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The Credibility Of Evidence And Resources Assignment

The Credibility Of Evidence And Resources Assignment

the topic will be diabetic ketoacidosis as in the first assessment and you can choose whichever model based on the options in the instructions, i will add some resources below

Baker, J. D. (2017). Nursing research, quality improvement, and evidence-based practice: The key to perioperative nursing practice: Editorial. AORN Journal, 105(1), 3-5.

Ives E., J. & Pappas, S. (2020). The value of nursing research. The Journal of Nursing Administration, 50(5), 243-244.

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The utilization of evidence-based Practice (EBP) in healthcare practices has become a mainstay in the current times. As the nursing practice evolves towards quality and safety care, nurses have become critical in determining credible information for formulating an effective evidence-based practice. It has become imperative for nurses to understand and determine credible resources they can rely on to build an effective EBP. The existence of EBP models helps nurses to formulate a plan in which the credibility of a source is determined regarding addressing an identified issue or diagnosis. According to Baker (2017), an EBP model is a systematic model that directs nurses on incorporating research findings into their Practice. They help in decision-making on the best EBP practice to address a given issue. This paper provides an analysis to understand the components of aa credible resources better to formulate evidence-based Practice for addressing the Diabetic Ketoacidosis as a previously selected condition utilizing the selected evidence-based model (John Hopkins Model of Evidence-based Practice)The Credibility Of Evidence And Resources Assignment.

Criteria That Should Be Used When Determining the Credibility of Journal Articles as Well as Websites

The adoption of evidence-based Practice helps build nursing practices that promote patient-based care, safety, and quality care. Regarding this essay, the selected approach or evidence-based practice model is the John Hopkins model. According to Library: Nursing: Evidence-Based Practice: Johns Hopkins Nursing EBP, (n.d), this is a powerful problem-solving approach adopted in clinical decision-making based on three critical foundations to meet nurses’ needs in delivering quality and evidence-based care. It entails three steps, namely Practice question, Evidence, and Translation. In applications, it includes identification of the practice question, identification of the best Evidence to address the identified question and translating the Evidence into Practice. The model’s objective is to guarantee that the most recent research results and best practices are swiftly and effectively implemented into patient care. Regarding the identified diagnosis of Diabetic Ketoacidosis (DBK), it entails managing the body to prevent the production of excess blood acids referred to as Ketones

Diagnosis That Could Benefit from An Evidence-Based Approach

Diabetic Ketoacidosis is a severe diabetic-related complication whereby the patient body produces excess blood acids referred to as ketones (Duff et al., 2020)The Credibility Of Evidence And Resources Assignment. With the existing approach to address the problem, different factors are considered while establishing the best care practice to administer. The DBK condition is life-threatening and occurs when the body breaks fat at a higher and abnormal rate, and the liver converts the fat into Ketones, causing blood to become acidic. Different approaches can be utilized to manage, prevent, and treat the condition, including prevention, managing one’s diabetes, monitoring one’s blood sugar, adjusting the insulin dosage as needed, and frequently checking the ketone levels. On treatment, the physicians can advocate for fluid replacement, electrolyte replacement, or insulin therapy.

Explain Criteria That Should Be Considered When Determining Credibility of Resources Such as Journal Articles and Websites

It is critical for nurses and healthcare providers to be able to identify credible sources with reference to their Practice or based on patient needs (Ives & Pappas, 2020)The Credibility Of Evidence And Resources Assignment. This ability demands an understanding of depth, objectivity, currency authority, and purpose. To determine resource credibility, the adoption of the CRAAP test remains relevant. Utilizing the CRAAP approach, the nurses could filter the search options based on Currency, Relevance, Authority, Accuracy, and Purpose. Once the resource has fulfilled the CRAAP deliverables, it can be evaluated based on patient needs, diagnosis, and application. This would ensure it aligns with the diagnosis being focused on. With nursing care practices changing from time to time, it remains critical for nurses to depend on recently conducted research and findings.

