Assignment: Determining the Credibility of Evidence and Resources

Assignment: Determining the Credibility of Evidence and Resources

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.

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Professional Context

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.
• 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:

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.

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.

Determining the Credibility of Evidence and Resources Scoring Guide

Determining the Credibility of Evidence and Resources Sample

Nurses and other healthcare workers are advised to pay attention to the legitimacy and quality of the chosen sources of information for the effective implementation of evidence-based practice (EBP) to enhance the quality and safety of treatment given (Jing et al., 2022). Following the determination of the importance of the identified healthcare problem, it is vital to advance research using academic papers as the preferred sources of support as opposed to articles discovered on websites. The purpose of this discussion is to show how to utilize reliable journal articles to support evidence-based practice in efficient cystic fibrosis (CF) care in the emergency room.

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Quality or Safety Issue

Cystic Fibrosis is an uncommon hereditary ailment characterized by the gradual deterioration of the CFTR protein due to anomalies in the CFTR gene. Around 30,000 people in the USA are affected by cystic fibrosis (Meissner et al., 2019). The progressive decline of lung function is linked to morbidity and death in cystic fibrosis patients. Exacerbations, which often need prolonged hospital stays of a week or more, are a major contributor to the extensive resource consumption needed for cystic fibrosis management. In the USA, patients with cystic fibrosis who have at least one exacerbation spend, on average, 20.0 days in the hospital per year for exacerbation therapy (Jing et al., 2022). The majority of CFTR dysfunction therapies continue to focus on the disease’s symptoms and physiologic manifestations, except CFTR modulators, which treat the disease’s underlying etiology. To improve the quality of treatment given and get the best results, practitioners must use research to discover current evidence-based practices.

Criteria for Determining Credibility of Resources

It is vital to perform a literature search in medical journal databases and websites to the acquisition of reliable information for the treatment of cystic fibrosis and enhance patient outcomes. Timeline, target audience, authority, viewpoint, and relevancy are just a few of the variables that must be taken into account while assessing the reliability of the chosen journal articles. For instance, only publications that are current, impartial, peer-reviewed, published by qualified experts on the subject, and aimed at healthcare practitioners may be used (Ullal et al., 2022). As a result, determining the legitimacy of websites will need to consider both the URL and the whole look and feel of the page. Reliable websites often have a more polished design, with URLs that indicate whether they are informative, advocacy, or news resources, such as “.com,” “.net,” “.edu,” and “.org.”

Analysis of the Credibility and Relevance of the Evidence and Resources

The sources employed to advocate for evidence-based practice in managing cystic fibrosis in the emergency department were both pertinent and reliable. All of the publications were written in English and were released within the last five years by authors and organizations with the necessary authorization to disseminate knowledge about the management of cystic fibrosis. As a result, all of the studies employed a language that is both highly professional and easily comprehensible, given that their intended readership comprises medical professionals rather than patients. All sources examined are pertinent to the research subject matter, as they discuss the determinants of unfavorable patient outcomes and efficacious interventions that have been previously employed to foster favorable outcomes.

For instance, Ullal et al. (2022), have reported that the emergence of CFTR modulator therapies with high efficacy has resulted in a deceleration of the advancement of pulmonary complications among individuals diagnosed with cystic fibrosis. The growing longevity of individuals with cystic fibrosis has led to a surge in attention toward cystic fibrosis bone disease (CFBD), as noted by Yang et al. (2022). Hence, according to Corcoran et al. (2023), clinical practice recommendations for non-pharmacologic airway-clearing therapy have been recommended by the American College of Chest Physicians. According to the recommendations, airway clearance treatment is a workable strategy to increase mucus clearance. It is important to emphasize that each intervention has very diverse effects on different patients, and the long-term benefits have not yet been shown (Jing et al., 2022).

Evidence-Based Model

By improving knowledge of the many facets of the process of adopting EBP, several EBP frameworks and models have been established that significantly contribute to encouraging safe and high-quality practice among nurses. The Iowa model will direct the application process in encouraging the introduction of cystic fibrosis management concepts into real practice. The model was chosen due to its problem-solving methodology, which emphasizes correctly structured procedures to assist the effective implementation of EBP (Meissner et al., 2019). The approach also includes short, straightforward phases that direct nurses from issue identification through the choice of reliable sources for deciding the recommended modification. The model will assist in the management of cystic fibrosis by identifying the contributing causes to this issue, evaluating and criticizing pertinent sources, devising and planning how to execute the change, and promoting the sustainability of the change that is implemented.

Conclusion

The progress made in the management and therapy of cystic fibrosis has resulted in enhanced survival rates, leading to a significant rise in the number of cystic fibrosis patients who attain adulthood. As the population of individuals with cystic fibrosis continues to age, there is a growing imperative for further investigation into the unique healthcare needs of this demographic. Conducting research and gathering data on the aging cystic fibrosis population is crucial in enhancing the preparedness of cystic fibrosis patients who are grappling with the arduous treatment and financial implications of their condition. This can aid in fostering autonomy and improving their overall quality of life.   

References

Corcoran, J., Campbell, C., & Ladores, S. (2023). Provider Perspectives on Fertility and Fertility Preservation Discussions Among Women With Cystic Fibrosis. 60, 004695802311594-004695802311594. https://doi.org/10.1177/00469580231159488

Jing, X., Sun, W., Yang, X., Huang, H., Wang, P., Luo, Q., Xia, S., Fang, C., Zhang, Q., Guo, J., & Xu, Z. (2022). CCAAT/enhancer-binding protein (C/EBP) homologous protein promotes alveolar epithelial cell senescence via the nuclear factor-kappa B pathway in pulmonary fibrosis. The International Journal of Biochemistry & Cell Biology, 143, 106142. https://doi.org/10.1016/j.biocel.2021.106142

Meissner, V., Ferenz, K., & Tellinghusen, M. (2019). The Effects of Cystic Fibrosis on the Self-Concept of Adolescents. Scholars.carroll.edu. https://scholars.carroll.edu/handle/20.500.12647/7201

Ullal, J., Kutney, K., Williams, K. M., & Weber, D. R. (2022). Treatment of cystic fibrosis-related bone disease. Journal of Clinical & Translational Endocrinology, 27, 100291. https://doi.org/10.1016/j.jcte.2021.100291

Yang, X.-Y., Sun, W., Jing, X., Zhang, Q., Kang, Z., & Xu, Z. (2022). C/EBP homologous protein promotes Sonic Hedgehog secretion from type II alveolar epithelial cells and activates the Hedgehog signaling pathway of fibroblast in pulmonary fibrosis. 23(1). https://doi.org/10.1186/s12931-022-02012-x