Determining the credibility of evidence and resources

Assessment 2 Instructions: Determining the Credibility of Evidence and Resources

·

· 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. 

5. 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. 

8. 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. 

9. 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.

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. 

14. Explain criteria that should be considered when determining credibility of resources such as journal articles and websites.

14. 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. 

15. 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. 

16. 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. 

17. Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

17. Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.

·

You did a lovely job on this assessment! You thoroughly discussed and demonstrated how to determine the credibility of evidence and resources. I appreciate your discussion on childhood obesity. This topic can definitely benefit from and EBP investigation.

Unfortunately, there were multiple APA errors that require attention. Otherwise, you did great!

I hope that you are becoming more aware of the importance of incorporating the best available evidence to enhance clinical reasoning and judgment skills when making decisions. With what you are learning in the course, do you find that you are changing the way you deliver care? Or are you seeing a difference in how you can make a positive impact on the care being provided? I always like to see when learners can take what they are learning in the classroom and apply it to practice making a difference in patient outcomes. 

When you resubmit, please highlight your changes in yellow so that I may better identify your edits. Thank you!!

Respectfully, 

Dr. T

I have also commented on your assessment file.

DOWNLOAD YOUR EVALUATED ASSESSMENT FILE

COMPETENCY 1

Analyze the relevance and potential effectiveness of evidence when making a decision.

CRITERION

Explain criteria that should be considered when determining credibility of resources such as journal articles and websites.

Your result: Proficient

Distinguished

Explains criteria that should be considered when determining credibility of resources such as journal articles and websites. Notes one or more ways the criteria could be applied to a specific resource.

Proficient

Explains criteria that should be considered when determining credibility of resources such as journal articles and websites.

Basic

Lists criteria that should be considered when determining credibility of resources such as journal articles and websites.

Non-Performance

Does not explain criteria that should be considered when determining credibility of resources such as journal articles and websites.

Faculty Comments:

Good work explaining criteria that should be considered when determining the credibility of resources such as journal articles and websites. As you mentioned, considering the authority is very important. To reach a higher performance level, you will need to note one or more ways the criteria could have applied to a specific resource. 

CRITERION

Analyze the credibility and relevance of evidence and resources within the context of a quality or safety issue, or a chosen diagnosis.

Your result: Proficient

Distinguished

Analyzes the credibility and relevance of evidence and resources within the context of a quality or safety issue, or a chosen diagnosis. Additionally, identifies the most useful evidence or resource based upon the analysis.

Proficient

Analyzes the credibility and relevance of evidence and resources within the context of a quality or safety issue, or a chosen diagnosis.

Basic

Describes the credibility or relevance of evidence or resources, but does not offer a complete analysis. The specific context of a quality or safety issue, or a chosen diagnosis may be unclear as well.

Non-Performance

Does not analyze the credibility or relevance of evidence or resources.

Faculty Comments:

Good work analyzing the credibility and relevance of evidence and resources within the context of childhood obesity. To reach a higher performance level, you need to identify the most useful evidence or resource based upon the analysis. 

COMPETENCY 2

Apply an evidence-based practice model to address a practice issue.

CRITERION

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.

Your result: Basic

Distinguished

Explains the importance of incorporating credible evidence into an evidence-based practice model used to address a quality or safety issue, or a chosen diagnosis/health care issue. Notes specific examples of how the model could help improve the chosen issue or diagnosis/health care issue.

Proficient

Identifies an evidence-based practice model and explains the importance of incorporating credible evidence into an evidence-based practice model used to address a quality or safety issue, or a chosen diagnosis/health care issue.

Basic

Identifies an evidence-based practice model used to address a quality or safety issue, or a chosen diagnosis/health care issue. Does not explain the model or the importance of incorporating credible evidence.

Non-Performance

Does not identify an evidence-based practice model used to address a quality or safety issue, or a chosen diagnosis/health care issue.

Faculty Comments:

You�ve got this! You identified an evidence-based practice model used to address childhood obesity but did not explain the model or the importance of incorporating credible evidence. In addition, to reach a higher performance level, you need to note specific examples of how the model could help improve the chosen issue/ diagnosis. Good start!

COMPETENCY 3

Plan care based on the best available evidence.

CRITERION

Describe a quality or safety issue, or a chosen diagnosis, that could benefit from an evidence-based approach.

Your result: Basic

Distinguished

Describes a quality or safety issue, or a chosen diagnosis, that could benefit from an evidence-based approach. Provides a specific rationale for the importance or benefit of applying an evidence-based approach. Uses literature to support discussion.

Proficient

Describes a quality or safety issue, or a chosen diagnosis, that could benefit from an evidence-based approach.

Basic

Lists a quality or safety issue, or a chosen diagnosis, that could benefit from an evidence-based approach.

Non-Performance

Does not describe a quality or safety issue, or a chosen diagnosis, that could benefit from an evidence-based approach.

Faculty Comments:

I appreciated how you identified a diagnosis that could benefit from an evidence-based approach; however, a further description was needed here. In addition, to achieve a higher level of performance, provide a specific rationale for the importance or benefit of applying an evidence-based approach. How would childhood obesity benefit from an evidence-based investigation?

COMPETENCY 4

Apply professional, scholarly communication strategies to lead practice changes based on evidence.

CRITERION

Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling. 

Your result: Proficient

Distinguished

Organizes content with a clear purpose. Content flows logically with smooth transitions using coherent paragraphs, correct grammar/punctuation, word choice, and free of spelling errors.

Proficient

Organizes content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

Basic

Attempts to organize content with some logical flow and smooth transitions. Contains several errors in grammar/punctuation, word choice, and spelling.

Non-Performance

Does not organize content for ideas. Lacks logical flow and smooth transitions.

Faculty Comments:

Your scholarly writing is developing. The majority of your paper is looking great! There were just a few errors. See submission for comments/details. Hereâ��s a link to the Learner Success Lab tab located alongside the course room as itâ��s full of writing resources and can assist with enhancing your scholarly writing skills: 
https://campus.capella.edu/school-of-nursing-and-health-sciences/nhs-learner-success-lab

Writing Introduction & Conclusion Paragraphs

http://media.capella.edu/NonCourseMedia/writingCenter/stages-writing/wrapper.asp

CRITERION

Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.

Your result: Non-Performance

Distinguished

Exhibits strict and flawless adherence to APA formatting of headings, intext citations, and references. Quotes and paraphrases correctly. 

Proficient

Applies APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.

Basic

Attempts to apply APA formatting to in-text citations, headings and references incorrectly, detracting noticeably from the content. Inconsistently uses headings, quotes and/or paraphrasing.

Non-Performance

Does not apply APA formatting to headings, intext citations, and references. Does not use quotes or paraphrase correctly. 

Faculty Comments:

Please donâ��t be discouraged. APA is a work in progress! There were multiple missing in-text citations. It is imperative to give authors credit for their work. Not doing so constitutes plagiarism. There were no level 1 headings. I found this link very helpful when applying APA formatting to my work: 
https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/general_format.html
  

Remember: When we write, we are speaking to a “general audience” – not just medical professionals. Our knowledge base is vast and we have our own “common knowledge” but that does not work for laypersons. If the information is definitive, it requires citations. If you do not have a citation (or cannot find one), then we must rephrase or consider if the information is relevant enough to include

Also Remember: When you mention the source such as, â��Sources discussâ�� or â��The article explainedâ�� or â��The authors mentionedâ��â�¦.these all require citations because you are discussing something specific and we need to give credit to the authors.