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Evidence-Based Medicine and Nursing
Introduction
The main postulate of clinical epidemiology is that every clinical decision should be based on strictly proven scientific facts. This postulate is called EBP medicine, which is based on evidence. The main principle of evidence-based medicine states that in the diagnosis, treatment, and direct prevention of various diseases, it is necessary to apply methods and materials whose effectiveness has been proven by qualitative research. The opposite is true: methods whose inefficiency has been proven should not be used. The situation is more complicated with the use of methods in broad daily practice, the effectiveness of which has not yet been confirmed in the framework of evidence-based medicine (Monica et al., 2018). A temporary moratorium should likely impose on the widespread introduction of these methods.
This work is devoted to evaluating a scenario in which the actors are a nurse practitioner and her young subordinates. The location where they work is the surgical floor of a local hospital, a leader in education, and has sufficient technical equipment for the self-education of employees. Nurses have access to the main medical research databases thanks to this option. It is an important factor that allows one to consider the experience of colleagues from different parts of the world and learn more details about various diseases. Libraries such as CINAHL and PubMed contain a large amount of information to help novice nurses.
The scenario continues with the mentor handing out appointments for patients to novice nurses so that everyone will take part in observation reports at the end of the shift. One of the new nurses, who was previously instructed and trained for a week, turns to the curator for help. The request is that the designated patient has a diagnosis that is unknown to her. For a novice nurse, such a disease as stroke seems unknown, which has several individual characteristics that require more practical experience (Kerry et al., 2020). The supervisor wants to help this nurse find research to provide the best care for this patient. This work aims to review the communication skills of hospital staff and find reliable sources on which a new nurse can rely in her work.
Communication Strategies to Encourage Diagnosis-Based Research
Nurse training through mentoring helps new nurses in various ways how approach a problem or diagnosis. A competent mentor and a professional in his field create an environment in which everyone feels supported and supported, making employees more confident in their abilities. The curator needs to show such human qualities as empathy, respect, and patience (Maria et al., 2019). They should be able to listen and hear their subordinates to give the necessary feedback in time. For such communication, there should not be a clear time; it is spontaneous conversations at any moment to maintain the learning process. Communication through databases and online libraries can help a mentor convey information to every nurse.
The Best Places to Complete the Research
One of the best and most effective ways to identify reliable sources is to use the CRAAP test, which meets the five main criteria of an online source: currency, relevance, authority, accuracy, and purpose. This test demonstrates a checklist of reliable and competent studies based on the analysis results. However, this does not negate that nurses need to ensure that they are searching for resources in the right place (Anna-Maria et al., 2020). Mentors with higher education have the most research experience focused on EBP in healthcare (Central Michigan University, 2020). Nurses should use the hospitals library, policy guidelines, and guidelines to complete research searches.
Identification of Five Sources for Evidence of Clinical Diagnosis
Five high-quality and reliable online sources were found thanks to the data obtained based on the CRAAP test. The sources are as follows: Nurse Education Today by Elsevier, South African Journal of Communication Disorders, Nursing in Critical Care, and Journal of Nursing Management. These are prioritized because of the verified information on the study of stroke in its preoperative and postoperative periods. The sources taken according to the result of the CRAAP analysis were arranged in order of their usefulness.
Explanation of Why the Sources Provide the Best Evidence
These sources chose the opportunity to have access to reliable full-text materials from reputable medical journals and articles for a nurse with higher education and extensive experience. Additionally, these sources provide access to the work of other medical professionals and researchers in medicine. Materials found in journals and on the Internet demonstrate information about EBP-oriented stroke studies supported by the latest data. It is easy to find the necessary articles in the designated journals and get free access to them.
Conclusion
Extensive work experience combined with authority is an opportunity to ensure effective correction of behavior and fulfill professional obligations. It is worth noting that this process is lengthy and time-consuming. Mentoring in nursing medicine has a lot of positive aspects. The opportunity to rely on mentors makes the work of novice nurses effective and allows for better research when the patients diagnosis seems unfamiliar to them. Literacy and attention to detail using well-known communication strategies helps employees use EBP-relevant research in the practice process. For novice nurses, a curator can be a good assistant, but the CRAAP test will also help assess the reliability and practicality of online sources. The degree of knowledge and skills of junior medical personnel impacts the quality of services. They must have the gift of persuasion, tolerance, compassion, and sociability. An exceptionally empathic and professional mentor can instill these qualities.
References
Anna-Maria, T., Heidi, R., Kristina, M., & Maria, K. (2020). Nurses experiences of their competence at mentoring nursing students during clinical practice: a systematic review of qualitative studies. Nurse Education Today, 85(2), 1-34.
Central Michigan University. (2020). Website research: CRAAP test.
Kerry, K., Bhavani, P., Jeannie, L., & Esedra, K. (2020). Nurses knowledge of stroke-related oropharyngeal dysphagia in the Eastern Cape, South Africa. South African Journal of Communication Disorders, 67(1), 1-7.
Maria, J., Ingrid, W., Lennart, M., & Elizabeth, H. (2019). Nursing staffs experiences of intensive care unit diaries: a qualitative study. Nursing in Critical Care. 24(6), 407-413.
Monica, B., Annamaria, B., Valentina, B., Michela, B., Fiona, T., Silvia, R., & Loredana, S. (2018). A review of the role of nurse leadership in promoting and sustaining evidencebased practice. Journal of Nursing Management, 26(8), 918-932.
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