NURS FPX 4030 Assessment 2 Determining the Credibility of Evidence and Resources TS

NURS FPX 4030 Assessment 2 Determining the Credibility of Evidence and Resources TS

NURS FPX 4030 Assessment 2 Determining the Credibility of Evidence and Resources TS

Vila Health Scenario: Determining the Credibility of Evidence

During the case study at Vila Health, a woman in her 32nd week of pregnancy went to the emergency room complaining of heartburn and swelling in her hands and feet. They found out she was pregnant and admitted her to maternity care. For illustration, a nurse caring for a person with a diagnosed illness is expected to create a care plan and deliver it to the charge nurse. The nurse searched for information about preeclampsia using a variety of search engines, some of which were reputable and had evidence-based material, while others were not. When health care workers are aware of the importance of evidence-based research, they are better equipped to learn about subjects in the health care sector. Patient care and safety can be improved by utilizing this knowledge.  

Considering Criteria to Determine Credibility

Many factors should be considered while looking for reliable sources of information. Quality research relies heavily on peer-reviewed journal articles since they are authored by professionals and vetted by a number of others. Thirdly, the materials used should be no older than three to five years; anything older than that has the potential to provide obsolete information. Websites with a.gov or.org domain considered to be the most reputable while conducting research. Websites with the.gov extension are regarded as reliable sources of information. However, there are exceptions to the rule and the material has to be scrutinized thoroughly. Viewpoint posts are not credible sources of information since they represent simply one person’s opinion on an issue, not a group’s. Because they tend to be commercial or for-profit sites, websites with.com domains aren’t regarded reliable sources of information

NURS FPX 4030 Assessment 2 Determining the Credibility of Evidence and Resources TS

When educating oneself, it is always important to use reputable sources. Using academic websites when conducting an online search is quite useful. Many databases are available on the internet for free or for a modest cost. In the case of non-database websites, it’s important to use websites that have particular web address suffixes, such as.gov.org or.edu. The material on these websites is generally provided by the government, a charity that focuses on a certain condition, or an educational website. You should always search for particular information, such as if the source was peer-reviewed, if the author has credited their work, and if the author has some type of qualifications in their area, when you locate a webpage or database that has journals. In addition to checking the journal’s source, it’s important to make sure that the source is current within the previous five years before using it. Useful resources include hospital policies, which are continually updated to ensure that the hospital’s employees can provide quality treatment.

To determine the trustworthiness of a resource, several factors should be taken into account. With the CRAAP test, you can assess if a source’s information is up-to-date, relevant, authoritative, accurate, and useful. Primary criterion is currency: the source must be current and no older than five years old in order to be valid. It’s also important to determine if the source has any relation to your topic. In order to meet the third criterion of honesty, the user must evaluate the source’s credibility. There are four elements that determine whether or not the source is credible, including qualifications, expertise, and experience. Usefulness: The fifth factor asks users to assess if a source’s intent to inform or influence them (Pfeiffer et al., 2020). It is possible to apply the criteria to a specific resource in order to verify trustworthiness. When it comes to ICU patients with AWS, a source published by a high school student studying anatomy is not going to have the same level of credibility of a doctor with thirty years of expertise. 

Applying the Evidence-Based Practice Model

A paradigm and a lifelong problem-solving approach to clinical decision making, defined by Indra (2018), evidence-based practice is a deliberate utilization of best available evidence in conjunction with one’s clinical knowledge to improve outcomes for communities as well as individuals and groups. A patient obtains the greatest quality of treatment when credible evidence and evidence-based practice (EBP) are combined. For nurses who may not grasp a diagnosis, such as the new nurse Brittany with a preeclampsia patient, she would significantly benefit from using the ACE Star Model. Clinical practice (CP) translation of the conclusions of the ACE Star Model, which stands for Academic Centre for Evidence-Based Practice (ACE Star Model), is followed by evaluation of the impact of the new practice change on quality (Indra, 2018).

Use of the Iowa Model of evidence-based practice is another method to do it. In order to prevent low quality treatment, nurses are guided by the Iowa model of evidence-based practice. Isolate and analyze the problem, analyze relevant research and create evidence-based change in practice; integrate and maintain the changed; disseminate the findings (Chiwaula et al., 2021). Using this approach, nurses can select the optimal medications for patients with AWS. In addition, it may be used by nurses to swiftly identify early indications of AWS before it becomes severe. As a result, patients will have a better experience.

NURS FPX 4030 Assessment 2 Determining the Credibility of Evidence and Resources TS

As with TeamSTEPPS, this is another evidence-based strategy for optimizing team performance across the health care delivery system’s continuum. Based on team structure and four teachable-learnable abilities (communication, leadership, situation monitoring and mutual support), this approach is composed of five fundamental elements. (“Pocket Guide: TeamSTEPPS,” n.d.). The team structure is comprised of the patient, the core care team, the coordinating team, the support service, and the administration. Anyone with preeclampsia might benefit from this model. It would consist of specially trained nurses who are familiar with preeclampsia early diagnosis and treatment. Any patient who fits the preeclampsia criteria would be subject to standing orders so that treatment could not be delayed. Preeclampsia is a life-threatening condition that requires immediate medical attention. Patient outcomes might be improved if this paradigm is implemented.

Analysing Resources

Information is available on the Mayo Clinic’s website. “Preeclampsia” is defined by elevated blood pressure and indications of organ damage, according to Mayo Clinic (2020). You’ll learn about signs and symptoms, when to visit a doctor, the reasons, risk factors and consequences as well as how to prevent them. In a worst-case situation, understanding the information supplied by the Mayo Clinic can assist the patient avoid developing eclampsia.

