Benefit of Evidence-Based Practice
NURS FPX 4030 Assessment 2 Determining the Credibility of Evidence and Resources CM
To achieve the highest quality of care possible to the dying patient as well as supporting the family, it is essential to implement evidence-based practice. Nurses in these settings must have the knowledge to approach evidence base decision making to ensure the needs and wishes of the patient are met and help the family understand and support these decisions. Often times, nurses’ focus only on caring for the patient but meeting the needs of the families as well can bring peace and comfort to the dying patient. Meeting the physical and psychosocial needs of the patient during end of life is person centered care which is, nursing at its finest (Noome et al., 2017). In this paper we will discuss and explain criteria that can be used to determine the credibility of and relevance of resources that can be used to help guide evidence-based care when caring for the dying patient as well as the family to ensure we are meeting their physical and psychosocial needs.
Criteria that should be considered
When researching evidence-based practice for end of life care and how to meet physical and psychosocial needs it is very important to ensure the credibility of the articles. When obtaining research it is essential to ensure that the chosen resources are the most current or up to date. Evidence shows that sources should be written within the last three to five years as medicine and the world in general moves quickly things change rapidly. It is important notice the wed cites whereas .gov or .org are typically more credible opposed to .com or Wikipedia. Well known and respected authors and data bases are a good resource. When researching specific medical issues it is important to know where your resources are from.
Analyze the credibility
NURS FPX 4030 Assessment 2 Determining the Credibility of Evidence and Resources CM
I have selected ProQuest Central, this is a reliable data base, as one resource for this paper. The Scholarly Journal article, “End of Life Care for People with Dementia” this text is written in simple easy to read language and provides teaching on end of life care for multiple levels of nursing staff (Allen 2020). This article is current (with in the last five years), it is relevant because it teaches about end of life care.
The Journal of Nursing Administration, volume 47, is another source I have chosen. Copyright by Wolters Kluwer Health again a very reliable source, published within 5 years, so it is considered current. This information is relevant to this paper because it gives the nurse information on best practice late life support of the patient as well as the caregiver (Anderson et al., 2017). I would also consider using the EBSOC, PubMed, CINAHL as these are all reliable sites and have current information that are written by reliable authors and not .com sites that cannot be verified as credible.
Evidence-Based Practice Model
I have chosen the, Promoting Action on Research Implementation in Health Services Model (PARiHS) as the Evidence-Based Model that I will be incorporating into my research on meeting the need of the patient and family during end of life. PAHRiS emphasized on the importance of a multi factor implementation into everyday research. With this model working hypothesis are explored so we can predict and plan for change. Using the PAHRiS model we can develop theories and implement and evaluate micro changes that can have a great impact to the patient and the families (Macgregor et al., 2021). For example: we conducted interviews with the patient that was nearing end of life to determine what their wishes were, we addressed any concerns they had and made necessary changes to their plan of care to incorporate their wishes. When indicated we also collaborated with family or caregivers to ensure the patients wants and needs were addressed. In doing this we found and incorporated ways in which we could address the needs of the patient as well as the families and in turn eased the dying process for both parties. We also realized the importance of using credible evidence based research to enhance our knowledge of certain cultures to assist us in better reaching our patients and families during end of life. Being familiar with the patient and family beliefs or cultures enabled us to provide unbiased care during a time that it was greatly needed. Using this model we were able to act upon our research and implement necessary actions to better serve our customers.
References
Anderson, E. , Frazer, M. & Schellinger, S. (2017). Combining Best Practices and Patient, Caregiver, and Healthcare Provider Perspectives for Late-Life Supportive Care. JONA: The Journal of Nursing Administration, 47 (11), 551-557. doi: 10.1097/NNA.0000000000000542.
Allen. (2020). End of life care for people with dementia: a best practice guide Fiona Kelly End of life care forpeople with dementia: a best practice guide Anthea Innes Bureau £17.50 47pp 9781857692495 1857692497. Nursing Older People., 23(6), 8–8. https://doi.org/10.7748/nop.23.6.8.s2
Macgregor, A., Rutherford, A., McCormack, B., Hockley, J., Ogden, M., Soulsby, I., Forbat, L. (2021). Palliative and end-of-life care in care homes: Protocol for codesigning and implementing an appropriate scalable model of needs rounds in the UK. BMJ Open, 11(2) doi:http://dx.doi.org.library.capella.edu/10.1136/bmjopen-2021-049486Noome, M., Dijkstra, B.M., Van Leeuwen, E. & Vloet, L.C.M. (2017) Effectiveness of supporting intensive care units on implementing the guideline ‘End-of-life care in the intensive care unit nursing care’: a cluster randomized controlled trial. Journal of Advanced Nursing 73( 6), 1339– 1354. doi: 10.1111/jan.13219
