Determining the Credibility of Evidence and Resources

Determining the Credibility of Evidence and Resources

 

Determining the Credibility of Evidence and Resources

Patient care involves handling critical issues often and engaging in practice where accurate decision-making is not an option. As primary care professionals, nurses encounter issues that hamper care quality or patient safety. Such issues have far-reaching implications on patient care, and evidence-based interventions are necessary to address them effectively. As a result, nurses must understand what evidence-based practice (EBP) entails and sources of credible and relevant evidence. Understanding this process ensures that nurses use appropriate evidence, clinical expertise, and patient preferences to promote EBP. The purpose of this paper is to describe how to determine the credibility of evidence and resources for a patient safety issue.

The Safety Issue that Could Benefit from an Evidence-Based Approach

Nurses should not work in isolation. They should work in teams to consult each other to improve decision-making. Also, they need to follow all protocols regarding medication administration, regardless of the situation. The patient safety issue that could benefit from an evidence-based approach involved a nurse who handled patients with identical names in succession. The first patient had pelvic inflammatory disease, and the second patient visited the unit for assistance for severe endometriosis. The first process was successful: all procedures were followed, including patient and medication confirmation. Unfortunately, the nurse confused the second patient with the first one and recommended the same medication. The bleeding did not stop in the second patient. Worse, it intensified, followed by severe swelling. After a week, the patient returned to seek clarity of the issue. It emerged that the nurse prescribed the wrong medication since she was experiencing burnout. As a result, she could not concentrate and handle the situation professionally and comprehensively.

Nurse burnout is widespread in nursing practice. It is a common source of medication errors, implying that medication errors can be significantly reduced by addressing nurse burnout (Soósová, 2021). Nursing and health care literature has explored nurse burnout in multiple dimensions, including causes, risk factors, manifestations, and control measures. An evidence-based approach in this scenario would involve searching for scholarly evidence on nurse burnout prevention and implementing the findings to ensure nurses do not commit medication errors.

Criteria for Determining Credibility of Sources

There is massive information on nurse burnout prevention in health care settings. Also, information on the link between nurse burnout and medication errors is extensive from many sources such as books, journal articles, research dissertations, and websites. Health care providers must use credible information, which usually comes from scholarly, peer-reviewed sources (Oerther & Watson, 2019). The CRAAP (currency, relevance, authority, accuracy, and purpose) test is the primary determinant of credible sources. Primary factors to consider when using the CRAAP test include the timeliness, source, reliability, and correctness of the information (Central Michigan University Library, 2021). For journal articles, sources should be currently published and from reliable nursing databases. The level of evidence should be high, including systematic reviews and randomized controlled trials (RCTs). The article can also be appraised by a short abstract review, particularly in quantitative research. An abstract is an article’s resume containing the introduction, research questions, methods, findings, and conclusion (Cathala & Moorley, 2018). For websites, credibility is determined by examining the publisher. Websites with credible nursing information should be from authoritative institutions or government publications.

 

Credibility and Relevance of Evidence within the Context of Medication Errors

As mentioned earlier, the most practical intervention for preventing medication errors is nurse burnout. Many research articles passing the CRAAP test address nurse burnout from multiple dimensions. For instance, De Oliveira et al. (2019) conducted an integrating literature review to prevent nurses’ burnout syndrome. Recommended practices include basic nursing care and systematic nursing supervision. In a different study, Manomenidis et al. (2019) examined how job burnout prevents nurses from complying with practice protocols, increasing patient safety risks. Shah et al. (2018) advised health care settings to ensure there is adequate staff and limit the number of working hours to alleviate burnout. These sources can be used to address nurse burnout since they are credible based on the CRAAP test. Besides being current and relevant to the topic, they are authoritative sources published in scholarly journals.

Incorporating Credible Evidence into an Evidence-Based Practice Model

Although there is adequate research on preventing medication errors by reducing nurse burnout, its integration into practice must be systematic. Incorporating credible evidence into an EBP model implies that the evidence will be incorporated into practice through a systematic process with detailed steps. A suitable example of an EBP model is the John Hopkins Medicine nursing model. The model has three fundamental steps: the practice question, evidence, and translation to practice (Upstate Medical University, 2021). The model could help address burnout by guiding nurses on generating a practice question, evidence search, and translation into practice in three basic steps. Integration into practice leads to outcomes’ improvement.

Conclusion

Issues hampering care quality and patient safety are inevitable in health care delivery. However, their magnitude can be significantly reduced by embracing EBP and using current, peer-reviewed evidence to guide practice change. A similar approach is needed to prevent nurse burnout to ensure that nurses are mentally, physically, and emotionally healthy to handle patient problems expertly. Ensuring that all evidence used to recommend practice changes is credible is crucial. The CRAAP test can be used to determine the credibility of journal articles. Websites should be from established and authoritative educational and government institutions.

