Assessment 2: Determining the Credibility of Evidence and Resources
Name
Capella University
Hypo NURS-FPX4030
Professor Name
February, 2024
Determining the Credibility of Evidence and Resources
Evidence-based practice (EBP) models are essential for healthcare organizations that aim to provide high-quality care. In the constantly evolving healthcare industry, where patient well-being is a top priority, nurses must adopt evidence-based practice (EBP) to ensure optimal care delivery. Baccalaureate-prepared nurses are expected to lead the integration of EBPs into clinical practice, guided by renowned models such as the Johns Hopkins model. By utilizing established EBP frameworks, nurses can systematically evaluate research literature to identify the most reliable evidence, which can enhance their clinical decision-making skills (Speroni et al., 2020). Activities like Vila Health assess the credibility of evidence simulation and provide nurses with valuable opportunities to improve their skills in evaluating resource credibility, aligning with the principles of the Johns Hopkins model (Moore et al., 2021).
The Quality or Safety Issue that Can Benefit from Evidence-based Practices
Evidence-based practices (EBPs) provide a systematic approach to treating cholecystitis at Villa Hospital, improving patient care quality and safety. EBPs use standardized assessment protocols and evidence-based criteria to ensure accurate diagnosis, minimizing the risk of misdiagnosis or delayed treatment risk. Studies have shown that misdiagnosis or delayed diagnosis of cholecystitis can lead to serious complications, hospitalizations, and adverse outcomes (Costanzo et al., 2023). Treatment guidelines based on EBPs optimize patient outcomes by standardizing care practices and reducing complications. Healthcare providers can benefit from education and training programs that effectively enhance their knowledge and skills in diagnosing cholecystitis. EBPs facilitate interdisciplinary collaboration, ensuring comprehensive patient assessment and coordinated care delivery among healthcare professionals. Regular cholecystitis screening and follow-up care systems can be implemented to mitigate the risk of misdiagnosis or delayed diagnosis and improve patient outcomes (Smith et al., 2022).
Rationale for the Benefit of Applying an Evidence-Based Approach
Using evidence-based practices in managing cholecystitis ensures that standardized diagnostic criteria and treatment protocols are in place. This leads to better patient outcomes and lower likelihood of complications. Research shows that following evidence-based guidelines can reduce the risk of misdiagnosis, unnecessary procedures, and hospital admissions. This ultimately enhances the quality and safety of care provided. Healthcare professionals, by using evidence-based approaches, can make informed decisions based on reliable research findings. As a result, more efficient and effective cholecystitis management strategies can be implemented (Smith et al., 2022).
Credibility of Resources Criteria
Nurses should prioritize accuracy, reliability, and currency when evaluating healthcare resources like journal articles and websites. Objectivity is a key factor in determining credibility; credible resources present a balanced view, discussing treatments’ pros and cons. The peer-review status of a resource is also crucial, indicating expert evaluation for accuracy and relevance. According to a systematic review, website design, author authority, and ease of use positively impact trust and credibility (Gallaher & Charles, 2022). The presence of advertising can reduce credibility. Demographic factors like age, gender, and health status also affect trust formation in health information. It is essential for nurses to critically evaluate online resources, as studies show varying levels of credibility and accuracy in web-based health information.
Evaluating the Credibility of a Specific Resource
The Tokyo Guidelines 2018 are a highly credible resource for the management of acute cholecystitis. They provide detailed protocols for diagnosis, severity assessment, and treatment aligned with current research and best practices. These guidelines advocate tailored management strategies, including early laparoscopic cholecystectomy for certain cases and the use of antibiotics and minimally invasive techniques based on disease severity (Giles et al., 2020). Developed through comprehensive analysis and expert consensus, the Tokyo Guidelines are an essential tool for healthcare professionals in effectively managing acute cholecystitis
Assessing the Credibility and Relevance of Evidence and Resources
When it comes to managing cholecystitis, it is important to ensure that the evidence-based resources you use are reliable and credible. CRAAP test can be used which evaluate the resource’s currency, authority, accuracy, relevance, and objectivity. For cholecystitis, it is particularly important to choose your sources carefully. The Tokyo Guidelines, updated regularly since 2007 and most recently in 2018, are considered a highly authoritative and reliable source of information in this field. These guidelines provide detailed recommendations for managing acute cholecystitis, including information on the timing and type of surgery, the use of antibiotics, and non-surgical management options such as percutaneous cholecystostomy and endoscopic gallbladder drainage techniques (Garritty et al., 2021).
The Tokyo Guidelines are a set of guidelines that provide a standard drainage method for high-risk surgical patients. They are continuously refined and adapted to include emerging management techniques and findings, making them reliable. The guidelines also offer the latest developments in endoscopic gallbladder drainage techniques. Clinical practice has challenges regarding the severity grading documentation and antibiotic use; adherence to these guidelines is vital for appropriate antibiotic use and patient risk stratification. The Tokyo Guidelines are regularly updated to ensure the timeliness of the information they provide. As a result, they are a current and relevant resource for healthcare professionals managing acute cholecystitis. These guidelines are known for their authority, accuracy, and up-to-date information, making them a credible and comprehensive resource for healthcare professionals dealing with cholecystitis (Speroni et al., 2020).
