Credibility of Evidence and Resources Discussion
Adopting an evidence-based intervention to solve healthcare safety, quality, or diagnosis issues requires using credible evidence to support the development of the intervention. The credibility of the evidence and the resources used are important to efficiently and effectively resolve the issue addressed. With so much information available and accessible today, it is important to focus on the quality of the sources the evidence used is drawn from. In the development of evidence-based interventions, academic and peer-reviewed articles should be preferable to any other sources of information available today. This paper discusses the criteria to consider when determining the credibility of resources of evidence. It also analyzes the credibility and relevance of evidence and resources within the context of medication errors. It also identifies an evidence-based practice (EBP) model and discusses the importance of using credible evidence alongside the EBP model. Hire our assignment writing services in case your assignment is devastating you.
Safety Issue
An area of concern for patient safety and care quality that could benefit from an evidence-based approach is the issue of medication errors in nursing care. Medication errors can occur at any in the process of using medication. Medication errors can be caused by anyone involved in the medication process, from prescription to medication administration. There are various reasons why medication errors are an issue of concern in patient safety. The FDA reports that it receives over 100,000 annual reports in the United States alone that are related to errors in the medication process or direct and suspected medication errors (Food and Drug Administration (FDA), n.d.). Medication errors lead to factors that compromise patient safety (Dirik et al., 2019). Additionally, medication errors are a risk of adverse drug events (ADEs), which is a risk factor for death, disability, increased lengths of hospitalization, unplanned costs of care, and long-term outcomes such as disability and pregnancy, and other related complications (Food and Drug Administration (FDA), n.d.). Nurses, as frontline care providers and due to their proximity and interactions with patients, have a very critical role to play in ensuring the safety of the patients and the medication process.
Criteria Considered for Determination of Credibility of Resources
There are numerous resources and sources of evidence that nurses can use to support their evidence-based interventions toward reducing and preventing the occurrence of medication errors. The various resources for information and evidence related to medication errors include nursing publications, nursing guidelines, websites, journals, and hospital manuals. The major criteria for determining the authority of resources include authority, accuracy, currency, objectivity, and relevance of the sources.
It is important to ensure that the resources the evidence is drawn from are authored by professionals with authority on the subject. This means reviewing the authors’ background in relation to medication and patient safety. The resource of the evidence should also have fewer errors in the methodology and presentation of research findings. On currency, the resources and the evidence presented should be up-to-date with the current practices in the medication process. Additionally, the objectivity and the relevance of the resource include checking whether the evidence provided is factual or personal opinions, while relevance can be determined by the audience addressed and coverage of the subject.
Credibility and Relevance of Evidence on Medication Errors
A literature search for articles in leading nursing and medical databases such as PubMed Central provided a number of credible resources. Two of the selected credible resources are articles by Choudhury and Asan (2020) and Härkänen et al. (2020). Both articles meet the currency, authority, objectivity, relevance, and accuracy criteria as they both are published in patient safety-focused peer-reviewed journals, have been recently published in 2020, are from authors with authority on the subject, and are aimed at a professional audience. Individually, the article by Choudhury and Asan (2020) is credible and has a high level of evidence as it is a quality systematic literature review of the application of Artificial Intelligence (AI) as an evidence-based approach to reducing and preventing medication errors. The article by Härkänen et al. (2020) is a credible secondary analysis of medication administration errors and provides various evidence-based interventions to detect and prevent such errors.
Evidence-Based Practice Model and Importance of Credible Evidence in EBP Models
As the prevention of medication errors is a collective effort of nurses, health care providers, patients, and everyone involved in the medication process, the Knowledge to Action (KTA) Framework is the most suitable EBP model in this situation. The KTA model is suitable for reducing and preventing medication errors as it facilitates the application of evidence and knowledge across various stakeholders to achieve the objectives of the inter-stakeholder goals, in this case, the reduction of medication errors. Therefore, credible evidence is required to bring together the stakeholders and guide them toward achieving their goals in the medication process.
Conclusion
This discussion has shown that the credibility of the sources of evidence is an important aspect to be considered to fully address a healthcare safety and quality issue. To meet the goal of evidence-based research and support nursing intervention for medication errors with credible evidence, the baccalaureate-prepared nurse must evaluate the evidence and the resources based on specified criteria to determine their credibility and relevance. Additionally, as an EBP model is required to support the implementation of evidence-based approaches, only credible and relevant evidence should be incorporated into the EBP model to address medication errors in nursing care.
References
Choudhury, A., & Asan, O. (2020). Role of Artificial Intelligence in Patient Safety Outcomes: Systematic Literature Review. MIR Medical Informatics, 8(7), e18599. https://doi.org/10.2196/18599
Dirik, H. F., Samur, M., Seren Intepeler, S., & Hewison, A. (2019). Nurses’ identification and reporting of medication errors. Journal of Clinical Nursing, 28(5–6), 931–938. https://doi.org/10.1111/JOCN.14716
Food and Drug Drug Administration. (n.d.). Working to Reduce Medication Errors. Retrieved December 6, 2022, from https://www.fda.gov/drugs/information-consumers-and-patients-drugs/working-reduce-medication-errors
Härkänen, M., Turunen, H., & Vehviläinen-Julkunen, K. (2020). Differences between Methods of Detecting Medication Errors: A Secondary Analysis of Medication Administration Errors Using Incident Reports, the Global Trigger Tool Method, and Observations. Journal of Patient Safety, 16(2), 168–176. https://doi.org/10.1097/
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Question 
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.
Credibility of Evidence and Resources Discussion
Introduction
The goal of using evidence-based research findings is to enhance the 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 healthcare 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 make 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 the 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 judgment skills. When reliable and relevant evidence-based findings are utilized, patients, healthcare 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 grow 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 on 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 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.
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.
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 the 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 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.
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; contain 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.