Locating Credible Database and Research
Evidence-based practice enables healthcare providers to embrace the best and current evidence to make clinical decisions. Evidence-based practice is associated with an increase in the quality of healthcare services. As a result, patient safety and a reduction in treatment costs are achieved. Ventilator-associated pneumonia (VAP) occurs after at least 48 hours following the initiation of mechanical ventilation (Papazian et al., 2020). This nosocomial infection increases patients’ mortality and morbidity rates (Papazian et al., 2020). Get in touch with us at eminencepapers.com. We offer assignment help with high professionalism.
Additionally, prolonged hospitalization caused by VAP increases treatment costs. Findings indicate that ventilator-associated pneumonia can increase average treatment costs by approximately $41,000 (Sousa et al., 2019). Nurses and other healthcare providers should collaborate to minimize the incidences of VAP. Additionally, they should use evidence-based approaches to manage patients with VAP.
In this scenario, the newly trained nurse must manage a ventilator-associated pneumonia patient. The nurse admits that it is her first encounter with VAP. As such, she is unaware of the relevant evidence-based protocols to adopt when managing this patient. This assessment explores various communication strategies to cultivate a culture of research and collaboration. Furthermore, it identifies appropriate resources and online databases to facilitate the research process.
Communication Strategies to Encourage Diagnosis-Based Research
Open communication is the first strategy to cultivate a research culture among nurses. Open communication requires mentors to uphold honesty and transparency when conveying information to nurses (de Sousa Mata et al., 2021). The mentors should remain objective and avoid stereotyping and prejudices to achieve this. By so doing, timely and periodic feedback will be provided to ensure that all nurses collaborate in the research process. The other strategy involves active listening. Techniques such as empathy, confronting, and clarifying imply that nurses’ views are acknowledged and respected (de Sousa Mata et al., 2021). This fosters teamwork in the research process.
Healthcare technology can be used to optimize communication and collaboration among nurses involved in the research process. This is accomplished via techniques such as telehealth and cloud computing. Telehealth increases flexibility in communication and interaction using features such as videoconferencing and audio (Garber & Gustin, 2022). Cloud computing facilitates timely access to data. This can be accomplished using tools like Dropbox (Rutledge et al., 2021).
The Best Places to Complete the Research
Nurses can access various places to get pertinent information for their research. Firstly, they should access different organizational websites. Credible and scholarly websites end with extensions such as .edu and .gov (Pei & Wu, 2019). Adequate utility of corporate websites will provide reasonable and current information, including updated policies and procedures. The second place to complete research is from online databases. These databases have numerous peer-reviewed journal articles for current evidence-based information (Pei & Wu, 2019).
Furthermore, online databases will enable nurses to customize their searches to select the most recent articles. The third place for the nurses to conduct research is the library of the healthcare facility. This is important because it likely contains organizational policies, standard operating procedures, and treatment guidelines. The credibility and reliability of information retrieved from these places should be assessed by focusing on the articles’ currency, accuracy, purpose, and authority (Esparrago-Kalidas, 2021).
Identification of Five Sources for Evidence of Clinical Diagnosis
Nurses can use online databases and organizational websites to get pertinent information concerning ventilation-associated pneumonia. These five sources are chosen based on the CRAAP model that evaluates articles’ timeliness, purpose, accuracy, relevance, and authority (Esparrago-Kalidas, 2021). The selected sources are The Cumulative Index to Nursing and Allied Health Literature, Google Scholar, Embase, PubMed, and organizational websites such as the Centers for Disease Control and Prevention website (Pei & Wu, 2019). In this context, the Cumulative Index to Nursing and Allied Health Literature is the most helpful source that I would refer other nurses to seek information. Organizational websites are the least beneficial source because some information may be outdated.
Explanation of Why the Sources Provide the Best Evidence
The sources provide the best and current evidence to guide the clinical decision-making process of healthcare providers. The four online databases provide access to unlimited peer-reviewed journals and case studies (Pei & Wu, 2019). Additionally, they allow the nurse (researcher) to customize their searches and access recently published articles. This upholds timeliness and ensures that the best practices are adopted. The availability of unlimited peer-reviewed articles allows nurses to use the CRAAP criteria to select articles with the best evidence. The online databases will enable nurses to use keywords to access relevant information. For example, in this context, nurses should search using keywords such as “ventilator-associated” and “pneumonia.” On the other hand, the Centers for Disease Control and Prevention website is relevant because it avails resources to nurses and patients. Notably, this website provides guidelines on managing and preventing VAP (CDC.gov, n.d.).