Selected Resources in Addressing the DBK diagnosis and Management

The adoption of research findings helps evaluate the suitability of a given scenario or diagnosis. Regarding developing an evidence-based practice catering to DBK diagnosis, the selected resource is ‘Management of Diabetic Ketoacidosis in Adults: A Narrative Review’ by Eledrisi and Abdel-Naser. Being a 2020 research, the article is current regarding application in nursing practice. Although DKA mortality rates have generally decreased to low levels, they are still significant in many underdeveloped nations. Hyperglycemia, metabolic acidosis, and ketosis are symptoms of DKA (Eledrisi & Elzouki, 2020). Adequate treatment of DKA necessitates hospitalization to administer aggressive IV fluids, insulin therapy, electrolyte replacement, and identify and treat the underlying triggering event. Patient’s clinical and laboratory conditions must also be frequently monitored. The most frequent DKA-triggering factors include infections, newly discovered diabetes, and noncompliance with insulin administration (Eledrisi & Elzouki, 2020)The Credibility Of Evidence And Resources Assignment. Clinicians must know that sodium-glucose co-transporter two inhibitors might cause DKA in certain patients. Discharge plans should include actions to prevent a DKA recurrence and the proper selection and administration of insulin regimens.

Regarding the John Hopkins model, the resource selected provides an allay of different nursing practices which can be adopted into patient care to cater to DBK diagnosis. The evidence-based model application allowed for resource evaluation based on the problem being addressed, what the nurse needs to do, which practices benefit the condition diagnosed, and which best gives the desired results.

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The John Hopkins Evidence-Based Practice Model, Importance of Incorporating Credible Evidence into The EBP Model to Address the DBK Diagnosis/Condition

The utilization of the John Hopkins model offers a simple-to-use and powerful problem-solving approach and can quickly be adopted into clinical decision-making (Library: Nursing: Evidence-Based Practice: Johns Hopkins Nursing EBP, n.d). On the other hand, the system is user-friendly, with tools guiding the user guiding the practicing nurse in achieving the set needs. As identified earlier, the adoption and utilization of EBP as a cornerstone of clinical Practice today, the adoption of model helps in quality care delivery and factoring in patient needs, leading to the desired care outcomes. Regarding the DBK condition, different approaches can be utilized to address the issue, including insulin therapy. Adopting the model into the selected diagnosis provides an easy-to-understand procedure for meeting the client’s needs. The first step, identifying the Practice question, allows the researcher or the nurse to determine what is intended for the patient. Based on patient needs, which among a couple of the practices best addressed the identified needs, and lastly, adopting the Evidence obtained into actual Practice. The model allows for a review of different evidence-based practices to determine the best fitting subject to the patient and nurse’s needs. Finally, the utilization of the John Hopkins The Credibility Of Evidence And Resources Assignment

References

Baker, J. D. (2017). Nursing research, quality improvement, and evidence-based Practice: The key to perioperative nursing practice: Editorial. AORN Journal, 105(1), 3-5.

Duff, J., Cullen, L., Hanrahan, K., & Steelman, V. (2020). Determinants of an evidence-based practice environment: an interpretive description. Implementation Science Communications, 1(1). https://doi.org/10.1186/s43058-020-00070-0

Eledrisi, M. S., & Elzouki, A.-N. (2020). Management of Diabetic Ketoacidosis in Adults: A Narrative Review. Saudi Journal of Medicine & Medical Sciences, 8(3), 165–173. https://doi.org/10.4103/sjmms.sjmms_478_19

Ives E., J. & Pappas, S. (2020). The value of nursing research. The Journal of Nursing Administration, 50(5), 243-244.

Library: Nursing: Evidence-Based Practice: Johns Hopkins Nursing EBP. (n.d.). Retrieved November 10, 2022, from https://libguides.daemen.edu/EBP/johns-hopkins-EBP

Assessment 2 Instructions: Determining the Credibility of Evidence and Resources

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  • PRINT
  • 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.

Introduction

The goal of using evidence-based research findings is to enhance safety and quality of patient care and ensure optimal outcomes are achieved. It is not uncommon to hear a nurse say, “why change it as we’ve always done it this way.” However, this is no longer acceptable in today’s practice environment. The profession of nursing has evolved, and the expectation is that the professional nurse has a scientific foundation to support the care that is provided. As the profession of nursing continues to evolve and engage in health care transformation, baccalaureate-prepared nurses are expanding taking on leadership roles that include incorporating EBPs. To be able to do this, the nurse needs to understand the criteria and makes a resource credible, as this is crucial when deciding if the research is valid and reliable for implementation into health care settings. The nurse will need to incorporate the use of evidence-based practice models. EBP models are designed to assist the nurse in developing a plan to gather evidence to answer a practice problem or question. It is a systematic approach to direct the user to incorporate scholarly findings into current practice. These EBP models lead the nurse through the decision-making process of evaluating the literature to determine the best practice evidence for the practice issue or question.

