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

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Capella University

NURS-FPX 4030 Making Evidence-Based Decisions

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Determining the Credibility of Evidence and Resources

In this assessment, we further delve into identifying credible evidence and sources of information related to Chronic Kidney Disease (CKD). This analysis aims to describe CKD using professional and scholarly resources. Then, analyze the credibility and relevance of these resources through well-established criteria. Finally, the paper evaluates the evidence-based care model to incorporate credible information and drive quality improvements within healthcare organizations. 

Description of CKD Through Evidence-based Approach

Evidence-based practice (EBP) integrates clinical proficiencies and relevant practice research into patient care, considering patients’ values and preferences. This practice helps nurses expand their knowledge and minimize the gap between research and practice (Abu-Baker et al., 2021). Managing chronic health conditions requires healthcare professionals to use evidence-based approaches to improve patient outcomes using the latest and proven strategies. CKD is one of the pertinent healthcare issues, with several patient safety risks associated with it.

It is described as the progressive loss of renal function, manifested as decreased glomerular filtration (GFR), albuminuria, and kidney deformities (Chen et al., 2019). Approximately more than 10% of the population worldwide is affected by chronic renal disease, which accounts for more than 800 million people. The disease commonly impacts the elderly population and people with other chronic conditions, such as diabetes and hypertension, emerging as one of the leading causes of death worldwide (Kovesdy, 2022). 

According to Ghelichi-Ghojogh et al. (2022), several risk factors are associated with the occurrence of the disease, which include age, sex, especially females, previous history of kidney issues, hereditary factors, secondary comorbidities, obesity, and excessive use of renal toxins. The disease may result in a complete kidney shutdown, which potentially requires renal dialysis and kidney transplantation.

Later stages of CKD may increase the risk of mortality (Tonelli & Dickinson, 2020). Therefore, effective disease management using evidence-based and best-available research is essential to preserve patient safety and improve quality of life.

Using an evidence-based approach to treat and manage CKD is crucial as the approach relies on scientifically recognized interventions, ensuring optimal patient outcomes. Integrating the latest research endorses effective and personalized care, addressing the complexities of the disease and, eventually, improving patient well-being and reducing healthcare costs.

Criteria to Analyze the Credibility of the Resources

The CRAAP criteria are standards set forth to assess the credibility and relevance of online resources. According to Esparrago-Kalidas (2021), determining the credibility of resources is essential when online platforms have a wide variety of information. The study claims the effectiveness of CRAAP (currency, relevance, authority, accuracy, and purpose) criteria to accomplish this job.

The components of the criteria include the up-to-date nature of the information (currency), consistency and applicability on the topic of research (relevance), accredited by well-known authors and recognized journal/website (authority), the information is well-supported by credible professional and scholarly resources (accuracy), and the information exists for a reason aligned with the drive of the research (purpose). 

The exemplar resource below verifies the use of credible and authentic sources of information to describe CKD in this paper:

Chen, T. K., Knicely, D. H., & Grams, M. E. (2019). Chronic kidney disease diagnosis and management. JAMA322(13), 1294–1304. https://doi.org/10.1001/jama.2019.14745

This resource fulfills the CRAAP criteria as the information was published in 2019, which entails that the resource is up-to-date with current information. The relevance of the title to the topic of research, which is CKD and its management, ensures that the insights gained from this article are helpful for healthcare providers to apply in clinical practices. Similarly, the authors are well-known and field experts, ensuring that authentic and field-specific information is added to the scholarly paper.

Moreover, the Journal of American Medical Association (JAMA) is renowned and well-scrutinized, publishing credible, effective, and authentic information for healthcare providers to improve their practices by integrating the best available evidence. The article’s claims are backed by other authentic resources, explicitly demonstrating the content’s accuracy. Finally, the purpose of the resource is to provide insights into CKD and its management, aligned with the goal of this analysis. Thus, the resource is credible and compelling to incorporate. 

Credibility and Relevance of Evidence and Resources

The resources used to describe chronic kidney disease are credible and relevant based on the CRAAP criteria. 

  • The article by Kovesdy (2022) presents the epidemiology of CKD, mentioning the prevalence, determinants, and spread of the disease worldwide. This resource is credible as the information is current, relevant to the chosen diagnosis, and authorized by an authentic journal, Kidney International Supplements, a branch journal of Elsevier. Additionally, the article is well-referenced and uses credible and recent research. Lastly, the study aims to emphasize prompt treatment and management of the disease to prevent the disease’s spread and reduce population safety risks. 
  • Another article by Ghelichi-Ghojogh et al. (2022) is a credible resource, providing insights into the risk factors of the disease. This resource is vital for healthcare providers to identify similar predisposing factors in their patients and provide targeted interventions. The article is current, with information relevant to the researchers of this paper. It is a publication of nephrology and epidemiology experts, and the publishing journal is BMC Nephrology, which is both credible and specific to the research topic. Simultaneously, the claims are well-supported by several authorized articles cited multiple times in scholarly papers. Finally, the study’s purpose aligns with this analysis’s goal: to determine the relationship between risk factors and the predisposition of the chosen diagnosis.   

