The Clinical Research Nursing Discussion Paper
The Clinical Research Nursing Discussion Paper
Integrating EBP into healthcare professionals’ daily practice not only improves the care outcomes but also can improve practice environments, not to mention building on nurses’ or physicians’ knowledge and practice standardization. According to Showalter et al. (2017), adopting the evidence-based practice in healthcare practices, such as in nursing, helps improve care safety and quality overall. Importantly, evidence-based practice enables the nursing practice to remain current and relevant while increasing nurses’ decision-making skills and confidence and positively contributing to the nursing profession. However, for nurses to effectively utilize evidence-based practices, they must have the necessary knowledge and skills on how to utilize different nursing resources, identifying databases and credible websites where credible evidence-based practices can be adopted and adopted into their nursing practice. This paper provides integrated research as a nurse regarding how to identify evidence-based, credible resources that would be utilized to build on a nurse’s knowledge regarding Diabetic Ketoacidosis (DKA)The Clinical Research Nursing Discussion Paper.
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Alsleben et al. (2018) identified that medical and nursing research are critical in knowledge building and advancing related practices, improving overall care delivery and patient experience while maintaining optimum care. Credibility allows other users of research findings to recognize the experiences found in any given study by interpreting the participant’s experiences. On the other hand, nurses in different roles must base their decisions on the best practices drawn from peer-reviewed research. While it has become a critical source for nurses-related databases, there is a host of endless material on any given topic; hence it requires skills to search and locate credible sources, which would be critical in supporting evidence-based practices. The quality of any literature utilized in any research is critical to the applicability of the obtained knowledge and credibility.
Databases can be general or subject-specific. In nursing, health-related databases will be integral in finding sources for research in the nursing field. According to (), while online databases have multiple, their general or specific foundation determines their applicability. For example, CINAHL and MEDLINE are two key databases containing nursing and allied health information and clinical-related details, respectively. Utilizing different approaches helps the research nurse settle on relevant and credible sources. However, utilizing the CRAAP test approach helps researchers remember best content and database evaluation practices. CRAAP refers to currency (C) or whether the source is up-to-date, relevance (R), whether it is relevant to the research being conducted, Authority, who the author is, where the resource is published, and whether they can be regarded as trustworthy and reputable. There is also Accuracy referring to whether the identified source is supported by evidence and claims cited correctly. Finally, there is the Purpose or the motive behind the source publication The Clinical Research Nursing Discussion Paper.
Regarding the provided patient (Diabetic Ketoacidosis (DKA) detailed understanding of the condition is the first step towards administering the best care possible. According to Diabetic ketoacidosis. (n.d), DKA is an acute, sometimes life-threatening complication of diabetes characterized by ketoacidosis, ketonuria, and hyperglycemia. The condition is triggered when a relative or absolute insulin deficiency inhibits glucose from getting into cells for use as a metabolic substance; hence the liver responds by breaking down the fat into ketones to be used as fuel sources for cells. While a quick search via the internet would provide an almost instant understanding of what the condition pertains This would allow for not only being enlightened on how to respond but also provided with a critical understanding of how the healthcare organization disseminates or shares knowledge and skills among the professionals. Communicating to the nurse about the importance of researching the encountered diagnosis is a critical process that provided him with an understanding and diverse ways of managing the patient (Health & Medicine Week, 2018). To encourage him, I would make sure he understands the different online databases which can be accessed within the organization’s computers. This would give him courage to try out the available databases and put into practice his research skills.
On the other hand, I would provide him with the required login details into the different online databases, motivating him to utilize the resources. More so, I would utilize visuals, leading by example, being available for assistance with feedback, provide clear and detailed instructions while making time for one-on-one assistance. These communication practices would motivate or encourage the nurse to research and play a key role in building and maintaining relationships and successful collaboration in establishing the best and most effective care practice The Clinical Research Nursing Discussion Paper.
The first stop would be hospital guidelines and policy. This would provide the already accepted approach to addressing the provided patient scenario. Secondly, searching for other resources from online databases, including journals and websites, would be important. Being a specific condition, it would be critical to search on government-supported databases which would provide the knowledge and approach to addressing the defined condition. Other platforms that would provide critical resources include Ebscohost and ProQuest databases, which nursing schools frequently use. Utilizing the CRAAP approach, the nurses could filter the search options based on Currency, Relevance, Authority, Accuracy, and Purpose. Nevertheless, it would be critical to remain focused on patient details and diagnosis to ensure patient preferences and values are well maintained while establishing the best care practice. The best place would be the nursing computer lab, where assistance would be available.
In the modern IT advanced era, online research databases have become critical in research and knowledge building in different fields. In nursing or healthcare-related research, different online databases have become critical to research in the nursing, medical and healthcare-related areas. While multiple sources or databases can be utilized, some include; ScienceDirect, PubMed, Medline, CINAHL, Ebsco Information Services, and ProQuest (Finding and Evaluating Online Resources, n.d). While they may vary in the user interface, the mentioned online sources are some of the widely used in medical research. They would equally serve in the case of the provided condition and related diagnosis. The online database provides the best evidence regarding nursing research. Not only are they regularly providing a friendly user interface; hence one can filter sources based on relevance and age. Easy to use, flexible, tried, and tested The Clinical Research Nursing Discussion Paper.
References
Alsleben, A. R., Alexander, J. L., & Matthews, E. P. (2018). Clinical Research Nursing: Awareness and Understanding Among Baccalaureate Nursing Students. Journal of Nursing Education, 57(10), 598–603. https://doi.org/10.3928/01484834-20180921-05
Diabetic ketoacidosis. (n.d.). Retrieved November 7, 2022, from https://medlineplus.gov/ency/article/000320.htm
Finding and Evaluating Online Resources. (n.d.). NCCIH. Retrieved November 7, 2022, from https://www.nccih.nih.gov/health/finding-and-evaluating-online-resources
Health & Medicine Week. (2018, Oct 26). Clinical research; Study results from AT still university of health sciences update understanding of clinical research (clinical research nursing: Awareness and understanding among baccalaureate nursing students). Health & Medicine Week
Showalter, B. L., Cline, D., Yungclas, J., La Frentz, K., Stafford, S. R., & Maresh, K. J. (2017). Clinical research nursing: Development of a residency program. Clinical Journal of Oncology Nursing, 21(5), 633-636 The Clinical Research Nursing Discussion Paper
Assessment 1 Instructions: 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.
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.
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 incorporation of best practices The Clinical Research Nursing Discussion Paper.
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 report. 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 to find 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 The Clinical Research Nursing Discussion Paper.
You may choose the diagnosis for the patient in this scenario or 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, et cetera). 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 The Clinical Research Nursing Discussion Paper.
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.
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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 health care 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: The Clinical Research Nursing Discussion Paper
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 work place 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 correspond 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 The Clinical Research Nursing Discussion Paper
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)The Clinical Research Nursing Discussion Paper. 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. The Clinical Research Nursing Discussion Paper
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.
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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. The Clinical Research Nursing Discussion Paper