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Instructions of NURS-FPX 4030 Assessment 1
Locating Credible Databases and Research
Create a 2-4 page resource that will describe databases that are relevant to EBP around one of the diagnoses found in the provided PDF supplement and could be used to help a new hire nurse better engage in EBP.
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Introduction
Evidence-based practice (EBP) integrates the best evidence available to guide optimal nursing care, 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 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) 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 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 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 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-centered 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 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.
To select the diagnosis for the patient in this scenario, review the three diagnoses presented in the Assessment 01 Supplement: Locating Credible Databases and Research [PDF] Download Assessment 01 Supplement: Locating Credible Databases and Research [PDF]resource and select one. You will use this same diagnosis to complete the next two assessments.
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 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 with 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.
Remember, it is also appropriate to look toward databases and resources outside of the Capella library, such as organizational policies, professional organizations, and government healthcare 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 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 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 about 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 the diagnosis in this scenario and describe to which of these you would direct a nurse colleague to search for evidence.
Describe where you might go in the workplace 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 corresponds 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.
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 the 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 the 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 support your findings and considerations. Resources should be no more than five years old.
APA formatting: References and citations are formatted according to the current APA style.
Competencies Measured
By 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 deciding within the context of a specific healthcare setting.
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.
Organize content so ideas flow logically with smooth transitions; contain 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.
Resources
Use the resources linked below to help complete this assessment.
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Nurses and Research
The resources below explore topics related to nurses and research:
Curtis, K., Fry, M., Shaban, R. Z., & Considine, J. (2016). Translating research findings to clinical nursing practice. Journal of Clinical Nursing, 26(5-6), 862-872.
This article discusses the importance of and methods for successfully conducting and translating research into clinical practice. It also briefly discusses barriers to research.
Borsting, T. E., Kristensen, N., & Hanssen, I. (2020). Student nurses’ learning outcomes through participation in a clinical nursing research project: A qualitative study. Nurse Education in Practice, 43.
This article presents a study showing how utilizing clinical research allowed the student to hone in on their communication skills, become more confident, and be able to utilize their theoretical knowledge to reflect, observe, assess, and act.
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.
Clinical research nurses are essential in the coordination of clinical trials and the management of research participants. Without a stable, knowledgeable research nurse workforce, the conduct of research is affected. A research nurse residency is a novel approach to preparing new graduate nurses for the oncology research nurse role. This article will describe the development and content of the research nurse residency and how this approach is being used to address a need for clinical research nurses to support burgeoning clinical trials at a National Cancer Institute-designated comprehensive cancer center.
Herena, P. S., Paguio, G., & Pulone, B. (2018). Clinical research nurse education: Using scope and standards of practice to improve care. Clinical Journal of Oncology Nursing, 22(4), 450-452.
This article discusses how clinical research has become a global enterprise, and advances in the basic sciences have exceeded the capacity of the clinical research infrastructure. This article also covers how the lack of experienced clinical research nurses can create a challenge for institutions with robust clinical trial pipelines.
Evaluating Credibility
The resources below explore evaluating the credibility of online resources:
National Center for Complementary and Integrative Health. (n.d.). Finding and evaluating online resources. https://nccih.nih.gov/health/webresources
This collection of resources and guides can help walk you through steps to determine the credibility of resources that you find online.
Sbaffi, L., & Rowley, R. (2017). Trust and credibility in web-based health information: A review and agenda for future research. Journal of Medical Internet Research, 19(6), e218-e232.
This article presents a literature review targeted at the different strategies that practitioners use to assess the credibility of information and evidence.
Program Resources and Library Resources
Writing Resources
A variety of writing resources are available in the NHS Learner Support Lab, linked in the course room navigation menu. Access these resources to help you better understand and improve your writing.
APA Style and Format
Capella University follows the style and formatting guidelines in the Publication Manual of the American Psychological Association, known informally as the APA manual. Refer to the Writing Center’s APA Module for tips on proper use of APA style and format.
Library Resources
Access the following library resources:
BSN Program Library Research Guide.
The library research guide will be useful in guiding you through the Capella library, offering tips for searching the literature and other references for your assessments.
Databases A-Z: Nursing Health Sciences.
This is a list of the library databases that are relevant to nursing and health sciences.
Evidence-Based Practice in Nursing Health Sciences.
Library guide to EBP-related topics with a focus on nursing and health sciences.
Find Scholarly Peer-Reviewed Sources.
Guide to help you more efficiently locate scholarly and peer-reviewed resources.
This guide offers a five-step approach to improving your research search effectiveness.
Activity
Click the linked Evaluating the Credibility of Evidence title to complete this formative activity, which offers an opportunity to practice evaluating the credibility of evidence. These skills will be necessary to complete Assessment 1 successfully. This is for your practice and self-assessment.
