Assessment 2

Determining the Credibility of Evidence and Resources

Instructions-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.

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.

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:

· 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.

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.

·

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.

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.

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.

· 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.

Scoring Guide

Use the scoring guide to understand how your assessment will be evaluated

Determining the Credibility of Evidence and Resources Scoring Guide

CRITERIA	NON-PERFORMANCE	BASIC	PROFICIENT	DISTINGUISHED
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.

Identify an evidence-based practice model (such as John Hopkins, Stetler, Iowa, 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.

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.

PLEASE RESPOND IN 50 WORDS OR MORE TO THE FOLLOWING:

1. What staffing model is implemented at the facility where you work?  What would you recommend for modifying the staffing model where you work, what is you recommendation based on and how would you implement the change?  (Support your thoughts/ideas with academic literature OR required readings) 

The staffing model the facility where I work is a nursing home. We use a census as our staffing model. On my floor there is a total of 23 rooms and 2 clients per room. Most of the time we are short staffed, and as a result there are only 2 nurses and we each have 23 patients sometimes less if patients get discharged. Per facility each nurse is suppose to have 9 patients. When dividing patients among nurses I think it is important to take into account patient acuity, some patients require more intense care than others. Meaning if the patients are equally divided the workload may not be. I believe that it is important to talk to your coworkers about this concern to prevent placing patients at risk and create a positive environment where the workload is shared. A lot of times coworkers are not willing to change assignments and that is where I think the unit manager should step in. To fix this problem more staff should be hired to keep the 9:1 ratio and the unit nurse should review assignments, before they are given. Most nurses experience substantial fatigue, with high acuity patients having an overall greater impact. We recommend that NPAs shall contain fewer high acuity patients than lower acuity patients. Additionally, The OFER acute fatigue scale (OPER-AF) suggests that assignments should contain no more than five patients to mitigate fatigue (Mollica and Schwerha, 2021).

Reference

Mollica, & Schwerha, D. (2021). Exploring the Relationship between Patient Acuity, Patient Assignments and Fatigue among Nurses. Proceedings of the Human Factors and Ergonomics Society Annual Meeting, 65(1), 1200–1204. https://doi.org/10.1177/1071181321651016

Post + 2 replies 

In this module, you begin laying the foundation for your academic and professional success. Your efforts begin with a vision that includes your own definition of success. Your vision may vary from those of your colleagues, but this does not mean you have to take these first steps alone.

Walden University and the College of Nursing also have a vision and mission, which include helping you to make your own vision a reality. Members of your new academic community, such as faculty, support teams, and fellow students, can also be helpful. Current practitioners and other member of the professional community can also help you to clarify your vision.

This Module’s Discussion asks you to consider how the Walden mission and vision as well as the College of Nursing’s mission and vision apply to your professional and academic goals. You will also begin to identify individuals and teams who can help you along the way as you begin designing the “blueprint”—your Academic Success and Professional Development Plan—that will guide you toward your own vision for academic and professional success. Finally, you will explain the importance of networking and how it can help you achieve your professional and academic goals.

• Nurse.org. (n.d.).List of nursing organizationsLinks to an external site.. Retrieved November 14, 2018, from https://nurse.org/orgs.shtml
• Schmidt, K. (n.d.). 5 reasons nurses should engage in professional networkingLinks to an external site. [Blog post]. Retrieved November 14, 2018, from https://blog.bluepipes.com/5-reasons-nurses-should-take-professional-networking-seriously/
• Walden University. (n.d.). Connect to WaldenLinks to an external site.. Retrieved November 14, 2018, from https://www.waldenu.edu/connect
• Walden University. (n.d.). College of NursingLinks to an external site.. Retrieved October 5, 2020, from https://academicguides.waldenu.edu/fieldexperience/son#s-lg-box-3837398
  Review the College of Nursing’s vision and mission.
• Walden University. (n.d.). Walden University catalogLinks to an external site.. Retrieved October 4, 2019, from https://catalog.waldenu.edu
  Select College of Nursing, then Master of Science in Nursing (MSN). Review the MSN Learning Outcomes on this page.
• Walden University. (n.d.). Walden University catalogLinks to an external site.. Retrieved October 4, 2019, from https://catalog.waldenu.edu
  Select Introduction, then the link “Vision, Mission, and Goals” under the Introduction header. Review Walden’s vision, mission, and goals.
• Walden University. (n.d.). Writing centerLinks to an external site.. Retrieved November 14, 2018, from https://academicguides.waldenu.edu/writingcenter
• Wofford, P. (2018). 10 networking tips for nurses who hate networkingLinks to an external site.. Retrieved from https://nurse.org/articles/tips-for-nurse-networking/
• Document: Academic Success and Professional Development Plan Template Download Academic Success and Professional Development Plan Template(Word document)
• Document: Discussion Posting Exemplars Download Discussion Posting Exemplars(PDF)

For this assignment you will be asked to apply course concepts and learn to develop one Literature Review Table that includes 2 articles.

Please use the Literature Review Template provided within the course content and the evidence rating scale adapted from Melnyk found in course content. There is a video explaining how to complete the table in your course content.

Will I be adding this assignment to the final paper? Yes! The completed Literature Review Table from this week will be used again in the Appendix of your research paper (future assignment).

Will I need to create new literature review tables again for the final paper? No-this is the only assignment you’ll use the table format for. You will summarize 5 additional research articles in the Findings section of your Research Review, so please save those for the future.

Key Information for this assignment:

· You should not copy information from the research you obtain. All information from the research should be paraphrased in your own words (less than 6 words in one sentence should match). Plagiarism checkers should result in less than 10% for the literature review tables.

· All Searches for your Research Review must be completed through the Minnesota State University, Mankato library. Online searches will not be accepted with the exception of Google Scholar. Supply a pdf of your 2 full text articles in the drobox with your literature review table. Do not send links.

· A Data Search Table must be submitted with the Literature Review Assignment and is worth 5 points. Please provide a screen shot of one of your key term searches within the library databases.

Criteria	Possible Points	Points Earned	Clarification/Instructions
Article title, author, and date is listed in APA format and is current (not older than 5 years)	2		List the reference as a citation in the text would be cited. Include the reference in the reference section of the paper.
Purpose of article is clear and paraphrased from the article	2		Why was the research conducted? What was the goal /discovery that researcher was trying to achieve
Sample size of study article used is stated and numeric values are given (when applicable)	2		N=total number n=subset
Study Design is clearly stated, and level of evidence is provided correctly (Evidence Rating Pyramid adapted from Melnyk in course content) Strongest, stronger, strong, moderate, weak, weakest	5		Include design Quantitative, qualitative design, meta-analysis: retrospective chart review, surveys, etc. Where does this fall Evidence pyramid Melnyk?
Variables/measurement included briefly; reliability of measurement data is included	4		Statistical test used for quantitative; qualitative may use pain score, survey, depression rating scale etc.
Results/findings are clear and statistical significance is included (for example p value)	5		Findings should have an associated statistical value if quantitative, if qualitative may have results of response to treatment 26 had pain relieved vs 13 did not….
Implications of research for nursing practice and how they apply to or support your research topic Should include limitations	3		Did this article support your PICO? Did it lead you to search in a different direction? Does it demonstrate that there is not enough research to support a practice change
Correct APA format, free of spelling and grammatical errors	2		Follow APA for listing authors Page 286 7th ed.
Includes Data Search Table completed with search terms and screen shot of one search from table	5
Total	30