Enhancing Quality and Safety
Scenario
You are supervising three nurses working on the medical-surgical floor of a local teaching hospital. This hospital is nationally recognized as a leader in education and has a computer lab with an online library where staff has access to medical research databases (that is, CINAHL, PubMed, Medline, and Cochrane library) and online sources of all hospital policies, procedures, and guidelines, and computers at nurse workstations that also have access to these resources. (For this scenario, use the Capella library to simulate the hospital’s online library.) You have given the nurses their patient assignments and you have all participated in shift report. A new nurse who just completed orientation and training a week ago approaches you and tells you that one of the assigned patients has a diagnosis with which they are not familiar. Knowing that patient-centered care based on best practices is imperative to positive patient outcomes, you want to assist this nurse to find research to provide the best care for this patient. Describe how you would encourage this nurse to research the diagnosis. Assume you will assist in the quest to locate evidence, then describe where you would go within the facility and what resources you would look for. These resources may include websites, journals, facility policies or guidelines, or any other sources of online information.
You may choose the diagnosis for the patient in this scenario. Or you may choose something you would find interesting to research or that applies to a clinical problem/diagnosis you would be interested in addressing. Create a list of at least five sources that could be used to find evidence, with the best source listed first, and explain why the sources you chose are best to find evidence for the clinical problem/diagnosis you chose and the clinical scenario. You are only evaluating the sources of evidence (database, website, policy database or website, journals or journal articles, et cetera). You are not actually completing a search and selecting evidence. Consider the following examples: a nursing journal in CINAHL may not be the best source of evidence for information on how to administer medications through a central-venous catheter, whereas a hospital policy database found on a website may not be the best source of information on caring for a patient with a rare chromosomal abnormality.
Instructions
The purpose of this assignment is to understand where to find evidence that can be applied to clinical scenarios and to learn effective communication and collaboration with clinical staff during the process of evidence location. As a baccalaureate-prepared nurse, you will use research for self-improvement in your clinical role as well as mentor supervised nursing staff. Therefore, you will need to be able to communicate and collaborate effectively to guide them toward resources to find research and support them through the initial evidence location process. In doing so, nurses can gain access to evidence that can be analyzed and utilized to stay current on best practices. This allows them to provide safe, patient-centered care and improve patient outcomes.
For this assignment:
- Describe your role as a baccalaureate-prepared nurse supervising clinical staff nurses with regard to communication and collaboration in locating evidence for application to a nursing practice scenario.
- Compile a list of five online databases or other online sources (that is, websites, journals, facility policies or guidelines, et cetera) that can be used to research evidence to apply to this scenario or a diagnosis/health care issue of your choosing and describe which of these you would direct a nurse colleague to search for evidence.
- Describe where you might go in the work place to complete this research and how you would access the desired, relevant research within research databases or other online sources.
- Be sure to address the following in this assignment, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so that you will know what is needed for a distinguished score.
- Describe communication strategies to encourage nurses to research the diagnosis, as well as strategies to collaborate with the nurses to access resources.
- Describe the best places, in the work place setting, to complete research and what types of resources you would want to access to find pertinent information for the diagnosis/health care issue.
- Identify five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence for a clinical diagnosis.
- Explain why the sources of online information selected should provide the best evidence for the chosen diagnosis/health care issue.
Organize content so ideas flow logically with smooth transitions and write with few errors in grammar, punctuation, word choice, and spelling.
Use properly formatted section headers to guide your reader.
Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format and phrasing or quoting correctly.
Note: While you are not selecting and evaluating specific evidence to help with the clinical diagnosis, you should still be citing the literature and best practices to support your description of your communication and collaboration approach. Additionally, it is appropriate to cite best practices related to EBP and evaluating databases to support your explanation as to why you selected the five sources of online information that you did.
Example assignment: You may use the assignment example, linked in the resources, to give you an idea of what a Proficient or higher rating on the scoring guide would look like.
Submission Requirements
Your assignment should meet the following requirements:
- Length of submission: 2–4 pages (not including the title page or the reference page) description of communication, collaboration, and evidence location process, including a list of databases or other sources with description of why they are appropriate for the clinical scenario diagnosis/health care issue (that is, something that would be usable in professional practice for other nurses). Be sure to include an APA-formatted reference page at the end of your submission.
- Number of references: Cite a minimum of three sources of scholarly or professional evidence that supports your findings and considerations. Resources should be no more than five years old.
- APA formatting: References and citations are formatted according to current APA style.