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Step-By-Step Guide for NURS-FPX 4030 Assessment 1: Locating Credible Databases and Research
Introduction to NURS-FPX 4030 Assessment 1: Locating Credible Databases and Research
Owlisdom How-To NURS-FPX 4030 Guide is designed to help nursing students and new hires engage effectively in Evidence-Based Practice (EBP) by guiding them through researching and utilizing credible sources for clinical diagnoses. NURS-FPX 4030 Assessment 1: Locating Credible Databases and Research focuses on enhancing patient care by integrating the best available evidence, clinical expertise, and patient values.
Describe communication strategies to encourage nurses to research the diagnosis/practice issue and collaborate with the nurses to access resources.
Communicating Strategies for Encouraging Research
First, we will discuss the communicating strategies for the NURS-FPX 4030 Assessment 1: Locating Credible Databases and Research.
Importance of Communication in EBP
- Effective communication is essential to fostering a culture of inquiry among nurses. It ensures that all team members understand the importance of EBP in improving patient outcomes.
Techniques to Motivate and Guide Nurses
- Encouragement: Regularly motivate nurses to explore and question clinical practices.
- Mentorship: Offer mentorship and guidance in navigating research databases and interpreting studies.
- Feedback: Provide constructive feedback and recognize efforts in research activities.
Example
Evidence-based practice (EBP) is a systematic method in healthcare that integrates the most reliable research findings, clinical experience, and consumer preferences and values. For nurses, it is essential to find credible databases and research sources to access high-quality evidence to enhance their practice and improve patient outcomes.
Finding credible databases is crucial for nurses aiming to integrate EBP into their practice. Databases like PubMed, CINAHL, and Cochrane Library offer many peer-reviewed research articles, systematic reviews, and clinical guidelines related to congestive heart failure (CHF). These databases, curated by experts, provide reliable and up-to-date information that nurses can utilize to inform their clinical practice. This paper examines the significance of identifying credible databases and research within the context of EBP for managing CHF (Abu-Baker et al., 2021).
Congestive heart failure (CHF) is a complex and debilitating cardiac insufficiency. It is a condition in which the heart has less capacity to circulate blood efficiently, leading to symptoms such as weariness, breathing problems, and fluid retention. It is a widespread condition affecting millions globally and burdening healthcare systems considerably. To provide optimal care for patients with CHF, healthcare professionals, particularly nurses, utilize evidence-based practice (EBP) as a foundation for informing their clinical decision-making.
Research on CHF covers a broad spectrum of topics, including pathophysiology, diagnostic methods, pharmacological and non-pharmacological treatments, and patient education. By accessing credible research sources, nurses can stay updated on the latest advancements in CHF management and integrate evidence-based interventions into their care plans.
Collaborative Strategies to Access Resources
Next, we will collaborate strategically to access resources.
Creating a Supportive Environment
- Access to Resources: Ensure nurses access necessary research tools and databases quickly.
- Training Sessions: Conduct regular training on how to use library resources and databases.
Utilizing Team-Based Approaches
- Team Meetings: Use team meetings to discuss recent research findings and their implications for practice.
- Collaboration Tools: Implement collaboration tools like shared digital libraries and forums for discussing research articles.
Example
Communication strategies are crucial for promoting diagnosis-based research in nursing, particularly in bridging the gap between novice and experienced nurses. Effective communication encourages collaboration, knowledge sharing, and a culture of inquiry, all essential for advancing diagnosis-based research in nursing practice.
One significant communication strategy is implementing mentorship programs that pair seasoned nurses with new nurses. This facilitates the transfer of knowledge, experience, and best practices related to diagnosis-based research. Experienced nurses can assist new nurses in navigating research databases, interpreting findings, and formulating research questions related to diagnoses.
Another strategy involves fostering open dialogue and experience sharing among nurses through regular meetings, seminars, or workshops. This creates a supportive environment where nurses feel comfortable discussing their research ideas, seeking feedback, and collaborating on diagnosis-based research projects (Fox et al., 2024).
Additionally, integrating communication skills training into nursing education programs can help new nurses effectively convey their research ideas and findings to colleagues and other healthcare professionals. This enhances the quality of diagnosis-based research and improves nurses’ overall communication skills.
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.
Best Places to Complete Research
In this section, we will discuss the best places to complete research.
Key Databases and Resources
- CINAHL: Ideal for nursing and allied health literature.
- PubMed: Comprehensive resource for biomedical literature.
- Medline: Extensive database for medical and clinical research.
- Cochrane Library: Source of systematic reviews and high-quality evidence.
- Hospital Policy Databases: Access to specific policies and guidelines within the healthcare setting.
Specific Areas Within the Healthcare Setting
- Computer Labs: Utilize hospital computer labs equipped with online libraries.
- Workstations: Access research tools directly from nurse workstations.
