Nurs-fpx 4030 assessment 2 – Determining the Credibility of Evidence and Resources

Nurs-fpx 4030 assessment 2 – Determining the Credibility of Evidence and Resources

When conducting nursing research, the information researched must be accurate, current, and come from a reliable source. The healthcare environment is constantly evolving as new research and evidence become available. When a nurse confronts a diagnosis or condition with which they are unfamiliar, it is critical to gather the necessary information to treat the patient safely. So that our patient has the greatest possible outcome, we must distinguish which sources are reliable and which are not. The best possible evidence should be provided through information resources. A nurse at Vila Health is presented with a preeclampsia patient, a diagnosis she is unfamiliar with.

Evidence-Based Approach

Preeclampsia is a severe condition that can occur during pregnancy. Women who develop preeclampsia during pregnancy have a greater chance of complications such as placental abruption, seizures, renal failure, hepatic failure, stillbirth, pulmonary edema, DIC, and more. The most significant potential outcome for the patient is achieved by combining an evidence-based strategy with hospital policy.

The Evidence-based practice aims to offer safe and effective care while also identifying hazards and providing up-to-date information on treatments and regimens. Several studies and research have been done to establish the best method for caring for a patient with preeclampsia. It is the second most significant cause of maternal death, and if recognized, evidence-based treatments may lower the risk or severity of mother and newborn health outcomes (Bergman et al., 2021).

Nurs-fpx 4030 assessment 2 – Determining the Credibility of Evidence and Resources

Criteria to Determine Credibility

Determining the reliability of research may be challenging, especially with the vast amount of data available on the internet. To assess the credibility of a resource, one must make sure that the article meets a certain standard. The first step is to determine if the article is relevant and updated within the last five years. The next step is to research who wrote the article and who runs the article’s site. Sites that end in .org, .edu, and .gov will present more credible information than an article posted on a .com site; some examples of these types of sites include Mayo Clinic, AWHONN ACOG, and also hospital policies. The last step is to determine if the information presented is science-based and peer-reviewed (Robinson, 2021).

Evidence-Based Solution

Johns Hopkins offers one of the best evidence-based practice approaches. This approach combines inquiry, practice, and learning. Inquiry allows nurses to collect and examine information. They can then use this information in their everyday practice to provide quality care to patients. This includes assessments, implementation, and care planning. Then by evaluating the outcomes of the practice, nurses can learn and develop skills to treat patients with the best practice (Dang & Dearhold, 2017, p 34-43).

By applying this approach to a patient who presents with preeclampsia, a nurse can inquire and research articles to learn about the disease process. By researching evidence-based literature, they can determine the best way to care for and educate their patients. Nurses can then use that information to implement a plan of care for the patient and continuously evaluate the outcomes of their care.

Nurs-fpx 4030 assessment 2 – Determining the Credibility of Evidence and Resources

Evidence-based Study on Preeclampsia

Using the model above, we can look at a study on early screening and low doses of Aspirin in pregnant women to prevent preeclampsia. The article written about the study was written and peer-reviewed in 2017, making it relevant to today’s patients. The research suggests that doctors can determine if a pregnant woman is at risk for preeclampsia by using serum levels of hormones, dopplers, and clinical findings. These women are then given a prescription for low-dose aspirin to help prevent preeclampsia later in pregnancy. The aspirin was found to be moderately successful in preventing preeclampsia in high-risk women; however, the researchers determined that a better system was needed to screen women to determine if they are at high risk (Roberts & Himes, 2017).

An article written about possible new screenings and treatments for preeclampsia states that providers may be able to begin using additional screening methods. Methods of screening include a measure of risk stratification using ratios of proangiogenic and antiangiogenic factors and other predictive elements in an algorithm to determine a patient’s risk level. These tests and methods have proven cost-effective, safe, and efficient (Rana et al., 2019). This article was written recently by experts and peer-reviewed, making it relevant for today’s practice.

Nurs-fpx 4030 assessment 2 – Determining the Credibility of Evidence and Resources

Conclusion

In conclusion, preeclampsia is a common and serious pregnancy complication. Evidence-based practice should contribute to a treatment plan for pregnant women who may be at risk for developing preeclampsia. Determining which patients are at risk and treating them to prevent the disease may go a long way in the health of both mother and baby and prevent further complications later in life.

References

Bergman, L., Bergman, K., Langenegger, E., Moodley, A., Griffith-Richards, S., Wikström, J., Hall, D., Joubert, L., Herbst, P., Schell, S., van Veen, T., Belfort, M., Tong, S. C., Walker, S., Hastie, R., & Cluver, C. (2021). Prove—preeclampsia obstetric adverse events: Establishment of a biobank and database for preeclampsia. Cells, 10(4), 959. https://doi.org/10.3390/cells10040959

Dang, D., & Dearholt, S. L. (2017). Johns Hopkins nursing evidence-based practice third edition. Sigma Theta Tau International.

Rana, S., Lemoine, E., Granger, J. P., & Karumanchi, S. (2019). Preeclampsia; Pathophysiology, Challenges, and Perspectives. Circulation Research, 124(7), 1094–1112. https://doi.org/10.1161/circresaha.118.313276

Roberts, J. M., & Himes, K. P. (2017). Screening and aspirin therapy for prevention of pre-eclampsia. Nature Reviews Nephrology, 13(10), 602–604. https://doi.org/10.1038/nrneph.2017.121

Robinson, K. A., Brunnhuber, K., Ciliska, D., Juhl, C., Christensen, R., & Lund, H. (2021). Evidence-based research series-paper 1: What is evidence-based research, and why is it important? Journal of Clinical Epidemiology, 129, 151–157. https://doi.org/10.1016/j.jclinepi.2020.07.020

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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.