It would be an excellent choice to complete the Vila Health Determining the Credibility of Evidence activity prior to developing the report. The activity is a media simulation that offers an opportunity to review a scenario and work on determining the credibility of presented evidence. These skills will be necessary to complete Assessment 2 successfully. This media simulation is one potential source of context on which to base your assessment submission. This will take just a few minutes of your time and is not graded. The Credibility Of Evidence And Resources Assignment

Professional Context

As a baccalaureate-prepared nurse, you will be responsible for locating and identifying credible and scholarly resources to incorporate the best available evidence for the purposes of enhancing clinical reasoning and judgement skills. When reliable and relevant evidence-based findings are utilized, patients, health care systems, and nursing practice outcomes are positively impacted.

Scenario

For this assessment, you may choose from the following options as the context for the quality or safety issue or chosen diagnosis/health issue for researching and completing this assessment:

    • The specific diagnosis/health issue you identified in your previous assessment.
    • The simulation Vila Health: Determining the Credibility of Evidence.
    • A personal practice experience in which a sentinel event occurred.

Instructions

The purpose of this analysis is to better understand what constitutes credibility of journal articles as well as websites. The role of the baccalaureate-prepared nurse in incorporating evidence-based research continues to growth in clinical practice. As quality improvement (QI) measures to reduce safety risks continue to be emphasized, the need for evidence-based models and evidence-based templates is growing. This type of systematic approach to incorporating evidence-based findings allows nurses to make clinical and operational decisions based upon the best available evidence. When the most up-to-date evidence-based findings are utilized, patient-centered care improves outcomes and enhances the patient experience. The Credibility Of Evidence And Resources Assignment

Below is a quick review table of several well-known Evidence-Based Practice Models used to guide exploration:

Evidence-Based Practice Models
Iowa Model of Evidence-Based Practice
Stetler Model
Ottawa Model
PARiHS (Promoting Action on Research Implementation in Health Services) Model
ACE (Academic Center for Evidence-Based Practice) Star Model
ARCC (Advancing Research and Clinical Practice Through Close Collaboration) Mode
John Hopkins Model
KTA (Knowledge-to-Action) Model

For this assessment: The Credibility Of Evidence And Resources Assignment

    • Explain the criteria that should be used when determining the credibility of journal articles as well as websites.
    • Support your explanations with references to the literature or research articles that describe criteria that should be used to determine credibility.
      • Your identification and determination of credibility should be done within the context of your chosen scenario for this assessment. For example, if you choose to use the provided Vila Health scenario, your initial identification of resources should be of resources that will best help address the presented issue. However, if you are locating resources to help provide evidence-based care for the diagnosis/health care issue you identified in the first assessment, you may want to begin your literature and evidence search from the databases that were identified. Any of the three scenario options are acceptable. So, pick the one that most interests you. The Credibility Of Evidence And Resources Assignment

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 a quality or safety issue, or a chosen diagnosis, that could benefit from an evidence-based approach.
    • Explain criteria that should be considered when determining credibility of resources such as journal articles and websites.
    • Analyze the credibility and relevance of evidence and resources within the context of a quality or safety issue, or a chosen diagnosis.
      • This is where you are selecting the specific resources to help address the issue in your chosen scenario.
    • Identify the Evidence-Based Practice model and explain the importance of incorporating credible evidence into the EBP model used to address a quality or safety issue, or a chosen diagnosis/health care issue. Review the literature below and choose the appropriate model for your diagnosis/health care issue.

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      • Selecting a model for evidence-based practice changes. [PDF] and Evidence-Based Practice Models help explain the various evidence-based nursing models.
    • Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style. The Credibility Of Evidence And Resources Assignment

Additional Requirements

Your assessment should meet the following requirements:

    • Length of submission: 2-4-page scholarly paper, this does not include the APA-formatted title page and reference list.
    • Number of references: Cite 3-5 sources of scholarly or professional evidence that support 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.

Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final capstone course.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

    • Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision.
      • Explain criteria that should be considered when determining credibility of resources such as journal articles and websites.
      • Analyze the credibility and relevance of evidence and resources within the context of a quality or safety issue, or a chosen diagnosis.
    • Competency 3: Apply an evidence-based practice model to address a practice issue. The Credibility Of Evidence And Resources Assignment
      • Identify an evidence-based practice model (such as Iowa, Stetler, John Hopkins, etc.) and explain the importance of incorporating credible evidence into an EBP model used to address a quality or safety issue, or a chosen diagnosis/health care issue.
    • Competency 4: Plan care based on the best available evidence.
      • Describe a quality or safety issue, or a chosen diagnosis, that could benefit from an evidence-based approach.
    • Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.
      • 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 Credibility Of Evidence And Resources Assignment