Conclusion
Nurses should mentor their colleagues to facilitate research. They can achieve this by adopting open communication and active listening. Interdisciplinary collaboration in the research process can be accomplished using various forms of healthcare technology, such as telehealth and cloud computing. Nurses should ensure that their sources of information are credible and reliable. To achieve this, they should check the research articles’ timeliness, accuracy, and purpose.
References
CDC.gov. ( n.d.). Ventilator-associated Pneumonia (VAP). https://www.cdc.gov/hai/vap/vap.html#:~:text=Ventilator%2Dassociated%20pneumonia%20is%20a,the%20front%20of%20the%20neck.
De Sousa Mata, Á. N., de Azevedo, K. P. M., Braga, L. P., de Medeiros, G. C. B. S., de Oliveira Segundo, V. H., Bezerra, I. N. M., Pimenta, I. D. S. F., Nicolás, I. M., & Piuvezam, G. (2021). Training in communication skills for self-efficacy of health professionals: a systematic review. Human Resources for Health, 19(1), 1–9. https://doi.org/10.1186/s12960-021-00574-3
Esparrago-Kalidas, A. J. (2021). The Effectiveness of CRAAP Test in Evaluating Credibility of Sources. International Journal of TESOL & Education, 1(2), 1–14.
Garber, K., & Gustin, T. (2022). Telehealth Education: Impact on Provider Experience and Adoption. Nurse Educator, 47(2), 75–80. https://doi.org/10.1097/NNE.0000000000001103
Papazian, L., Klompas, M., & Luyt, C. E. (2020). Ventilator-associated pneumonia in adults: a narrative review. Intensive Care Medicine, 46(5), 888–906. https://doi.org/10.1007/s00134-020-05980-0
Pei, L., & Wu, H. (2019). Does Online Learning Work Better Than Offline Learning in Undergraduate Medical Education? A Systematic Review and Meta-Analysis. Medical Education Online, 24(1). https://doi.org/10.1080/10872981.2019.1666538
Rutledge, C. M., O’Rourke, J., Mason, A. M., Chike-Harris, K., Behnke, L., Melhado, L., Downes, L., & Gustin, T. (2021). Telehealth Competencies for Nursing Education and Practice: The Four P’s of Telehealth. Nurse Educator, 46(5), 300–305. https://doi.org/10.1097/NNE.0000000000000988
Sousa, A. S., Ferrito, C., & Paiva, J. A. (2019). Application of a ventilator-associated pneumonia prevention guideline and outcomes: A quasi-experimental study. Intensive and Critical Care Nursing, 51, 50–56. https://doi.org/10.1016/j.iccn.2018.10.001
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Question
Evidence-based practice (EBP) integrates the best evidence to guide optimal nursing care 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 essential 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 and identify which databases and websites are credible to implement 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 essential purposes: 1) to support learning and reflection and 2) 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 demonstrating 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 must research, analyze, and disseminate the 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 the 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. It 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 reports. 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 they are very unfamiliar with. Knowing that patient-centered care based on best practices is imperative to positive patient outcomes, you want to assist this nurse in finding research that can be utilized to provide the best care for this patient. Please describe how you would communicate with this nurse to encourage them to research the diagnosis. Assume you will assist in locating evidence, then explain 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 other online information sources.
You may choose the diagnosis for the patient in this scenario or the health care issue/diagnosis of your choice. Or you may select something interesting to research that applies to a clinical problem/diagnosis 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 and the clinical scenario. You are only evaluating the sources of evidence (database, website, policy database or website, journal article, etc.). You are not 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 an overview of the 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, looking toward databases and resources outside the Capella library, such as organizational policies, professional organizations, and government healthcare resources, is also appropriate.
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 are for your practice and self-assessment. Completing this activity is also a way to demonstrate course engagement.
Instructions
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 access 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 about 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 or clinical practice issue/diagnosis and describe to which of these you would direct a nurse colleague to search for evidence.
Describe where you might go to complete this research in the workplace 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, corresponding to the grading criteria in the scoring guide. Please study the scoring guide carefully to know what is needed for a distinguished score.
Describe communication strategies to encourage nurses to research the diagnosis/practice issue and 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/healthcare issue within a specific healthcare setting.
Identify five sources of online information (medical journal databases, websites, hospital policy databases, etc.) that could be used to locate evidence for a clinical diagnosis/practice issue.
Explain why the selected online information sources should provide the best evidence for the chosen diagnosis/health care issue.
Communicate using the current APA style using clear, logical, and professional writing with correct grammar and spelling.
Note: While not selecting and evaluating specific evidence to help with the clinical diagnosis/practice issue, you should cite the literature and best practices to support your communication and collaboration approach description. Additionally, it is appropriate to mention best practices related to EBP and evaluating databases to support your explanation of why you selected the five sources of online information.