Evidence-Based Approach

Evidence-Based Approach

Evidence-based practice is critical in healthcare. Nurses can integrate good nursing evidence to enhance patient outcomes (Chiwaula et al., 2021). Evidence-based models can help nurses integrate evidence into practice. Nurses should thus have good knowledge of EBP models, and they can help nurses focus on actions that can solve clinical problems in their healthcare settings. EBP models will help complete the implementation of projects, promote evaluation and maximize the use of resources (Chiwaula et al., 2021).

Quality or Safety Issue

The safety and quality issue I have selected is a medication error I experienced in my working facility. A nurse injected a 70-year-old patient with Vecuronium instead of Midazolam, which is a sedative. The nurse tried to find Midazolam (Versed) from the automatic dispensing machine, but she failed. She then decided to override safeguarded mechanisms and then type “VE” in the drug cabinet system. She then selected the first drug, which was first on the list. This was Vecuronium. The patient experienced an adverse reaction as a result of this error. Medication errors are one of the leading causes of death in the United States (Makary & Daniel, 2016). Nurses can use evidence-based models to implement protocols to prevent medication errors and reduce the deaths related to them.

Credibility of Sources

Certain criteria should be met when evaluating the credibility of sources. The CRAAP test is one way that can be used to determine the currency, relevance, authority, accuracy, and purpose. Currency evaluates the timeliness of the information, such as the year of publication or whether the information is current (Fielding, 2019). Relevance evaluates the audience and relation of the article to the clinical question (Fielding, 2019). The article selected should be related to medication errors and should be related to nursing. Authority relates to the authors, affiliations, qualifications on the topic, and authors’ contact information (Fielding, 2019). Accuracy is related to the source of information, whether the information is supported by evidence, whether the source has been reviewed, can the information be verified, biases of the language, and any spelling or grammar mistakes (Fielding, 2019). The final criterion is purpose. The purpose is related to the purpose of the article, the intentions of the author, and any personal or religious biases present (Fielding, 2019).

Analyzing Credibility of Evidence

Escrivá Gracia et al. (2019) is a credible source. It is current. The information was published in 2019, and the links in the article are functional. This article is relevant to my topic. It talks about medication errors, and it is intended for nurses. The authors are credible. They work at the University of Valencia in the department of nursing, and their contact information is present. The source is accurate with relevant citations. It is also peer-reviewed. There is no bias, and the information is verifiable. The authors have declared no conflict of interest, and the information is to inform.

Hosseini-Marznaki et al. (2020) is a credible. It was published in 2020, and all the links are functional. It is related to my topic of medication errors among nurses. The affiliations, qualifications, and contact information are present. There are citations of the information, and the article has been reviewed. The information can be verified, and the authors have declared no conflicts of reference.

Dionisi et al. (2020) is a credible source, and it was published in 2020. All the links in the article are functional, and it talks about how the theory of planned behaviours can be used to prevent medication errors related to my topic. The authors work in universities in Italy, and the contact information for the corresponding author is present. The information is verifiable, and it is related to healthcare. It is a reviewed article, and the authors have declared that they have no conflict of interest.

Importance of Incorporating Credible Evidence

The John Hopkins model can be used to implement a protocol to reduce medication errors at an institutional level. It has three stages, and the first stage is to identify the practice question (Vera, 2020). The practice question for the case of the senile event is, “ What are ways in which healthcare organizations can prevent medication errors?”. The next step will be to gather evidence to answer the clinical question identified (Vera, 2020). The final step will be translation, which involves planning, implementing, evaluating, and communicating the change (Vera, 2020).

Conclusion

EBP is an essential tool in nursing to help enhance the safety and quality of healthcare services. The CRAAP test can be used to evaluate the credibility of sources of evidence. Nurses can then use the Johns Hopkins nursing model to incorporate evidence into nursing practice to reduce medication errors.

References

Chiwaula, C. H., Kanjakaya, P., Chipeta, D., Chikatipwa, A., Kalimbuka, T., Zyambo, L., Nkata, S., & Jere, D. L. (2021). Introducing evidence-based practice in nursing care delivery, utilizing the Iowa model in the intensive care unit at Kamuzu Central Hospital, Malawi. International Journal of Africa Nursing Sciences, 14, 100272. https://doi.org/10.1016/j.ijans.2020.100272

Dionisi, S., Di Simone, E., Franzoso, V., Caldarola, E., Cappadona, R., Di Muzio, F., … & Di Muzio, M. (2020). The application of the Theory of Planned Behaviour to prevent medication errors: a scoping review. Acta Bio Medica: Atenei Parmensis, 91(Suppl 6), 28. https://dx.doi.org/10.23750%2Fabm.v91i6-S.9290

Escrivá Gracia, J., Brage Serrano, R., & Fernández Garrido, J. (2019). Medication errors and drug knowledge gaps among critical-care nurses: A mixed multi-method study. BMC Health Services Research, 19(1). https://doi.org/10.1186/s12913-019-4481-7

Fielding, J. A. (2019). Rethinking CRAAP: Getting students thinking like fact-checkers in evaluating web sources. College & Research Libraries News, 80(11), 620. https://doi.org/10.5860/crln.80.11.620

Hosseini-Marznaki, Z., Pouy, S., Salisu, W. J., & Emami Zeydi, A. (2020). Medication errors among Iranian emergency nurses: A systematic review. Epidemiology and Health, e2020030. https://doi.org/10.4178/epih.e2020030

Makary, M. A., & Daniel, M. (2016). Medical error—the third leading cause of death in the US. BMJ, i2139. https://doi.org/10.1136/bmj.i2139

Vera, D. (2020, May 28). 2017 EBP models and tools. Johns Hopkins Medicine, based in Baltimore, Maryland. https://www.hopkinsmedicine.org/evidence-based-practice/ijhn_2017_ebp.html

ORDER A PLAGIARISM-FREE PAPER HERE

We’ll write everything from scratch

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. Be sure to address the following in this assessment, which corresponds 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.

Evidence-Based Approach

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 the 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.
Explain the importance of incorporating credible evidence into an EBP model used to address a quality or safety issue or a chosen diagnosis.

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 the current APA style.
References must be recent, within 5 years.