Significance of Integrating Credible Evidence in an Evidence-Based Practice Framework
The Johns Hopkins Nursing Evidence-Based Practice Model is an approach that integrates research, clinical expertise, and patient preferences to enhance clinical decision-making when managing cholecystitis. By integrating credible evidence into this model, healthcare professionals can ensure that the most current and relevant information guides their clinical decisions. One significant advantage of applying this model to cholecystitis management is the potential improvement in patient outcomes, as evidenced by studies (Speroni et al., 2020). For instance, evidence-based practices in cholecystitis treatment, such as the timely use of laparoscopic cholecystectomy and appropriate antibiotic therapy, can lead to better patient recovery rates and fewer complications. This approach aligns with the most recent guidelines and studies, ensuring that patient care is effective and up-to-date (O’Rourke et al., 2023).
One of the significant benefits of using the Johns Hopkins model in cholecystitis care is its cost-effectiveness. By implementing evidence-based interventions shown through research to be effective, unnecessary procedures or treatments can be reduced, and prolonged hospital stays can be prevented. This enhances patient care and helps lower overall healthcare costs by focusing on interventions that offer the best outcomes for the resources invested. Applying the Johns Hopkins Nursing Evidence-Based Practice Model to cholecystitis care allows for a systematic, research-informed approach that considers clinical expertise and patient preferences, leading to improved patient outcomes and more efficient use of healthcare resources (Dusin et al., 2023).
The Johns Hopkins Nursing Evidence-Based Practice Model is a widely recognized framework used in healthcare settings, including Magnet-Designated Hospitals across the United States. This model has been instrumental in integrating evidence-based practice into nursing care, practices, and procedures. It is commonly used for various purposes, such as education and training, nurse residency programs, and evidence-based practice and research fellowships. The model helps translate research findings into clinical practice through systematic processes involving policy and procedure committees, shared governance structures, and evidence-based practice processes (Speroni et al., 2020). The successful implementation of this model in nursing practice is facilitated by nursing leadership, effective dissemination of findings, and the engagement and education of nurses. This approach emphasizes the importance of using evidence-based models in healthcare to improve patient and work environment-related outcomes.
NURS FPX 4030 Assessment 2 Determining the Credibility of Evidence and Resources Conclusion :
Evidence-based practice (EBP) is essential for enhancing the comprehension and management of cholecystitis. It involves evaluating the accuracy, objectivity, relevance, and timeliness of articles and studies related to cholecystitis (Dusin et al., 2023). By using EBP, healthcare professionals can offer high-quality treatment, focusing on early diagnosis to prevent severe complications and improve the patient’s health outcomes. EBP ensures that decision-making in cholecystitis care is based on the latest and most reliable evidence. This optimizes patient care and potentially reduces healthcare costs due to more effective treatment approaches.
NURS FPX 4030 Assessment 2 Determining the Credibility of Evidence and Resources References :
Costanzo, M. L., D’Andrea, V., Lauro, A., & Bellini, M. I. (2023). Acute cholecystitis from biliary lithiasis: Diagnosis, management and treatment. Antibiotics, 12(3), 482. https://doi.org/10.3390/antibiotics12030482
Dusin, J., Melanson, A., & Mische-Lawson, L. (2023). Evidence-based practice models and frameworks in the healthcare setting: a scoping review. BMJ Open, 13(5), e071188. https://doi.org/10.1136/bmjopen-2022-071188
Gallaher, J. R., & Charles, A. (2022). Acute cholecystitis: A review. JAMA, 327(10), 965–975. https://doi.org/10.1001/jama.2022.2350
Garritty, C., Gartlehner, G., Nussbaumer-Streit, B., King, V. J., Hamel, C., Kamel, C., Affengruber, L., & Stevens, A. (2021). Cochrane rapid reviews methods group offers evidence-informed guidance to conduct rapid reviews. Journal of Clinical Epidemiology, 130 (130), 13–22. https://doi.org/10.1016/j.jclinepi.2020.10.007
Giles, A. E., Godzisz, S., Nenshi, R., Forbes, S., Farrokhyar, F., Lee, J., & Eskicioglu, C. (2020). Diagnosis and management of acute cholecystitis: a single-center audit of guideline adherence and patient outcomes. Canadian Journal of Surgery, 63(3), E241–E249. https://doi.org/10.1503/cjs.002719
Moore, E., Stanton, T. R., Traeger, A., Moseley, G. L., & Berryman, C. (2021). Determining the credibility, accuracy and comprehensiveness of websites educating consumers on complex regional pain syndrome accessible in australia: a systematic review. Australian Journal of Primary Health, 27(6), 485–495. https://doi.org/10.1071/PY2106
O’Rourke, L. A., Morrison, M., Grimsley, A., & Cotter, V. T. (2023). High-fidelity simulation and nurse clinical competence-An integrative review. Journal of Clinical Nursing, 32(9-10), 1549–1555. https://doi.org/10.1111/jocn.16028
Smith, L. C., Watson, H., Fair, L., Carter, G., Mackay, P., Lykens, K., Bradstock, J., Arnold, K., & Whalen, M. (2022). Evidence-based practices in developing and maintaining clinical nurse preceptors: An integrative review. Nurse Education Today, 117, 105468. https://doi.org/10.1016/j.nedt.2022.105468
Speroni, K. G., McLaughlin, M. K., & Friesen, M. A. (2020). Use of evidence-based practice models and research findings in magnet-designated hospitals across the united states: national survey results. Worldviews on Evidence-Based Nursing, 17(2), 98–107. https://doi.org/10.1111/wvn.12428
