Determining the credibility of research in healthcare
Evidence-based practice (EBP) has become an important part of nursing over the years, especially for graduate nurses. (Hande et al., 2017) says that nurses must now show they can use EBP to solve clinical problems as one of their core skills before they can finish their training. This means that they can give the best nursing care possible. In this assignment, I explain how an evidence-based approach could help with the management of fluid retention. I also explain the criteria that should be used to judge the credibility of study materials like journals and websites. We also give an analysis of the trustworthiness and usefulness of evidence and tools in the context of fluid retention. Finally, we explain why it’s important to include trustworthy evidence in an EBP model used to treat fluid retention.
Approach to Fluid Retention Based on Evidence
The goal of evidence-based practice is to make sure that patients get the best nursing care possible by combining the results of recent, high-quality research with clinical practice. (Scala et al., 2016) Because of this, it is important that not only baccalaureate nurses but also all other nurses who work in clinical areas improve their skills at study and finding reliable databases. Fluid buildup, also called edema, is when too much fluid builds up in one part of the body, like the legs. Most of the time, it means that your circulation system isn’t working well. Edema is often caused by taking certain medications, not getting enough nutrients, or being pregnant. It can also be caused by an underlying disease, like congestive heart failure, liver cirrhosis, or kidney disease (Mottelson et al., 2020). Because of this, dealing with fluid retention needs to be done with the greatest care. Since edema is a condition that often comes back, nurses could use an evidence-based method to help make sure that patients are correctly diagnosed. A wrong diagnosis could be fatal because an underlying disease might not be found or a drug might be given that makes the effects of edema worse.
How to judge the reliability of sources
In order to use an evidence-based method, nurses must make sure they are familiar with a proven way to figure out how reliable a resource is. The TAARP criterion is a good way to figure out how reliable evidence and tools are. (BYU, 2021) TAARP stands for time, authority, audience, relevance, and perspective. The evidence used in EBP has to be as current as possible and should not be older than 5 years, which is called “timeliness.” Journals have to be reviewed by other experts, and the writers have to list their credentials to show that they know enough about a topic to write about it. The authors also need to think about who the piece is for so that they can get their message across to the right people. To make sure a source is relevant, nurses should also think about whether it backs up their ideas and whether the study questions have been answered. Last but not least, everyone has some bias. So, it would be smart to choose a source that helps you understand both sides of the case (BYU, 2021).
figuring out how reliable and useful resources are
As nurses, it’s important to know the types of proof sources from which we can get reliable and useful information about healthcare. Not every website or journal piece about nursing and health care will be reliable and useful for nursing. Scala et al. (2016) say that websites for universities, government, and organizations, libraries, hospital policy manuals, and a number of reliable sources should be used for this. Some good databases and websites that nurses can use are the US National Library of Medicine’s PubMed website, the MEDLINE database, the Cumulative Index to Nursing and Allied Health Literature (CINAHL) database by EBSCO publishing, the Cochrane Library of systematic reviews, the World Health Organization website, and the Centers for Disease Control and Prevention (CDC) website, among many others. From the above sources, a person would be able to get enough reliable and useful knowledge about edema and how to treat it.
Why it’s important to use credible evidence
In recent years, patients have learned more about their rights. As a result, healthcare services have changed from being based on volume to being based on worth. In that time, evidence-based practice has grown to be the most important part of health care, combining the best research with clinician experience and patient choice (Spruce, 2015). The best study, which is a key part of implementing EBP, can only be found in trustworthy and relevant places. So, to make sure that people with edema get the best care possible, it is important to find credible information in order to give care that is based on evidence. Credible proof not only lets us use EBP, but also makes sure that the care we give is the best possible, which is good for the patient.
Evidence-based treatment is at the center of how healthcare is changing right now. If we want to provide care that is based on data, we must make sure that all nurses know how to find sources and figure out how reliable they are. A key part of this is making sure we get better at finding sources and figuring out how reliable they are.
Brigham Young University (2021). Step-by-Step Guide & Research Rescue: Evaluating Credibility. Retrieved from https://guides.lib.byu.edu/evaluating-credibility
Hande, K., Williams, C. T., Robbins, H. M., Kennedy, B. B. & Christenbery, T. (2017). Leveling Evidence-based Practice Across the Nursing Curriculum. The Journal for Nurse Practitioners; 1(13): e17 – e22
Mottelson, M. N., Lundsgaard, C. C., & Møller, S. (2020). Mechanisms in fluid retention–towards a mutual concept. Clinical physiology and functional imaging, 40(2), 67-75. https://doi.org/10.1111/cpf.12615
Scala, E., Price, C., & Day, J. (2016). An Integrative Review of Engaging Clinical Nurses in Nursing Research. Journal of Nursing Scholarship. Retrieved from https://www.doi:10.1111/jnu.12223
Spruce, L. (2015). Back to Basics: Implementing Evidence-Based Practice. AORN Journal. Retrieved from https://dx.doi.org/10.1016/j.aorn.2014.08.009
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