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Determining Credibility of Evidence and Resources

The abundance of online and offline health-related information makes it challenging to distinguish between evidence-based and unreliable sources (Abad et al., 2021). It is essential to seek credible and trustworthy sources to make informed decisions about health management. In the previous assessment, the chronic health consequences of diabetes were assessed to be effectively managed by nursing through evidence-based practices (EBP). Diabetes is a chronic health condition that occurs when the body loses the ability to produce enough insulin or use the insulin produced effectively to regulate sugar levels. It is important to determine the credibility of evidence-based resources in diabetes care (Mayo Clinic, 2023). This assessment will outline a guiding approach for nurses to evaluate and measure the credibility of the EBP resources being used.  

Need for EBP Approach in Managing Diabetes

Diabetes is a major health concern in the US, affecting millions. According to the Centers for Disease Control and Prevention (CDC), over 37.3 million Americans reported diabetes, and an additional 96 million adults had prediabetes in 2020 (CDC, 2022). Health challenges to diabetes include complicated health conditions such as stroke, heart failure, and renal diseases characterizing diabetes as the leading cause of death in the US (Li et al., 2019). The prevalence of diabetes in the US also accounts for significant health costs. According to a recent report by CDC, $1 of every $4 allocated for healthcare is spent on caregiving for diabetic patients, which accounts for $327 billion in annual costs of diabetes (CDC, 2023). Credible EBP resources provide accurate and up-to-date information that can inform and guide nurses about treatment decisions. This can lead to more effective treatments, better health outcomes, and improved quality of life for patients.

Specific Rationale of EBP Application 

The credibility of evidence and resources is crucial to managing chronic health conditions because inaccurate or misleading information can lead to ineffective (Calero et al., 2019). EBP involves integrating clinical expertise, patient preferences, and the best available research evidence to inform clinical decision-making. Utilizing the approach in diabetes management refers to the best available evidence to guide treatment decisions while considering the patient’s needs and preferences (Pranata et al., 2021). The American Diabetes Association (ADA) recommends an evidence-based approach to diabetes management to select appropriate interventions. Nurses can improve their daily practices through EBP. These interventions ensure considering the incurring complications of the disease and patient values (ADA, 2022).

Credibility Evaluation Criteria for EBP Resources

The criteria for evaluating the credibility of an EBP resource provide a framework for determining the reliability and usefulness of the resource in guiding clinical decision-making. There can be more than a single way to evaluate credibility. 

General Criteria

  1. Source: The source of information should be from a reputable and trustworthy organization or expert in the field (Warkentin, 2019). These organizations may include academic institutions, professional associations, and government agencies.
  2. Quality: The quality of the research should be based on sound methodology and rigorous analysis, considering factors such as sample size, study design, and statistical analysis (Dedeoglu, 2019).
  3. Recency: Nurses should seek out the most current and up-to-date resources available. It is recommended that EBP resources not be older than the past 5 years, with some exceptions for seminal studies that have stood the test of time (Lam & Schubert, 2019).
  4. Relevance: Nurses should ensure the resources correspond with the patient’s characteristics and preferences, such as age, gender, and cultural background.
  5. Consistency: The information provided should be consistent with other credible sources. This can help ensure reliable and accurate information (Bond & Drake, 2019).
  6. Website Sources: In the case of web resources, the domain name should reflect a reputable organization such as the CDC, a federal agency in the US working in public health management. CDC’s diabetes management resources are based on the most current research and evidence-based recommendations from expert organizations (Kilbourne et al., 2020). 

CRAAP Test for Credibility Evaluation 

CRAAP framework is a widely used method for evaluating the credibility of EBP sources (Vamanu & Zak, 2022). 

  • Currency: This criterion assesses how up-to-date the information is. It is important to use sources that have been recently published or updated, especially in fast-moving fields like healthcare (Muis et al., 2022). 
  • Relevance: It assesses how well the information in the source relates to the topic at hand. It is important to use sources relevant to the specific question or issue being addressed (Sye & Thompson, 2023). 
  • Authority: This assesses the expertise and credentials of the author or publisher. It is important to use sources written by experts in the field (Sye & Thompson, 2023). 
  • Accuracy: The reliability and truthfulness of the information should be assessed. It is important to use accurate sources based on sound research and analysis (Muis et al., 2022). 
  • Purpose: This criterion assesses the source’s intention and ensures it has a clear purpose without a hidden agenda. Sources with a clear bias or conflict of interest can contain biased or misleading information (Vamanu & Zak, 2022).