As a second source of information, the Preeclampsia Foundation’s website is a good place to start. For example, there are films and information about postpartum preeclampsia and HELLP syndrome on the website. COVID-19 and preeclampsia are also on the rise as a result of the epidemic. According to the information on this page, taking aspirin during pregnancy reduces the risk of blood clots, which can lead to strokes and heart attacks (Preeclampsia Foundation, 2020).

Preeclampsia can be treated with low-dose aspirin in women at high risk for preterm preeclampsia, according to a peer-reviewed study (Rolnik et al., 2017). To treat preeclampsia that has already been identified, this may be an option to explore with your doctor. In the event that this is not the optimum treatment for this patient, it may be for the next patient with the same diagnosis in the future.

NURS FPX 4030 Assessment 2 Determining the Credibility of Evidence and Resources TS

There is an expert panel of questions and answers to address preeclampsia screening and prevention and genetic indicators in a peer-reviewed scientific journal (Palomaki et al., 2018). If the nurse’s present patient doesn’t benefit from this information, it’s still useful for her own understanding and future patients. A peer-reviewed scientific publication published just two years ago; this is a reliable source of knowledge.

The American College of Obstetricians and Gynecologists website is a great source of information for the care plan. There are a number of articles that come up when you search for “preeclampsia.” According to the American College of Obstetricians and Gynecologists (2018), the administration of magnesium sulphate should be initiated immediately for women with acute-onset severe hypertension, regardless of whether the patient has severe gestational hypertension, preeclampsia, or even eclampsia. To address this condition, it is important to know what drugs may be recommended by your doctor and how they affect the mother/fetus. So, the new nurse can explain to her patient why she is receiving the medicine. 

In addition to the Harvard Medical School website, the nurse may readily access other sources of information. Diagnose, symptoms, prevention and therapy are covered in this reliable instructional website (Publishing, 2020). As a result of this information, the nurse will have a solid understanding of preeclampsia.

Importance of Credible Evidence

We must be able to distinguish between reputable and unreliable sources. When a nurse has access to reliable information, they may expand their knowledge base, improve patient care, and achieve better results for their patients. It’s possible that patients will receive incorrect information if untrustworthy sources are employed. Patient with preeclampsia needs nurse who understands how to care for the patient and unborn child, along with what symptoms to watch for to determine if the situation is improving or worsening.

Conclusion

Presumption can be fatal for both the mother and her fetus if it is not treated in time. When it comes to delivering great treatment and ensuring patient safety, knowing the diagnosis and where to obtain reliable sources are important to success. On the preeclampsia foundation’s website, there are videos for people who like to study visually. A good grasp of preeclampsia and how to treat it is provided by the materials listed above.

If you use the criteria listed for determining credibility (no older than three to five years old, best to use peer reviewed and scholarly journal articles, websites with.gov or org domains), you should be well on your way to finding reliable and credible sources of information. 

NURS FPX 4030 Assessment 2 Determining the Credibility of Evidence and Resources TS

References

American College of Obstetricians and Gynecologists. (2018, December 20). Emergent therapy for acute-onset, severe hypertension during pregnancy and the postpartum period. ACOG.https://www.acog.org/clinical/clinical-guidance/committeeopinion/ articles/2019/02/emergent-therapy-for-acute-onset-severe-hypertension-duringpregnancy- and-the-postpartum-period

Home – Preeclampsia Foundation. Preeclampsia Foundation – Helping Save Mothers and Babies from Illness and Death Due to Preeclampsia. (2020). Retrieved 5 October 2020, from https://www.preeclampsia.org/.

Indra, V. (2018). A review on models of evidence-based practice. Asian Journal of Nursing Education and Research, 8(4), 549–552. https://doi.org/10.5958/2349-2996.2018.00115.5 Mayo Clinic. (2020, March 19). Preeclampsia – Symptoms and causes. https://www.mayoc linic.org/diseases-conditions/preeclampsia/symptoms-causes/syc- 20355745

Palomaki, G., Martin, J., Karumanchi, S., & Poon, L. (2018). Updates on Screening, Prevention, Treatment, and Genetic Markers for Preeclampsia. Clinical Chemistry, 64(12), 1684- 1689. https://doi.org/10.1373/clinchem.2018.289801

Phipps, E., Prasanna, D., Brima, W., & Jim, B. (2016). Preeclampsia: Updates in pathogenesis, definitions, and guidelines. Clinical Journal of the American Society of Nephrology,11(6), 1102–1113. https://doi.org/10.2215/cjn.12081115  

Pocket Guide: TeamSTEPPS. (n.d.). Retrieved October 7, 2020, from www.ahrq.gov website: https://www.ahrq.gov/teamstepps/instructor/essentials/pocketguide.html#keyprin

Preeclampsia Foundation. (2020). Preeclampsia Foundation. Preeclampsia Foundation – HelpingSave Mothers and Babies from Illness and Death Due to Preeclampsia.  https://preeclampsia.org/

Publishing, H. (2020). Preeclampsia And Eclampsia – Harvard Health. Harvard Health. Retrieved 5 October 2020, from https://www.health.harvard.edu/a_to_z/preeclampsiaand- eclampsia-a-to-z.

Rolnik, D. L., Wright, D., Poon, L. C., O’Gorman Neil, Argyro, S., de Paco, M. C., . . . Nicolaides, K. H. (2017). Aspirin versus placebo in pregnancies at high risk for preterm preeclampsia. The New England Journal of Medicine, 377(7), 613-622. doi:http://dx.doi.org.library.capella.edu/10.1056/NEJMoa1704559

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