Locating Credible Databases and Research

Locating Credible Databases and Research

The safety of the medication administration process is an essential nursing process directly related to the safety of patients and quality of care and life (Jafaru & Abubakar, 2022). However, medication administration errors (MAEs) are an issue of concern in nursing. Addressing MAEs can greatly benefit from evidence-based practice (EBP) and the use of communication and collaborative approaches (Bengtsson et al., 2021). However, some nurses may lack the critical skills to locate credible databases and search for credible evidence. The skills to locate credible databases and evidence in research as a nurse is an important competence in the implementation of EBP. A baccalaureate-prepared nurse has a critical role to play as a promoter of the use of evidence-based practice, clear communication, and collaboration in nursing care. The BSN-prepared nurse is also tasked with managing and supervising clinical staff nurses.

This paper considers the case of a newly trained nurse who has finished her orientation. The nurse, during her orientation, experienced two cases of minor MAEs and has herself been the cause of a near-missed event that had the potential to cause a known adverse drug event (ADE). The nurse is unsure about her abilities to diagnose and administer medications safely and has requested information on how to apply EBP in her practice to improve her efficiency in patient management with regard to safe medication administration and reduce the risk of MAEs. This paper will describe the communication strategies the supervising nurse can utilize to encourage the nurses to research EBP related to safe medication administration and preventing MAEs. It will also provide the best places to complete research, five sources of online information, and explain why these five sources will provide the best evidence for MAEs.

Communication Strategies to Encourage Nurses to Research Medication Administration Errors and Strategies for Nurse Collaboration to Access Resources

The nurse will learn about the use of research to develop credible evidence to support her in making decisions in the delivery of care services as she continues with her daily nursing duties. However, the supervising nurse leader must adopt appropriate nursing strategies that will encourage the nurses to research and develop evidence on MAEs as well as collaborate to access resources. The best communication strategies the supervising nurse can employ in this cause include encouragement, actively listening to the newly trained nurse, leading the nurses in research through mentoring, and being clear in the communication. Encouragement is a major communication strategy to motivate nurses to research MAEs and develop EBP strategies to solve the problem. Encouragement can be achieved by informing the nurses how their research can impact and advance the health outcomes of their patients, families, and the community (Stanfill et al., 2019). Encouragement can be in the form of positive affirmations, personally engaging in research, and directly mentoring the nurse on database search and identification of credible sources. Secondly, clear communication in healthcare settings can be achieved by avoiding the use of jargon (Coleman, 2020). The supervising nurse should also be confident in communication and provide comprehensive directions on the subject through verbal or written communication. Additionally, collaboration to access resources can be motivated by creating an environment that requires the nurses to work interdependently to solve problems, encourage open communication and feedback, and support them to willingly engage in conversions on the subject and in search of resources.

Best Places to Complete Research and Types of Resources to Access

There are various places that can be searched to complete the research on MAEs, from the Capella University Library to other resources outside the university’s library that can be accessed via the Capella University Library portal or other search engines. The Capella University Library is one of the best places to complete research. Other best places to complete research include internet sources, online libraries, nursing research, and clinical and medical databases. The nurse can also utilize available practice guidelines related to the administration of medications. The research source majorly focuses on peer-reviewed journals, guidelines, reviews, and other credible internet resources such as publications and policies on nursing associations’ websites.

Five Sources of Online Information

The top five sources for online information on MAEs include i) the PubMed Central database, which is published and maintained by the National Library of Medicine (NLM) and National Center for Biotechnology Information (NCBI); ii) the Cumulative Index to Nursing and Allied Health Literature (CINAHL) database managed by EBSCO publishing, iii) the education and corporate library and database managed by ProQuest, iv) the Cochrane Library provided by Cochrane and various organizations, and v) the Nursing Reference Center Plus maintained by EBSCO.

Explanation of Why the Sources Provide the Best Evidence

These resources provide peer-reviewed evidence and information on MAEs and practices to reduce and prevent their occurrence. The resources also provide articles from the wider professional community with authority on matters related to safe medication administration and management of medication. Notably, some of these sources, such as the Nursing Reference Center and Cumulative Index to Nursing and Allied Health Literature (CINAHL), provided the best evidence and information that nurses design for nurses. Additionally, the resources are routinely updated with new information and evidence on MAEs. Therefore, the five resources can support the nurses in understanding MAEs and enable them to confidently and effectively prevent their occurrence.

Conclusion

In conclusion, clear communication strategies are essential for promoting the search for evidence and the application of EBP in nursing to prevent MAEs. Additionally, nurses are required to collaborate and search for evidence from resources such as databases, websites, and journals. However, before using any evidence, it is important to ensure that it is from a credible source.

References

Bengtsson, M., Ekedahl, A. B. I., & Sjöström, K. (2021). Errors linked to medication management in nursing homes: an interview study. BMC Nursing, 20(1), 1–10. https://doi.org/10.1186/S12912-021-00587-2/FIGURES/1

Coleman, C. (2020). Health Literacy and Clear Communication Best Practices for Telemedicine. Health Literacy Research and Practice, 4(4), e224–e229. https://doi.org/10.3928/24748307-20200924-01

Jafaru, Y., & Abubakar, D. (2022). Medication Administration Safety Practices and Perceived Barriers Among Nurses: A Cross-Sectional Study in Northern Nigeria. Global Journal on Quality and Safety in Healthcare, 5(1), 10–17. https://doi.org/10.36401/JQSH-21-11

Stanfill, A. G., Aycock, D., Dionne-Odom, J. N., & Rosa, W. E. (2019). Strategies and Resources for Increasing the PhD Pipeline and Producing Independent Nurse Scientists. Journal of Nursing Scholarship, 51(6), 717–726. https://doi.org/10.1111/

ORDER A PLAGIARISM-FREE PAPER HERE

We’ll write everything from scratch

Locating Credible Databases and Research

Create a 2-4 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.

Locating Credible Databases and Research

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 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 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 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 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 in finding 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 or the health care issue/diagnosis of your choice. Or you may choose something you would find interesting to research or 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 you chose and the clinical scenario. You are only evaluating the sources of evidence (database, website, policy database or website, journal article, etc.). 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 healthcare 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.

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 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 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 in the workplace 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 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 communication strategies to encourage nurses to research the diagnosis/practice issue, 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/health care issue 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/practice issue.
Explain why the sources of online information selected should provide the best evidence for the chosen diagnosis/health care issue.
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/practice issue, 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: 2-4 pages (not including the title page or 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/health care issue (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.
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/health care issue.
Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision within the context of a specific health care setting.
Describe the best places to complete research within the workplace environment and what types of resources one would want to access to find pertinent information for the diagnosis/health care issue.
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 diagnosis/health care issue and three out of five should be specific to the diagnosis/health care issue.
Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.
Describe communication strategies to encourage nurses to research a diagnosis/health care issue, as well as strategies to collaborate with the nurses to access resources.
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.