, diagnosis, and treatment, among other factors. As a result, there is rich information to understand an issue in detail. Secondly, scholarly information can be searched using different techniques depending on the database. Typical search strategies include searching via topic or keywords. Information can be further filtered according to publication date to ensure that it is as current as possible.

 

Five Sources of Online Information

The internet contains a lot of information on health care issues and how to address them, including diagnosis. The first online information source that should be prioritized in this scenario is CINAHL Complete. It can be accessed via Capella University Library and contains full-text journals articles on nursing and allied health disciplines. The second source is Nursing & Allied Health for evidence-based sources and systematic reviews. The third source is Ebook Central for ebooks on nursing. The other two sources include educational and government websites and open access dissertations. On ranking, the first three sources would follow each other in importance and relevance. Websites would come last after dissertations.

Reasons for Selection

The above sources have been selected since their information is detailed and relevant to nursing practice. Besides valuable information on abdominal pain and management, they can meet the CRAAP criteria for nursing research materials. The CRAAP (currency, relevance, authority, accuracy, and purpose) test evaluates whether an article has the essential features to be considered credible and reliable enough to use as a source of evidence (Central Michigan University Library, 2021). It was the key consideration when selecting the sources.

Conclusion

Nurses face many issues in everyday practice requiring them to make accurate decisions. If they do not have adequate knowledge about an issue, nurses should search for evidence from credible sources. The highly recommended materials are peer-reviewed articles from nursing journals. It is also crucial to be guided by experienced colleagues who understand what EBP entails and how to conduct a thorough evidence search and integrate findings into practice.

ORDER A PLAGIARISM-FREE PAPER HERE

References

Central Michigan University Library. (2021). Website research: CRAAP test. https://libguides.cmich.edu/web_research/craap

Howick, J., Moscrop, A., Mebius, A., Fanshawe, T. R., Lewith, G., Bishop, F. L., …& Onakpoya, I. J. (2018). Effects of empathic and positive communication in healthcare consultations: A systematic review and meta-analysis. Journal of the Royal Society of Medicine, 111(7), 240-252. https://doi.org/10.1177%2F0141076818769477

Oerther, S., & Watson, R. (2019). Emerging nursing scholars guide to peer reviewing an academic manuscript. Nursing Open, 6(4), 1284-1288. https://doi.org/10.1002/nop2.368

Schot, E., Tummers, L., &Noordegraaf, M. (2020).Working on working together. A systematic review on how healthcare professionals contribute to interprofessional collaboration. Journal of interprofessional care, 34(3), 332-342. https://doi.org/10.1080/13561820.2019.1636007

NURS4030

Assessment 1 Instructions: Locating Credible Databases and Research

Top of Form

Bottom of Form

 

• 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.

Introduction

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.

Your Online e-Portfolio

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.

Professional Context

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.

Scenario

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.

Preparation

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.

• • BSN Program Library Research Guide.
  • Evidence-Based Practice in Nursing & Health Sciences.
  • Databases A-Z: Nursing & Health Sciences.
  • Get Critical Search Skills.

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.

Instructions

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 assessment:

• • Describe your role as a baccalaureate-prepared nurse supervising clinical staff nurses with regard to communication and collaboration in locating evidence for application to a nursing practice scenario.
  • Compile a list of five online databases or other online sources (that is, websites, journals, facility policies or guidelines, et cetera) that can be used to research evidence to apply to this scenario or clinical practice issue/diagnosis and describe to which of these you would direct a nurse colleague to search for evidence.
  • Describe where you might go in the work place to complete this research and how you would access the desired, relevant research within research databases or other online sources.

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 communication strategies to encourage nurses to research the diagnosis/practice issue, as well as strategies to collaborate with the nurses to access resources.
  • Describe the best places to complete research and what types of resources you would want to access to find pertinent information for the diagnosis/health care issue within the context of a specific health care setting.
  • Identify five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence for a clinical diagnosis/practice issue.
  • Explain why the sources of online information selected should provide the best evidence for the chosen diagnosis/health care issue.
  • Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style.

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:

• • Assessment 1 Example [PDF].

Additional Requirements

Your assessment should meet the following requirements:

• • Length of submission: 2-4 pages (not including the title page or the reference page) description of communication, collaboration, and evidence location process, including a list of databases or other sources with description of why they are appropriate for clinical scenario diagnosis/health care issue (that is, something that would be useable in professional practice for other nurses). Be sure to include an APA-formatted reference page at the end of your submission.
  • Number of references: Cite a minimum of three sources of scholarly or professional evidence that supports 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.

ORDER A PLAGIARISM-FREE PAPER HERE

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

• • Competency 1: Interpret findings from scholarly quantitative, qualitative, and outcomes research articles and studies.

• • • Explain why the sources selected should provide the best evidence for the chosen diagnosis/health care issue.
  • Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision within the context of a specific health care setting.

• • • 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 the diagnosis/health care issue.
  • Competency 4: Plan care based on the best available evidence.

• • • Identify five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence for a diagnosis/health care issue and three out of five should be specific to the diagnosis/health care issue.
  • Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.

• • • Describe communication strategies to encourage nurses to research a diagnosis/health care issue, as well as strategies to collaborate with the nurses to access resources.
    • Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
    • Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.
• SCORING GUIDE

Use the scoring guide to understand how your assessment will be evaluated.

VIEW SCORING GUIDE

Locating Credible Databases and Research Scoring Guide

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 reasons for utilizing the places within the health care setting.
Identify five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence for a clinical diagnosis/health care issue, and three out of five should be specific to the diagnosis/health care issue.	Does not identify sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence for a clinical diagnosis/health care issue.	Identifies less than five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence specific to a clinical diagnosis/health care issue, or one or more of the identified sources of online information is inappropriate for professional nursing practice.	Identifies five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence specific to a clinical diagnosis/health care issue, and ensures three out of five are specific to the diagnosis/health care issue.	Identifies five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence specific to a clinical diagnosis/health care issue, and ensures three out of five are specific to the diagnosis/health care issue. Ranks the sources from most useful for nurses to least.
Explain why the sources selected should provide the best evidence for the chosen diagnosis/health care issue.	Does not explain the sources selected.	Identifies the sources selected, but does not provide a full or clear explanation as to the relevance or usefulness of the sources selected within the context of the chosen diagnosis/health care issue.	Explains why the sources selected should provide the best evidence for the chosen diagnosis/health care issue.	Explains why the sources selected should provide the best evidence for the chosen diagnosis/health care issue. Notes criteria used to determine the relevance and usefulness of the sources.
Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.	Does not organize content for ideas. Lacks logical flow and smooth transitions.	Attempts to organize content with some logical flow and smooth transitions. Contains several errors in grammar/punctuation, word choice, and spelling.	Organizes content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.	Organizes content with a clear purpose. Content flows logically with smooth transitions using coherent paragraphs, correct grammar/punctuation, word choice, and free of spelling errors.
Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.	Does not apply APA formatting to headings, in-text citations, and references. Does not use quotes or paraphrase correctly.	Applies APA formatting to in-text citations, headings and references incorrectly, detracting noticeably from the content. Inconsistently uses headings, quotes, and/or paraphrasing.	Applies APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.	Exhibits strict and flawless adherence to APA formatting of headings, in-text citations, and references. Quotes and paraphrases correctly.