Assignment: Locating Credible Databases and Research

Assignment: Locating Credible Databases and Research

Assignment: Locating Credible Databases and Research

Evidence-based practice (EBP) is the use of the best evidence available for problem solving and decision-making in patient care. Pain is considered to be one of the most adverse outcomes of a surgery. If not treated effectively, pain can lead to sleep deprivation, anxiety, and acute neurohormonal changes. Pain management in postsurgical patients requires high-quality care. Evidence suggests that a lack of encouragement or support of EBP research for postoperative pain management lowers nurses’ confidence in functioning efficiently (Mędrzycka-Dąbrowska et al., 2018).

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In this assessment, the scenario considered is that of a newly trained nurse assigned to a patient suffering from prolonged postoperative pain. It is the nurse’s first assignment, and she is not confident about implementing evidence-based practice in the context of the patient’s diagnosis. The focus of this assessment is to identify communication strategies that a head or senior nurse can use to encourage newly trained nurses to effectively research their patients’ diagnoses. Recommendations on how to evaluate credible sources during the research process and the criteria to be considered when selecting the best sources will be identified. Finally, a list of recommended sources will be provided along with the rationale behind choosing them.

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Communication Strategies to Encourage Diagnosis-Based Research

Learning while on the job through structured mentoring gives new nurses a clearer idea of how to approach a problem. Competent mentors help new nurses build confidence and enable an atmosphere that promotes communication within a practice. Mentors display personal characteristics such as empathy, respectfulness, and patience. They practice active listening by conducting unscheduled discussions frequently with new nurses to address queries. They also provide constructive feedback to support the learning process (Mikkonen et al., 2020). Online training or video-based modules have also added value to the learning process. Interacting through visual aids such as the Practice Nurse Postcard tool can help mentors communicate necessary information to new nurses (Dadich & Hosseinzadeh, 2016).

The Best Places to Complete the Research

Credible sources can be identified using the CRAAP test, which stands for the five criteria for evaluating an online source, namely currency, relevance, authority, accuracy, and purpose (Central Michigan University, 2020). The CRAAP test provides a handy checklist to identify credible online sources. However, nurses must ensure that they look for resources in the right places. Practicing nurses have had the best EBP-oriented research experiences in health care settings and clinical trials (Galassi et al., 2014). Additionally, it is recommended that nurses use the hospital or university library, hospital policy manuals, and hospital guidelines to complete their research.

Explanation of Why the Sources Provide the Best Evidence

These sources have been selected because they provide access to vetted, full-text articles from the most sought-after medical journals and peer-reviewed articles by practicing nurses, medical professionals, or research scholars in the field of medical science. These journals and websites provide information on EBP-oriented research on postoperative pain management, which is backed by scientifically collected data. These sources are regularly updated with the latest findings. Credible articles in these journals are easy to find and most of them are available free of cost.

Conclusion

Competent mentoring by using appropriate communication strategies can help nurses adopt EBP-oriented research in their practice. Support from mentors helps new nurses research effectively when they encounter new patient diagnoses. For effective research, nurses can evaluate the credibility of the online sources using the CRAAP model.

Assignment: Locating Credible Databases and Research Paper

The utilization of scientifically proven and critically appraised evidence in the provision of safe and quality care services to diverse patient populations is a strategy provided by evidence-based practice (EBP) for healthcare professionals (Yoder et al., 2022). In my capacity as a nurse leader with a baccalaureate degree, it is incumbent upon me to impart knowledge and motivate clinical nursing personnel regarding the significance and practicality of research and cross-disciplinary cooperation in advancing patient-focused healthcare that yields better patient results.  The purpose of this discussion is to explain how to find current and relevant data to support patient diagnoses and treatment to encourage EBP among freshly employed nurses.

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Communication and Collaboration Strategies

The duty of nurse managers encompasses the facilitation of comprehension and implementation of evidence-based practice among recently recruited nurses in their respective units, to foster clinical decision-making in patient care. The establishment of a culture of preparedness and the encouragement of a constructive mindset among personnel in utilizing empirically validated evidence to inform their practice can facilitate the attainment of this objective. The dissemination of various methods for identifying and maintaining pertinent resources can be achieved through the facilitation of departmental meetings, which encourage individualized discourse among personnel concerning optimal tactics. Additionally, the distribution of memoranda and electronic correspondence detailing the most effective sources that can be employed may also prove beneficial (Smith, 2021).

Nurse managers must arrange Evidence-Based Practice (EBP) training programs to enhance their comprehension of integrating change into their existing practice. Corcoran et al. (2023) suggest that assigning specific responsibilities to individual nurses for searching resources from various databases and subsequently comparing the outcomes for discussion on the most reliable sources can be an effective approach to foster collaboration with nursing staff in accessing pertinent and up-to-date resources. Encouraging collaboration among nursing personnel to advance the evidence-based practice (EBP) is advantageous in comprehending the professional diversity among team members, thereby facilitating the acquisition of new competencies and knowledge from colleagues.

