Role as a Baccalaureate-Prepared Nurse in Communication and Collaboration for Evidence-Based Practice

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. 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 he or she is very unfamiliar with. Knowing that patient-centered care based on best practices is imperative to positive patient outcomes, you want to assist this nurse to find research that can be utilized to provide the best care for this patient. Describe how you would communicate with this nurse to encourage him or her 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 health care issue/diagnosis of your choice. 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 diagnosis you chose and the clinical scenario. You are only evaluating the sources of evidence (database, website, policy database or website, journal article, 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:
For this assessment:
• 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 clinical practice issue/diagnosis and describe to 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 assessment, which correspond 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.
o Describe communication strategies to encourage nurses to research the diagnosis/practice issue, as well as strategies to collaborate with the nurses to access resources.
o Describe the best places to complete research and what types of resources you would want to access to find pertinent information for the diagnosis/health care issue within the context of a specific health care setting.
o 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/practice issue.
o Explain why the sources of online information selected should provide the best evidence for the chosen diagnosis/health care issue.
o Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style.
o Note: While you are not selecting and evaluating specific evidence to help with the clinical diagnosis/practice issue, 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.

Sample Answer

Role as a Baccalaureate-Prepared Nurse in Communication and Collaboration for Evidence-Based Practice

As a baccalaureate-prepared nurse supervising clinical staff nurses, effective communication and collaboration play a vital role in promoting evidence-based practice. In the scenario described, it is important to encourage the new nurse to conduct research on the unfamiliar diagnosis to ensure the best possible care for the patient. To achieve this, I would employ the following communication strategies:

Approachability: I would create an open and approachable environment where the nurse feels comfortable seeking assistance and asking questions. This will help foster a culture of collaboration and continuous learning.

Active Listening: I would actively listen to the nurse’s concerns and acknowledge their need for further information on the diagnosis. This will demonstrate empathy and understanding, encouraging them to engage in the research process.

Empowerment: I would emphasize the importance of evidence-based practice and its impact on patient outcomes. By empowering the nurse to take ownership of their professional development, they will be motivated to actively seek out information and research on the unfamiliar diagnosis.

Guidance: I would provide guidance on how to navigate the available resources within the facility. This includes directing them to appropriate online sources and databases, as well as providing recommendations on where to find relevant research.

To assist the nurse in locating evidence, I would recommend the following sources:

PubMed: PubMed is a widely recognized and reputable medical research database. It provides access to a vast range of peer-reviewed journal articles related to various medical conditions and treatments. It is an excellent resource for finding evidence-based information on the unfamiliar diagnosis.

Cochrane Library: The Cochrane Library is renowned for its systematic reviews and meta-analyses. It offers high-quality evidence that can guide clinical decision-making. The nurse can search for relevant reviews or studies related to the diagnosis they are unfamiliar with.

Hospital Policy Database: The hospital’s online policy database can provide valuable information on standardized protocols and guidelines specific to the diagnosis. This resource ensures that the nurse is aware of the facility’s recommended practices and can incorporate them into their care plans.

Specialty Association Websites: Specialty association websites, such as the American Heart Association or the American Diabetes Association, often provide evidence-based guidelines and recommendations for specific diagnoses. They can serve as a valuable source of information for the unfamiliar diagnosis.

Online Medical Journals: Many medical journals have online platforms that provide access to current research articles. By searching for journals specific to the unfamiliar diagnosis, the nurse can access recent studies or case reports that may inform their practice.

To access these resources within the facility, I would guide the nurse to utilize the computer lab with its online library. The lab provides access to databases like PubMed, CINAHL, Medline, and the Cochrane Library, which are essential for conducting comprehensive literature searches. Additionally, the computers at nurse workstations also have access to these resources, making it convenient for nurses to search for evidence during their shifts.

In conclusion, effective communication and collaboration are crucial in promoting evidence-based practice within a healthcare setting. By employing strategies such as approachability, active listening, empowerment, and guidance, baccalaureate-prepared nurses can support their colleagues in conducting research on unfamiliar diagnoses. Recommended sources for evidence include PubMed, Cochrane Library, hospital policy databases, specialty association websites, and online medical journals. The computer lab with its online library and nurse workstations with access to these resources serve as ideal locations for completing research in the workplace. Through these strategies and resources, nurses can enhance their knowledge base and provide optimal care to their patients.

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