Instructions:
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 e-online Profile:
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 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 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.
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.
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.
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:
· 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.
o Describe communication
strategies to encourage nurses to research the diagnosis/practice issue, as
well as strategies to collaborate with the nurses to access resources.
o 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.
o 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.
o Explain why the sources
of online information selected should provide the best evidence for the chosen
diagnosis/health care issue.
o 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:
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 Measures:
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.
o 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.
o 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.
o 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.
o 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.
o Organize content so ideas
flow logically with smooth transitions; contains few errors in
grammar/punctuation, word choice, and spelling.
o Apply APA formatting to
in-text citations and references exhibiting nearly flawless adherence to APA
format.