Resource Credibility and Relevance Analysis

It is important to carefully evaluate the credibility and relevance of evidence in diabetes management to ensure that the patients receive the best possible care. Credibility can be assessed by evaluating factors such as the author’s credentials, the information’s accuracy and reliability, and the information’s relevance to current practice. Concerning relevance, nurses must use evidence-based resources specifically relevant to the population they serve (Jackson et al., 2023). For example, resources designed for patients with type 1 diabetes may not be relevant to patients with type 2 diabetes (Eberle & Stichling, 2021).

  • The American Diabetes Association’s (ADA) Standards of Medical Care in Diabetes is a credible website resource that provides evidence-based guidelines for preventing, diagnosing, and managing diabetes (American Diabetes Association, 2022). The website information is updated annually based on the latest scientific research. 
  • The Centers for Disease Control and Prevention (CDC) provides credible information on diabetes prevention and management (CDC, 2022). The resources are based on the most current research and recommendations from expert organizations such as ADA. CDC also conducts and funds research related to diabetes management and prevention. In addition to providing evidence-based resources, the CDC also has a rigorous process for ensuring the accuracy and reliability of their information (CDC, 2022). All CDC publications go through a thorough review process, and the agency has established policies and procedures for ensuring the quality of their research and data (CDC, 2019). 
  • Similarly, the Cochrane Library is a database of systematic reviews and meta-analyses on healthcare interventions, including diabetes management (Cochrane Library, 2019). It provides evidence-based recommendations for clinical decision-making.

Additionally, peer-reviewed journal articles published in reputable academic journals are also considered reliable and credible information sources. A study by Campione et al. (2022) guides nurses to adhere to lifestyle modification and metformin medication for patients with type 2 diabetes. Based on the evidential analysis, the researchers propose participation in the National Diabetes Prevention Program for lifestyle modification of patients as a community resource (Campione et al., 2022). The article serves as a valuable evidence-based resource by fulfilling the criteria of the CRAAP Model. It highlights the competency of the authors as it is published in the American Journal of Preventive Medicine, sourced from PubMed and Elsevier (Campione et al., 2022). Both, PubMed and Elsevier are globally recognized databases for EBP data (Williamson & Minter, 2019). Moreover, the currency of the information is indicated through its year of publication which is 2022.  

Most Useful EBP Resources 

CDC, PubMed, and ADA are the most credible sources that can help to improve the condition of diabetic patients. Nurses can use these resources to improve their research about EBP.

Incorporation of EBP Model for Better Patient Outcomes 

EBP models for diabetes involve using the best available evidence to inform decision-making and treatment planning for the patients. This includes incorporating research findings, clinical guidelines, and expert consensus statements into clinical practice (Bowles et al., 2021). By using EBP models, healthcare professionals can provide more standardized and consistent care, reducing the risk of errors or ineffective treatments. 

The Knowledge-to-Action (KTA) Model is a framework that guides the implementation of evidence-based practice by nurses and healthcare professionals (Torres et al., 2023). It consists of two main phases: knowledge creation and the action cycle. 

  • The first phase of knowledge creation involves identifying the problem or issue and systematically reviewing the literature. This is followed by synthesizing the evidence to determine the best course of action (Baloyi, 2022). 
  • The action cycle phase involves adapting the evidence to the local context, assessing barriers and facilitators to implementation, and selecting and tailoring the interventions. Ultimately, this phase ensures implementing, monitoring, and evaluating the implementation and sustaining the change over time (Torres et al., 2023).

Effectiveness in Managing Diabetes

In the context of diabetes, the KTA model would involve identifying the problem or issue related to diabetes care, such as a lack of adherence to medication regimens or inadequate monitoring of blood sugar levels. The knowledge creation phase reviews the available evidence to determine the most effective interventions for addressing the identified issue (Lee & Ho, 2019). The action cycle phase involves adapting the evidence to the local context by considering the resources and infrastructure available for diabetes care in a specific healthcare setting. Interventions may include patient education programs, medication management strategies, or improving communication and coordination among healthcare providers. The implementation and evaluation of these interventions will be monitored to ensure that they are effective and sustainable over time (Lee & Ho, 2019). They also ensure that the interventions are appropriate and feasible and address patients’ and nurses’ specific needs and challenges (Peters et al., 2020). 

Conclusion Hypo 4030 Assessment 2 Determining Credibility of Evidence and Resources

There are numerous benefits of using credible evidence-based practice (EBP) resources in chronic disease management. Credible EBP resources can help patients and nurses stay informed about emerging research and treatment options allowing for more timely and effective interventions. In diabetes management, the approach can lead to better patient outcomes, improved quality of life, and reduced healthcare costs. Incorporating EBP models to address diabetes is critical for providing high-quality care. The KTA model provides a framework for implementing EBP models to help nurses identify the most effective interventions for diabetes care.


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