As a baccalaureate-prepared RN supervising clinical staff nurses, effective interactions are paramount to ensuring successful EBP. A new nurse appointed to my shift is unfamiliar with a specific patient’s diagnosis and brings up the need to educate the patient on care based on best practices. I would adopt an approach whereby I would encourage the nurse to research the diagnosis and see what they would get; the supportive and collaborative approach would help recognize that the nurse is dedicated to delivering quality care and that evidence is necessary for improving outcomes. Connecting evidence-based practice with the effectiveness of patient care and keeping abreast of the latest research would be important aspects of my intervention program.
To help the nurse find and retrieve evidence, I would guide them to the online library of the hospital, which should imitate the Capella University Library in this case. Medical research databases such as CINAHL, PubMed, Medline, and the Cochrane Library are accessible through this facility. Also, computers at nurse workstations allow users to access hospital policies, procedures, and guidelines, even though these resources can be considered priceless instruments for obtaining evidence relevant to clinical vignettes.
Five sources to provide relevant information
PubMed
PubMed is a globally valued and reputable database that is a foundation for retrieving evidence on medical conditions, interventions, and outcomes (Chandran et al., 2020). The great treasure of peer-reviewed articles it holds is a rich collection for health professionals seeking findings and research regarding stroke, its current concepts, and the clinical trial information that exists. With a user-friendly interface and a search algorithm that is quite powerful, it has been very helpful in leading its users to find much scientific literature. This resource will give nurses the information they need in thrombolytic therapy, anticoagulants, physical therapy, speech therapy, and swallow evaluation, which are important modalities in managing stroke.
CINAHL (Cumulative Index to Nursing and Allied Health Literature)
CINAHL (Cumulative Index to Nursing and Allied Health Literature) has specialized as a resource tool purposely meant for nursing and allied health professionals. Of the allied health literature, CINAHL is a great database for stroke interventions, nursing care, and rehabilitation strategies related to evidence for nurses to find. So, in general, being centered on literature relevant to practice nursing, CINAHL ensures the information accessed is as well. This is where the database becomes especially critical in complex portions of stroke care, such as aphasia and neurologic deficits, with the nursing role center.
Medline
The Medline database is the most important source of evidence, covering the entire aspect of stroke for both ischemic and hemorrhagic strokes. This is crucial in ensuring that research into the various areas of nursing practice, including research articles, reviews, and clinical studies, has diversified perspectives and methodologies in place. Therefore, Medline is a useful resource for nurses with an all-around, holistic, multidisciplinary approach to stroke. The Cochrane Library is essential for nurses to do systematic reviews and evidence synthesis.
The Cochrane Library
Whether it is on the management of hemorrhagic stroke or the details of the ischemic stroke, Medline supports an evidence-based elaboration that is wholesome (Goossen et al., 2020). The Cochrane Library offers a consolidated view of existing evidence for nurses who want evidence-based guidelines and recommendations relating to interventions and outcomes for stroke. This systematic approach to reviewing and synthesizing research findings will guide nurses in making decisions, as they will be based on a proper understanding of what the available evidence suggests. This database is invaluable when synthesizing evidence because it provides the characteristics of the population, interventions, and relevant outcomes concerning the characteristics of the population.
Hospital Policy Database
Besides these, the Hospital Policy Database, or accessing it through the hospital’s website, leads to a unique coordination between evidence and practice within the institution. Accessing guidelines and protocols pertinent to managing stroke at the facility is critical. The source ensures that the evidence collected is relevant in a much wider clinical context and seamlessly fits into the local institutional framework. With that evidence-based practice, the nurses will ensure that they acceptably engage their practice about the set standards and practice protocols within their respective healthcare settings.
Where to Work to Complete This Research
To access these resources within the workplace, I would guide the nurse to the hospital’s online library, where computers at nurse workstations provide direct access to the selected databases. Additionally, I would encourage using the hospital’s policy database to align evidence with local protocols. Creating awareness about these resources and guiding the nurse through accessing and navigating them ensures a seamless process for evidence location.
Conclusion
In conclusion, effective communication and collaboration are essential for promoting evidence-based practice among clinical staff nurses. By encouraging research on diagnoses and practice issues, providing access to relevant online databases, and emphasizing the importance of aligning evidence with institutional policies, baccalaureate-prepared nurses can contribute to a culture of continuous learning and improvement in patient care.
References
Chandran, V. P., Khan, S., Kulyadi, G. P., Khera, K., Devi, E. S., Balakrishnan, A., & Thunga, G. (2020). Evidence-based medicine databases: An overview. Journal of Applied Pharmaceutical Science, 10(7), 147–154.
Goossen, K., Hess, S., Lunny, C., & Pieper, D. (2020). Database combinations to retrieve systematic reviews in overviews of reviews: a methodological study. BMC Medical Research Methodology, 20(1), 1-15.
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