Determining the Credibility of Evidence and Resources

Determining the Credibility of Evidence and Resources

Quality or Safety Issue

In this context, the quality or safety issue is the new nurse using an evidence-based approach to manage nausea and vomiting in a patient undergoing chemotherapy. It is important to utilize an evidence-based approach because persistent nausea and vomiting can lead to fluid and electrolyte loss and cause severe dehydration (Cope, 2022). Fluid and electrolyte loss disrupts the normal function of various physiological processes, such as cell function, generation and transmission of nerve impulses, and cardiac and muscle contractility (Cope, 2022). Consequently, this can increase the mortality rates among cancer patients undergoing chemotherapy (Cope, 2022). Nausea and vomiting are the most common toxicities associated with chemotherapy (Cope, 2022). The severity of these toxicities varies based on the type of drug and patient factors. Therefore, evidence-based practices should be used to manage nausea and vomiting in patients undergoing chemotherapy to prevent severe dehydration and ensure their well-being (Dielenseger et al., 2019).

Criteria to be Considered When Determining Credibility of Resources

The CRAAP criteria should be embraced when evaluating the credibility of resources. This criterion focuses on the timeliness, relevance, accuracy, authority, and purpose of the source (Esparrago-Kalidas, 2021). Timeliness evaluates when the article was published, whether it is updated and current (C) for a specific topic, and whether its links are operational (Esparrago-Kalidas, 2021). Relevance (R) evaluates the applicability of the resource to the specific topic. This focuses on fulfilling specific needs and the target audience. Authority (A) evaluates the origin of the article. This entails identifying authors’ credentials, affiliations, qualifications, contact information, and uniform resource locators (Esparrago-Kalidas, 2021). Accuracy (A) evaluates reliability by checking in-text citations, references, peer reviews, grammatical errors, and reproducibility of the information. Purpose (P) evaluates whether the authors stated their intentions, objectives, and goals and the presence of any bias or conflict of interest (Esparrago-Kalidas, 2021).

Credibility and Relevance of Evidence within the Context of the Issue

In this context, the new nurse should use an evidence-based approach to manage nausea and vomiting in a patient undergoing chemotherapy. The six specific sources to be used for research have been authored by Clark-Snow et al. (2018), Cope (2022), Dielenseger et al. (2019), Ergin et al. (2021), Gupta et al. (2021), and Samami et al. (2022). These articles met the CRAAP criteria. They are current because they were published within the past five years and relevant because they discuss various strategies used to manage nausea and vomiting induced by chemotherapy. The authority of the authors is credible because they are specialists in various healthcare professions. The accuracy can be verified because the six articles are peer-reviewed, have in-text citations, and are appropriately referenced. The authors of the six resources identified their purpose and objectives. Among the six articles, the two articles authored by Cope (2022) and Gupta et al. (2021) are the most useful. Unlike the other articles that focus on either pharmacological or nonpharmacological management of nausea and vomiting, these articles discuss both interventions and provide extra information.

Importance of Incorporating Credible Evidence into the EBP Model

Evidence-based practice models facilitate the effective implementation of evidence-based practices. This ensures that nurses optimize the use of healthcare resources. In this context, managing nausea and vomiting induced by chemotherapy, the Iowa model can be embraced. This model emphasizes that the whole healthcare system is essential in implementing evidence-based practices (Cullen et al., 2020). It advocates for interdisciplinary collaboration, the identity of decision-making points, and pragmatism in solving problems (Cullen et al., 2020). Key steps include identifying the safety issue, evaluating whether the organization prioritizes the issue, evaluating a research topic, involving various stakeholders, and checking whether sufficient evidence is available. Further, credible evidence warrants a pilot test of the strategy, and the final step is to appraise the pilot test and implement the evidence-based practice (Cullen et al., 2020).

In this context, the safety issue is nausea and vomiting associated with chemotherapy; the issue is a priority because it can cause dehydration and physiological changes in body function, such as impaired cardiac contractility, leading to death. Various healthcare providers, such as physicians and pharmacists, will be involved in the research. The research can reveal the best pharmacological and nonpharmacological interventions to be implemented for patients with chemotherapy-induced nausea and vomiting. Findings from the pilot study will form the basis for implementing evidence-based practices.

Conclusion

Evidence-based practice models facilitate the effective implementation of evidence-based practices. Accordingly, this ensures that nurses optimize the use of healthcare resources. The Iowa model that advocates for interdisciplinary collaboration and pilot tests is desirable in this context of chemotherapy-induced nausea and vomiting.

 References

Clark-Snow, R., Affronti, M. Lou, & Rittenberg, C. N. (2018). Chemotherapy-Induced Nausea and Vomiting (CINV) and Adherence to Antiemetic Guidelines: Results of a Survey of Oncology Nurses. Supportive Care in Cancer, 26(2), 557–564. https://doi.org/10.1007/s00520-017-3866-6

Cope, D. G. (2022). Clinical Updates in Nausea and Vomiting. Seminars in Oncology Nursing, 38(1), 151249. https://doi.org/10.1016/j.soncn.2022.151249

Cullen, L., Hanrahan, K., Farrington, M., Anderson, R., Dimmer, E., Miner, R., … & Rod, E. (2020). Evidence-based practice change champion program improves quality care. JONA: The Journal of Nursing Administration, 50(3), 128-134. https://doi: 10.1097/NNA.0000000000000856

Dielenseger, P., Börjeson, S., Vidall, C., Young, A., & Jahn, P. (2019). Evaluation of Antiemetic Practices for Prevention of Chemotherapy-Induced Nausea and Vomiting (CINV): Results of a European Oncology Nurse Survey. Supportive Care in Cancer, 27(11), 4099–4106. https://doi.org/10.1007/s00520-019-04697-1

Ergin, E., Sağkal Midilli, T., Akdağ, E., & Kirgöz, C. (2021). Evaluation of Outpatient Cancer Patients’ Use of Nonpharmacological Methods in the Management of Chemotherapy-Induced Nausea and Vomiting. Cukurova Medical Journal, 46(2), 574–582. https://doi.org/10.17826/cumj.852985

Esparrago-Kalidas, A. J. (2021). The Effectiveness of CRAAP Test in Evaluating Credibility of Sources. International Journal of TESOL & Education, 1(2), 1–14.

Gupta, K., Walton, R., & Kataria, S. P. (2021). Chemotherapy-Induced Nausea and Vomiting: Pathogenesis, Recommendations, and New Trends. Cancer Treatment and Research Communications, 26(December 2020), 100278. https://doi.org/10.1016/j.ctarc.2020.100278

Samami, E., Shahhosseini, Z., Hamzehgardeshi, Z., & Elyasi, F. (2022). Psychological Interventions in Chemotherapy-Induced Nausea and Vomiting in Women with Breast Cancer: A Systematic Review. Iranian Journal of Medical Sciences, 47(2), 95–106. https://doi.org/10.30476/ijms.2020.86657.1660

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This is the second assignment for my new course, Making evidence-based decisions.

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.

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, 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.
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 the 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; 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.