Research in the Workplace

The provision of an online library for staff members in the Emergency Department of a local teaching hospital offers a diverse array of research opportunities within the workplace. During their work hours, nurses have the option to utilize the emergency unit nursing staff room and unoccupied conference rooms to access various databases, including the online library, to obtain up-to-date resources. This allows them to acquire current evidence that can aid in the diagnosis and management of specific medical conditions, utilizing their laptops or smartphones (Smith, 2021). The nursing staff rooms and conference halls are typically characterized by low levels of noise and activity, thereby creating a favorable atmosphere that fosters research. During the research process, it is recommended that nurses prioritize national clinical guidelines and peer-reviewed resources from medical journal databases. Additionally, the CRAAP test can be utilized to assess the relevance, accuracy, authenticity, currency, and purpose of the chosen sources, as suggested by Corcoran et al. (2023).

For example, in the management of cystic fibrosis in the emergency department, numerous studies are readily accessible on various medical databases on the internet. As per Kimple et al. (2022), nursing management plays a crucial role in the interdisciplinary care of adult patients with cystic fibrosis. Nurses play a crucial role in assisting patients in managing pulmonary symptoms, preventing complications, and promoting secretion removal through various strategies such as chest physiotherapy and breathing exercises. The American College of Chest Physicians has published evidence-based clinical practice guidelines on non-pharmacologic airway clearance therapies (Corcoran et al., 2023). These guidelines recommend airway clearance therapy as a viable technique to enhance mucus clearance. However, it is important to note that the effect of each treatment is relatively modest and the long-term benefits remain unproven.

Online Sources of Information

            As suggested by Corcoran et al. (2023), using a variety of online sources, such as the databases of the American Journal of Nursing, Clinical Nurse Specialist, and Nursing Reference Centre, as well as MEDLINE with Full Text and CINAHL Complete, is the best way to locate evidence about the clinical diagnosis or health issue that falls under the purview of the nurse. The first three sources provide nurses from a wide variety of specialties with the most recent standards and norms for clinical practice, which makes the process of diagnosing and treating patients much simpler.Through the search function of the Walden University Library, users have access to all of the aforementioned databases. It has a substantial and varied collection of books, periodicals, and other resources associated with the study of aging as well as research on aged people. To see the collection, which has been segmented into several topic areas and kinds of materials, the researcher needs merely to scroll down.

Selected Sources

            All of the evidence sources that have been discussed up to this point are necessary for the production of full-text publications and clinical diagnostic guidelines, which are both used to advance the diagnosis of various health disorders. However, nurses who are not familiar with the diagnosis of a particular healthcare issue should consult the database of the Clinical Nurse Specialist medical journal. According to Corcoran et al. (2023), this journal addresses all of the practice requirements for various clinical nurse specialists in the diagnosis and management of various health problems.

Conclusion

It is of the utmost importance to encourage evidence-based practice (EBP) among newly employed nurses because of their lack of expertise, which raises the likelihood of medical mistakes. As a result of this, nurse leaders have the responsibility of applying suitable communication techniques to increase the knowledge of the nursing staff on how to identify relevant literature sources to promote their diagnostic and treatment processes of critical diseases such as cystic fibrosis. Specifically, this duty applies to the diagnosis and treatment processes.

References

Corcoran, J., Campbell, C., & Ladores, S. (2023). Provider Perspectives on Fertility and Fertility Preservation Discussions Among Women With Cystic Fibrosis60, 004695802311594-004695802311594. https://doi.org/10.1177/00469580231159488

Kimple, A. J., Senior, B. A., Naureckas, E. T., Gudis, D. A., Meyer, T., Hempstead, S. E., Resnick, H. E., Albon, D., Barfield, W., Benoit, M. M., Beswick, D. M., Callard, E., Cofer, S., Downer, V., Elson, E. C., Garinis, A., Halderman, A., Hamburger, L., Helmick, M., & McCown, M. (2022). Cystic Fibrosis Foundation otolaryngology caresabout multidisciplinary consensus recommendations. International Forum of Allergy & Rhinology12(9), 1089–1103. https://doi.org/10.1002/alr.22974

Smith, A. L. (2021). Evidence-based practice training in nurse residency programs: enhancing confidence for practice implementation. Teaching and Learning in Nursing16(4), 315-320. https://doi.org/10.1016/j.teln.2021.05.005

‌Yoder, L. H., Cengiz, A., Hinkley, T., Hertel, R. A., Gallagher‐Ford, L., & Koshy Thomas, B. (2022). Medical‐surgical nurses’ EBP beliefs and competencies. Worldviews on Evidence‐Based Nursing19(2), 149-159. https://doi.org/10.1111/wvn.12567

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