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

  • Lastly, the literature evidence from the article by Tonelli & Dickinson (2020) provided the comprehension of the poor consequences of CKD, enabling researchers and healthcare professionals to develop immediate interventions for early detection and prevention of the disease. The publication year 2020 demonstrates the up-to-date nature of the information and its relevance to the topic. The authors are well-equipped with the topic, and the publishing journal, the Journal of the American Society of Nephrology, is well-known. Besides, the points are accurately described, and the study’s purpose aligns with this assessment’s goal to equip healthcare professionals with knowledge about integrating evidence-based research into clinical practices. This article is the most helpful resource to motivate healthcare professionals towards the prompt management of the disease, subsequently reducing patient safety risks and improving the quality of care. 

The Integration of Evidence-based Practice Model 

Several evidence-based practice (EBP) models have been established to integrate credible knowledge to drive quality improvements through the best and latest available research. This paper focuses on the Knowledge-to-Action (KTA) model, emphasizing translating the information into clinical practices. The six stages of the model include problem identification, adaptation, determining practice barriers, implementation, monitoring and evaluation, and sustainability (Torres et al., 2023). The KTA model can be incorporated in the context of CKD to manage the disease through evidence-based research.

This model covers the gap between the research and the healthcare practice, improving patient care outcomes by enhancing the quality of care. The application of the model begins with identifying the problem and specific healthcare challenges related to it. For instance, the model determines the gaps in nurses’ knowledge about the chosen diagnosis and its impact on patient care. The next step is to gather relevant and credible information about CKD and how to manage the disease effectively. The step revolves around the review and synthesis of relevant literature findings from credible sources. 

The next step is to adapt and customize knowledge according to organizational and patient context, which involves personalizing interventions based on the unique needs of the patient population, followed by the implementation step. This stage integrates best practices into clinical settings, ensuring early detection and prevention of disease through lifestyle changes and patient education. The next step is the crucial step of the model, focusing on ongoing monitoring and evaluation of implemented interventions against the established benchmarks.

This step involves tracking patient care outcomes, cost-effectiveness, and mortality rates for CKD. Finally, sustainability is a critical consideration in the KTA model. This means the interventions should be effective in the long run to sustain quality improvements. This could involve establishing policies, protocols, and practices that can be preserved to provide continuing health benefits and prevent CKD complications for the patients. 

References

Abu-Baker, N. N., AbuAlrub, S., Obeidat, R. F., & Assmairan, K. (2021). Evidence-based practice beliefs and implementations: A cross-sectional study among undergraduate nursing students. BMC Nursing20, 13. https://doi.org/10.1186/s12912-020-00522-x

Chen, T. K., Knicely, D. H., & Grams, M. E. (2019). Chronic kidney disease diagnosis and management. JAMA322(13), 1294–1304. https://doi.org/10.1001/jama.2019.14745

Esparrago-Kalidas, A. J. (2021). The effectiveness of CRAAP test in evaluating credibility of sources. International Journal of TESOL & Education1(2), 1–14. https://i-jte.org/index.php/journal/article/view/25 

Ghelichi-Ghojogh, M., Fararouei, M., Seif, M., & Pakfetrat, M. (2022). Chronic kidney disease and its health-related factors: A case-control study. BMC Nephrology23(1), 24. https://doi.org/10.1186/s12882-021-02655-w 

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

Kovesdy, C. P. (2022). Epidemiology of chronic kidney disease: An update 2022. Kidney International Supplements12(1), 7–11. https://doi.org/10.1016/j.kisu.2021.11.003 

Tonelli, M., & Dickinson, J. A. (2020). Early detection of CKD: Implications for low-income, middle-income, and high-income countries. Journal of the American Society of Nephrology31(9), 1931. https://doi.org/10.1681/ASN.2020030277 

Torres, C. P., Mendes, F. J., & Barbieri-Figueiredo, M. (2023). Use of “The Knowledge-to-Action Framework” for the implementation of evidence-based nursing in child and family care: Study protocol. PLOS ONE18(3), e0283656. https://doi.org/10.1371/journal.pone.0283656 

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