Create a 1-2-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 (Evidence-Based Practice).
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. Choose something you would find interesting to research
or that applies to a clinical problem 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, 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.
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 and
describe to which of these you would direct a nurse colleague to search
for evidence.
Describe where you might go
in the clinical setting 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, 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 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.
Explain why the sources of
online information selected should provide the best evidence for the
chosen diagnosis.
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, 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: 1–2 pages (not including 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 (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.
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 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.
Competency 2: Analyze the
relevance and potential effectiveness of evidence when making a decision.
Describe the best places to
complete research and what types of resources one would want to access to
find pertinent information for a diagnosis within the context of a
specific health care setting.
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
clinical diagnosis, and ensure three out of five are specific to the
diagnosis.
Competency 5: Apply professional,
scholarly communication strategies to lead practice changes based on
evidence.
Describe communication
strategies to encourage nurses to research a diagnosis, 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.
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