Locating Credible Databases and Research
School of Nursing and Health Sciences, Capella University
NURS-FPX4030 Making Evidence-Based Decisions
April 16, 2022.
Locating Credible Databases and Research
Healthcare systems’ goals today are quality improvement, patient safety, and cost containment. Evidence-Based Practice (EBP) may be employed in the healthcare sector and aid enterprises in achieving these laudable objectives. According to López‐Medina et al. (2022), EBP is a framework for making medical decisions that consider both the best available scientific findings from research and professional work and the patient’s preferences, views, expectations, and interests. EBP incorporates the clinician’s expertise, the best available scientific evidence, and the individual patient’s values and goals.
This analysis uses a case study in which a new nurse is caring for a patient who has severe dyspnea to illustrate the use of EBP. Mr. M, our patient, has been a smoker for many years and suffers from asthma. In light of this diagnosis, this article discusses potential strategies for conveying this information to Mr. M’s new nurse so she will be motivated to research his condition further. The finest locations for such studies are outlined, and in the last section, reliable resources for further information are suggested.
Communication Strategies to Encourage Diagnosis-Based Research
In health care, good communication and teamwork must be balanced. Collaboration and cooperation are key components of professional practice, and effective communication is a prerequisite for both (Oh & Nadkarni, 2023). The bottom line is that effective internal and external communication between healthcare providers significantly impacts patient outcomes. To encourage diagnostic-based research among newly hired nurses, Oh & Nadkarni (2023) outlined various ways senior nurses or supervisors might enhance good communication. To prevent misunderstandings, the sender should be listened to without interruption; empathy should be shown regardless of the context; attention should be paid to the subject at hand; body language should convey interest and care, and so on (Oh & Nadkarni, 2023).
Also read: Buy Nursing Evidence-Based Practice Help Online
These methods have one thing in common: they rely on senior nurses or managers giving professional assistance to encourage new nurses to use EBP with pride and optimism.
The Best Places to Complete the Research
A hospital’s intranet is where a freshly certified nurse may research. Having web-based portals available on the intranet might be very helpful. According to research by Petersen et al. (2023), web-based portals inside the intranet of a healthcare organization’s information system help make knowledge more easily accessible.
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If the nurse cannot access such a database, hospital rules and guidelines may serve as excellent resources for learning more about dyspnea. Over-reliance on memory, identified as a key trigger of errors in nursing practice, can be avoided by referring to hospital policy guidelines and procedures by both new and seasoned nurses (O’Neill et al., 2023). O’Neill et al. (2023) emphasized the significance of policy and procedure manuals for minimizing medical mistakes and promoting quality of care and patient safety via evidence-based practice. According to studies, a freshly graduated nurse should go to policy and procedure manuals for information on dyspnea before turning to the intranet, which plays a supporting function.
Identification of Five Sources for Evidence of Clinical Diagnosis of Dyspnea
Multiple print and online publications, hospital policies and procedures databases, newspapers, and medical journals are good places to learn more about dyspnea. A regarded medical journal that addresses dyspnea is the American College of Physicians (ACP). ACP released an article by Qaseem et al. (2021) on utilizing Point-of-Care Ultrasound to assess patients with acute dyspnea. Nursing care plans for dyspnea may benefit greatly from the knowledge provided in scholarly journal publications. For instance, therapies targeting the anxiety distress linked with dyspnea are advocated by Decavèle et al. (2023). To alleviate the emotional aspect of the condition, such therapies must be included.
Books available online also include useful information on dyspnea. The PubMed database (http://pubmed.ncbi.nlm.nih.gov/) is a good place to look for such books. Effect of exercise interventions in Adults with cancer receiving palliative care: a systematic review and Meta-analysis by Tanriverdi et al. (2023) is one such book found in the open-access PubMed database. Many medical publications focus specifically on pulmonary studies. Journal of Lung Cancer Diagnosis & Treatment; Journal of Chronic Obstructive Pulmonary Disease; Journal of Clinical Pulmonary Medicine. Care for a patient with dyspnea may benefit just as much from the knowledge found in electronic books. For example, the etiology of dyspnea in terminally ill patients is discussed in depth by Gentzler et al. (2019).
