Locating Credible Databases and Research

Locating Credible Databases and Research

Evidence-based practice (EBP) utilizes the best available scientific evidence in clinical decision-making processes and provides safe, efficient, and effective care. While these approaches are not unique to individual medical manifestations, they maintain significance in comprehensive diabetic care and can be applied in the effective management of long-term complications of diabetes. (Ellis et al., 2019) notes that adapting EBP in the comprehensive management of long-term complications of diabetes resulted in clinically meaningful improvements in the levels of HbA1c and quality of life of these individuals. This reinforces the need for baccalaureate-prepared nurses to be familiar with these approaches and how to identify and discover scientific sources that detail evidence-based approaches in managing long-term complications of diabetes. This paper identifies communication strategies that a lead nurse can utilize to encourage a newly trained nurse to research diabetic complication diagnoses, the best places to search online information sources, and the credibility of the sources identified.

Communication and Collaboration Strategies

Nurse leaders can utilize best practices in communication to encourage new nurses to research the diagnosis. Fostering an ethos of research participation is necessary to encourage new nurses to participate. This can be attained by facilitating a conversation where students view their participation in research as a contribution to a shared experience where their input is valid. Teaching new nurses skills needed in research through structured mentorship is also valuable in this regard. This will give them first-hand experience in research processes and strategies. As mentors, nurse leaders should demonstrate effective communication skills of clarity, respect, and transparency to enhance their mentees’ understanding of research skills and to create a good rapport that facilitates peer consultations. This not only puts into context what the newly trained nurse will be dealing with but also guides them into establishing knowledge of EBP strategies (Gupta et al., 2021). Nurse leaders also foster collaborations with new nurses by creating an environment encouraging new ideas, communicating openly with them, giving constructive feedback, and defining clear collaboration goals (Malikhao, 2020). These strategies may help newly trained nurses have better insight into the significance of EBP in care provision, hence aiding them in building professional competence

The Best Places to Complete Research

Research on diabetic complications and the comprehensive care approaches to managing these complications can best be completed through online website resources. Online web resources maintain utility because of their ease of use and versatility. These resources are also vast, easily accessible, and highly diversified (Lehane et al., 2019). Institutional libraries such as hospital and school libraries remain important sources of online resources. Online databases such as Google Scholar, JSTOR, PubMed Central, Cochrane, and Medline are robust sources of biomedical information that are useful for clinicians. The hospital’s research centre provides research-based programs that focus on mentoring nurses and other healthcare providers to be good researchers. This department works with nurses to develop their research skills and help them identify valuable research sources. This department will grow their research talents and make them better researchers. The hospital’s research centre was chosen because of its reputation for producing good researchers. It has helped many young researchers grow outstanding research talents and skills. Being part of the research team in this department will also help new nurses become excellent researchers.

Five sources of online information are used to locate evidence for the clinical diagnosis.

Several online resources publish articles, journals, and books on diabetes management. Online journals such as the International Journal for Diabetes in Developing Countries, the Journal of Diabetes Science and Technology, and the Journal of Endocrinology contain articles on diabetes that may provide valuable information in the long-term care of diabetic complications. These sources detail universal nursing interventions in comprehensive diabetes management. Hospital databases and organizational websites such as the Association of Diabetes Care for Education Specialists are other valuable online tools that contain information on diabetes. This source reviews articles on diabetes management and utilizes this information to come up with nurse competencies in diabetic care as well as guidelines for nurses’ interventions on diabetes. Another valuable source of information on diabetic care is the National Clinical Guidelines on Diabetes Management. These guidelines utilize scientific resources to inform interventions that are utilizable in managing the disease.

Why the Sources of Online Information Selected Provide the Best Evidence for the Chosen Diagnosis

The online resources outlined were selected because of their specificity in publishing diabetes-related resources. These peer-reviewed articles meet the credibility criterion and contain many nursing-related interventions in diabetes management. While other sources maintain significance in publishing approaches in diabetes management, these sources contain a larger volume of topics on long-term complications of diabetes management. Also significant in the sources selected are their relevance and timeliness. These websites frequently update information on their websites. They also include resources that are relevant to presenting issues in the clinical management of diabetes.

Scientific resources maintain significance in informing EBP in diabetes management. These resources can be located on online websites such as Google Scholar and PubMed. Journals and books are some of the resources that provide information on managing long-term diabetes management. Also useful in this regard are guidelines for diabetic management and organizational websites. These sources are utilizable in this regard due to their relevance in diabetic care and timeliness.

References

Ellis, D. A., Carcone, A. I., Naar-King, S., Rajkumar, D., Palmisano, G., & Moltz, K. (2017). Adaptation of an evidence-based diabetes management intervention for delivery in community settings: Findings from a pilot Randomized Effectiveness Trial. Journal of Pediatric Psychology, 44(1), 110–125. https://doi.org/10.1093/jpepsy/jsx144

Gupta, D., Jai P., N., & Yadav, S. J. (2021). Strategic communication in Health and Development: Concepts, applications, and programming. Journal of Health Management, 23(1), 95–108. https://doi.org/10.1177/0972063421994943 

Lehane, E., Leahy-Warren, P., O’Riordan, C., Savage, E., Drennan, J., O’Tuathaigh, C., O’Connor, M., Corrigan, M., Burke, F., Hayes, M., Lynch, H., Sahm, L., Heffernan, E., O’Keeffe, E., Blake, C., Horgan, F., & Hegarty, J. (2018). Evidence-based practice education for Healthcare Professions: An expert view. BMJ Evidence-Based Medicine, 24(3), 103–108. https://doi.org/10.1136/bmjebm-2018-111019

Malikhao, P. (2020). Health Communication: Approaches, strategies, and ways to sustainability on health or health for all. Handbook of Communication for Development and Social Change, 1015–1037. https://doi.org/10.1007/978-981-15-2014-3_137

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Create a 2-4 page resource that will describe databases 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 to guide optimal nursing care, intending to enhance safety and quality. EBP is crucial to nursing practice because it incorporates the best evidence from current literature and the practising nurse’s expertise. 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 must understand how to search for scholarly resources and identify credible databases and websites 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 key 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 artefacts demonstrating your accomplishments at Capella.

Professional Context
As a baccalaureate-prepared nurse, you will be responsible for providing patient-centred, competent care based on current evidence-based best practices. You must research, analyse, 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 he or she is very unfamiliar with. Knowing that patient-centred 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 locating 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 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 choose 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 concerning 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, citing best practices related to EBP and evaluating databases is appropriate for explaining why you selected the five online information sources.