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References

Cathala, X., & Moorley, C. (2018). How to appraise quantitative research. Evidence-Based Nursing, 21(4), 99-101. http://dx.doi.org/10.1136/eb-2018-102996

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

De Oliveira, S. M., de Alcantara Sousa, L. V., Vieira Gadelha, M., & do Nascimento, V. B. (2019). Prevention actions of burnout syndrome in nurses: An integrating literature review. Clinical practice and Epidemiology in Mental Health: CP & EMH, 15, 64–73. https://doi.org/10.2174/1745017901915010064

Manomenidis, G., Panagopoulou, E., & Montgomery, A. (2019). Job burnout reduces hand hygiene compliance among nursing staff. Journal of Patient Safety, 15(4), e70-e73. doi: 10.1097/PTS.0000000000000435

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

Shah, M. K., Gandrakota, N., Cimiotti, J. P., Ghose, N., Moore, M., & Ali, M. K. (2021). Prevalence of and factors associated with nurse burnout in the US. JAMA Network Open, 4(2), e2036469-e2036469. doi:10.1001/jamanetworkopen.2020.36469

Soósová, M. S. (2021). Association between nurses’ burnout, hospital patient safety climate and quality of nursing care. Cent. Eur. J. Nurs. Midw, 12, 245-256. doi: 10.15452/CEJNM.2021.12.0039

Upstate Medical University. (2021). Johns Hopkins nursing evidence-based practice. https://guides.upstate.edu/c.php?g=1023176&p=7411259

 

Assessment 2 Instructions: Determining the Credibility of Evidence and Resources

Top of Form

Bottom of Form

• PRINT
• 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.

Introduction

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, you may choose from the following options as the context for the quality or safety issue or chosen diagnosis/health issue for researching and completing this assessment:

• • The specific diagnosis/health issue 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.

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.

• • • 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/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. 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.
  • Identify the Evidence-Based Practice model and explain the importance of incorporating credible evidence into the EBP model used to address a quality or safety issue, or a chosen diagnosis/health care issue. Review the literature below and choose the appropriate model for your diagnosis/health care issue.

• • • 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.

Competencies Measured

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.

• • • 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.

• • • 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.

• • • 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.

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VIEW SCORING GUIDE

determining the Credibility of Evidence and Resources Scoring Guide

CRITERIA	NON-PERFORMANCE	BASIC	PROFICIENT	DISTINGUISHED
Describe a quality or safety issue, or a chosen diagnosis, that could benefit from an evidence-based approach.	Does not describe a quality or safety issue, or a chosen diagnosis, that could benefit from an evidence-based approach.	Lists a quality or safety issue, or a chosen diagnosis, that could benefit from an evidence-based approach.	Describes a quality or safety issue, or a chosen diagnosis, that could benefit from an evidence-based approach.	Describes a quality or safety issue, or a chosen diagnosis, that could benefit from an evidence-based approach. Provides a specific rationale for the importance or benefit of applying an evidence-based approach. Uses literature to support discussion.
Explain criteria that should be considered when determining credibility of resources such as journal articles and websites.	Does not explain criteria that should be considered when determining credibility of resources such as journal articles and websites.	Lists criteria that should be considered when determining credibility of resources such as journal articles and websites.	Explains criteria that should be considered when determining credibility of resources such as journal articles and websites.	Explains criteria that should be considered when determining credibility of resources such as journal articles and websites. Notes one or more ways the criteria could be applied to a specific resource.
Analyze the credibility and relevance of evidence and resources within the context of a quality or safety issue, or a chosen diagnosis.	Does not analyze the credibility or relevance of evidence or resources.	Describes the credibility or relevance of evidence or resources, but does not offer a complete analysis. The specific context of a quality or safety issue, or a chosen diagnosis may be unclear as well.	Analyzes the credibility and relevance of evidence and resources within the context of a quality or safety issue, or a chosen diagnosis.	Analyzes the credibility and relevance of evidence and resources within the context of a quality or safety issue, or a chosen diagnosis. Additionally, identifies the most useful evidence or resource based upon the analysis.
Identify an evidence-based practice model (such as John Hopkins, Stetler, Iowa, 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.	Does not identify an evidence-based practice model used to address a quality or safety issue, or a chosen diagnosis/health care issue.	Identifies an evidence-based practice model used to address a quality or safety issue, or a chosen diagnosis/health care issue. Does not explain the model or the importance of incorporating credible evidence.	Identifies an evidence-based practice model and explains the importance of incorporating credible evidence into an evidence-based practice model used to address a quality or safety issue, or a chosen diagnosis/health care issue.	Explains the importance of incorporating credible evidence into an evidence-based practice model used to address a quality or safety issue, or a chosen diagnosis/health care issue. Notes specific examples of how the model could help improve the chosen issue or diagnosis/health care issue.
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, intext citations, and references. Does not use quotes or paraphrase correctly.	Attempts to apply 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, intext citations, and references. Quotes and paraphrases correctly.

Resources.

https://connect.springerpub.com/content/book/978-0-8261-2759-4/back-matter/bmatter1