Dyspnea information is also available on hospital websites. One may also get helpful health information in periodicals like newspapers and journals. The New York Times is one publication that might have such articles. A New York Times article on dyspnea is Sanders’s (2020) “He Had Trouble Breathing, and Inhalers Did not Help: What Was Going On?. Sanders (2020) explains why certain patients may not respond to treatment for dyspnea. When considering where to go for facts about dyspnea, periodicals like newspapers and magazines should be at the bottom of the list. This is appropriate given that some data may consist entirely of people’s subjective impressions.
Explanation of Why the Sources Provide the Best Evidence
The sources mentioned above all pass the CRAAP test, which evaluates the reliability of information sources based on their timeliness, reliability, credibility, and usefulness. Identifying the sources above justifies using the CRAAP Test, as it has been shown via empirical research to be an effective practice material in evaluating the trustworthiness of resources.
Conclusion
In conclusion, for evidence-based practice to be successfully implemented, registered nurses will need to design clinical care plans that consider the patient’s interests and needs, in addition to the information, skills, and experience that they have accumulated throughout their careers. An entry-level nurse may use the resources described in this article in order to assist an elderly patient suffering from dyspnea in obtaining therapy that is founded on the principles of evidence-based practice.
References
Decavèle, M., Bureau, C., & Demoule, A. (2023). Dyspnea in Patients Receiving Invasive Mechanical Ventilation. In Annual Update in Intensive Care and Emergency Medicine 2023 (pp. 191-205). Cham: Springer Nature Switzerland. https://doi.org/10.1007/978-3-031-23005-9_15
Gentzler, E. R., Derry, H., Ouyang, D. J., Lief, L., Berlin, D. A., Xu, C. J., … & Prigerson, H. G. (2019). Underdetection and undertreatment of dyspnea in critically ill patients. American Journal of Respiratory and Critical Care Medicine, 199(11), 1377-1384. https://doi.org/10.1164/rccm.201805-0996OC
López‐Medina, I. M., Sáchez‐García, I., García‐Fernández, F. P., & Pancorbo‐Hidalgo, P. L. (2022). Nurses and ward managers’ perceptions of leadership in the evidence‐based practice: A qualitative study. Journal of Nursing Management, 30(1), 135-143. https://doi.org/10.1111/jonm.13469
Oh, W., & Nadkarni, G. N. (2023). Federated Learning in Health care Using Structured Medical Data. Advances in Kidney Disease and Health, 30(1), 4-16. https://doi.org/10.1053/j.akdh.2022.11.007
O’Neill, B. J., Dwyer, T., Parkinson, L., Reid‐Searl, K., & Jeffrey, D. (2023). Identifying the core components of a nursing home Hospital avoidance programme. International Journal of Older People Nursing, 18(1), e12493. https://doi.org/10.1111/opn.12493
Petersen, E. A., Deer, T. R., Bojanic, S., Sankary, L. R., Strand, N. H., Al Kaisy, A., … & Schatman, M. E. (2023). Best Practices from the American Society of Pain and Neuroscience (ASPN) for Clinical Research During a Pandemic or Emergency. Journal of pain research, 327-339. https://orcid.org/0000-0001-8867-2140
Qaseem, A., Etxeandia-Ikobaltzeta, I., Mustafa, R. A., Kansagara, D., Fitterman, N., Wilt, T. J., & Clinical Guidelines Committee of the American College of Physicians. (2021). Appropriate use of point-of-care ultrasonography in patients with acute dyspnea in emergency department or inpatient settings: a clinical guideline from the American College of Physicians. Annals of internal medicine, 174(7), 985-993. https://doi.org/10.7326/M20-7844
Sanders, L. (2020). He Had Trouble Breathing, and Inhalers Didn’t Help. What Was Going On?
The New York Times. Retrieved 8 July 2022, from https://www.nytimes.com/2020/02/12/magazine/plastic-bronchitis-diagnosis.html.
Tanriverdi, A., Ozcan Kahraman, B., Ergin, G., Karadibak, D., & Savci, S. (2023). Effect of exercise interventions in adults with cancer receiving palliative care: a systematic review and meta-analysis. Supportive Care in Cancer, 31(4), 205. https://doi.org/10.1007/s00520-023-07655-0