Example
The pursuit of credible sources to support EBP is essential in the nursing field. Todd et al. (2024) highlight the significance of health service-based research in enhancing nursing practice with practical, evidence-based insights. Similarly, Fox, Shillam, and Henry (2024) demonstrate the success of nurse-led care models, grounded in EBP principles, in improving patient outcomes. These studies collectively indicate that trusted databases, institutional libraries, and professional journals are fundamental for high-quality research, helping to avoid bias and ensure comprehensive and current analysis. Nurses can ensure that the most up-to-date and trustworthy evidence consistently supports their practice by prioritizing reliable sources that meet the criteria of relevance, credibility, accuracy, and purposefulness.
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.
Identifying Credible Sources of Online Information
Here, we will look for credible research resources.
Evaluating Databases, Websites, and Journals
- Relevance: Ensure the source is relevant to the diagnosis or clinical issue.
- Credibility: Check for peer-reviewed status and authoritative authors.
- Accessibility: Consider the ease of access and user-friendliness.
Selecting the Top Five Sources
- CINAHL: Best for comprehensive nursing literature.
- PubMed: Extensive biomedical database.
- Medline: Broad range of medical research.
- Cochrane Library: Systematic reviews and meta-analyses.
- Hospital Policy Databases: Specific clinical guidelines and protocols.
Explain why the sources of online information selected should provide the best evidence for the chosen diagnosis or health care issue.
Rationale for Selected Sources
Criteria for Source Selection
- Quality of Evidence: Preference for peer-reviewed and high-impact sources.
- Scope and Coverage: Comprehensive coverage of the topic.
- Reliability: Consistency and accuracy of the information.
Justification for Each Source
- CINAHL: Specializes in nursing and allied health, offering targeted resources.
- PubMed: Provides access to a vast amount of biomedical research.
- Medline: Known for its authoritative and extensive medical content.
- Cochrane Library: Offers reliable systematic reviews that are crucial for EBP.
- Hospital Policy Databases: Direct access to hospital-specific guidelines ensures applicability.
Example
In diagnosing congestive heart failure (CHF), which presents with numerous symptoms, evidence-based nursing methods are crucial for timely and accurate diagnosis to prevent errors and treatment delays. Here are five credible sources to guide the diagnosis:
American Heart Association (AHA): The AHA provides guidelines for diagnosing and managing heart failure. Their website offers comprehensive information on the latest evidence-based practices.
European Society of Cardiology (ESC): The ESC offers authoritative guidelines for diagnosing and treating acute and chronic heart failure.
Journal of the American College of Cardiology (JACC): JACC publishes research articles and clinical studies on heart failure diagnosis, treatment, and management.
Circulation: This journal publishes original research articles and reviews on cardiovascular disease, including heart failure diagnosis and management.
Heart Failure Reviews: This journal focuses on comprehensive reviews and updates on heart failure diagnosis, treatment, and management strategies. Heart Failure Reviews
The American Heart Association (AHA), European Society of Cardiology (ESC), Journal of the American College of Cardiology (JACC), Circulation, and Heart Failure Reviews are top sources of evidence for nursing practice due to their focus on evidence-based guidelines and research in cardiology.
First, the AHA and ESC are reputable organizations that produce evidence-based guidelines for cardiovascular diseases, including CHF. Developed by multidisciplinary teams of experts, these guidelines are based on the best available research, making them reliable sources for nurses practicing evidence-based care.
Second, the JACC and Circulation are prestigious academic publications that undergo a rigorous evaluation process and publish research articles of exceptional quality on cardiovascular diseases. Nurses can use these journals to stay updated on the latest research findings and best practices in CHF diagnosis and management.
Third, Heart Failure Reviews provides comprehensive reviews and updates on heart failure diagnosis, treatment, and management. Authored by leading experts, these reviews offer an in-depth analysis of current evidence, making them valuable for nurses incorporating evidence-based practices into their care.
Overall, these sources are considered the best evidence for nursing practice in cardiology due to their strong emphasis on evidence-based guidelines and research. Nurses can rely on information from these sources to deliver high-quality, evidence-based care to CHF patients, ultimately improving patient outcomes.
Demonstration of Proficiency
- Competency 1: Interpret findings from scholarly articles to understand the best evidence.
- Competency 2: Analyze the relevance of evidence within the healthcare context.
- Competency 4: Plan care based on the best available evidence.
- Competency 5: Apply professional communication strategies to lead practice changes.
Closing
Mastering evidence-based decision-making is vital for providing high-quality nursing care. Nurses can significantly enhance patient outcomes by following NURS-FPX 4030 ASSESSMENT 1: Locating Credible Databases and Research How-To Guide for researching, evaluating, and applying credible sources. Remember, the goal is to integrate the best evidence with clinical expertise and patient values, leading to informed and effective healthcare practices
