NURS FPX 4030 Assessment 1

Locating Credible Databases and Research

Locating Credible Databases and Research

Diabetes Mellitus is a chronic disease characterized by high blood glucose levels, which result from defects in insulin production, insulin action, or both (Franz et al., 2008; Nyenwe & Kitabchi, 2011). Therefore, the knowledge that such research provides can be helpful in developing effective intervention measures, resulting in better patient outcomes. Management of diabetes is one of the areas where evidence-based practice integrates clinical expertise with the best available evidence and lays importance on patient-centered care with optimum outcomes of treatment (Evans, 2010). This is a follow-up report from the meeting on evidence-based critical aspects in diabetes management targeting new staff nurses to avail resources and strategies to improve patient care. This clearly shows that for EBP in diabetes care, there will be needed good sources of information that are credible with good communication strategies.

Importance of Evidence-Based Practice in Nursing for Diabetes Management

Evidence-based practice is relevant in nursing but even much more to diseases drawn over a long period, such as diabetes. EBP is the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients and such values, preferences, and availabilities (Franz et al., 2008). For example, the most significant improvements in diabetes care from applying structured dietary recommendations are based on evidence-based nutrition practice guidelines (Grant et al., 2004). Further, EBP protocols have proven to enhance glucose control in type 2 diabetic patients and stereotypically aid in low complication rates of reduction (Evans, 2010). How EBP in nursing develops the best care provision for the patients that translates to the best livelihood improvement to quality due to effective diabetes management.

Effective Communication Strategies for Nurse Leaders

Effective human communication forms the backbone of nursing leadership. This means that nurse leaders need to establish an environment in which open, transparent, and compassionate communication is commonly addressed to ensure quality patient care and safety. Active listening may be used as a communication strategy, giving constructive feedback and fostering inter-professional collaboration. These strategies are very vital about diabetic care, where patient educative adherence to the treatment plan is crucial in realizing successful outcomes (Larme & Pugh, 2001). This research ability is assessed through open lines of communication and a trustworthy relationship between the novice and senior nurse so that one can discuss different diagnoses and the fears and concerns about various cases without hesitation, thus building up professional effectiveness and competent patients.

Evaluating Credible Sources Using the CRAAP Test

The CRAAP test is one of the most effective methods for assessing the relevance of sources in the field of healthcare research (Anwer et al. , 2018). For example, research that is current and specific to the field and published in professional, scholarly periodicals is regarded as highly authoritative. One of the procedures is assessing the authors and their organizations’ credibility. The relevance of the information is achieved by citation and evidence-based data and the purpose evaluates the impartiality of the source (Hasan et al. , 2012). Applying the CRAAP test enables health care professionals to distinguish between good sources, which will help healthcare professionals in the management of diabetes patients to use the correct information that will benefit the patients.

Top Databases for Diabetes Mellitus Research

For diabetes mellitus research, the following databases are very useful because of the large number of articles and clinical guidelines in the databases. PubMed is considered one of the most extensive databases for medical and life sciences research (Harris & Macaulay, 1998). Cochrane Library offers the reviews and meta-synthesis of diabetes interventions. Science Direct provides users with a source of medical journals, which in this case is relevant to diabetes care (Franz et al. , 2008). Google Scholar can also be used to search for articles, thesis, books, and conference papers in diabetes research (Grant et al. , 2004). These databases offer health professionals with quality research that will assist in the implementation of practice change in the management of diabetes.

Five Credible Journals for Evidence-Based Research on Diabetes

These are some of the journals that are well reputed for releasing quality research work on diabetes that is evidence based. Diabetes Care is the leading journal for diabetes research and practice focusing on clinical care, education, nutrition, and psychosocial research (Grant et al. , 2004). Diabetes Research and Clinical Practice deals with research findings on diabetes and its complications, and provides useful information concerning the treatment and management of the condition (Hasan et al. , 2012). Journal of the American Dietetic Association is a peer reviewed journal that brings out up to date nutritional guidelines for diabetes management; a vital resource for planning diets and interventions (Franz et al. , 2008). Diabetologia provides extensive information concerning the pathophysiology of diabetes and its treatment, allowing the healthcare practitioners to be up-to-date with the existing scientific developments (Tajima et al. , 2015). Journal of Evaluation in Clinical Practice assesses the reliability of clinical practice for diabetes treatment, guarantying that the practitioners use the most efficient and scientifically grounded protocols (Anwer et al. , 2018). Nurses and other health care workers use these journals to find the updated knowledge and evidence based practice for better practice.

Conclusion and Recommendations

The management of diabetes should involve the use of best practices, and quality research studies along with proper communication. There is evidence that through the use of the best databases and citation of the peer reviewed journals, the healthcare professionals can be able to have the updated information on the latest development on the treatment of diabetes (Hilliard et al. , 2016; Larme & Pugh, 2001). Applying the evaluation methods like the CRAAP test guarantees the credibility of sources utilized in research and practice. Education of the healthcare workers and interprofessional collaboration are essential in enhancing the care of patients with diabetes (Evans, 2010; Nyenwe & Kitabchi, 2011). It becomes the responsibility of the nurses to go out in search of the best evidence and incorporate it into practice to ensure they deliver quality patient centered care.

References

Evans, M. M. (2010). Evidence-based practice protocol to improve glucose control in individuals with type 2 diabetes mellitus. MEDSURG Nursing. Retrieved from https://challengesandinitiatives.trubox.ca/wp-content/uploads/sites/601/2018/12/ebp-protocol-glu-control.pdf

Franz, M. J., Boucher, J. L., Green-Pastors, J., & Powers, M. A. (2008). Evidence-based nutrition practice guidelines for diabetes and scope and standards of practice. Journal of the American Dietetic Association, 108(4), S52-S58. https://doi.org/10.1016/j.jada.2008.01.023

Grant, R. W., Cagliero, E., Sullivan, C. M., Dubey, A. K., Estey, G., Weilburg, J. B., … & Nathan, D. M. (2004). A controlled trial of population management: Diabetes mellitus: Putting evidence into practice (DM-PEP). Diabetes Care, 27(10), 2299-2305. https://doi.org/10.2337/diacare.27.10.2299

Harris, S. B., & Macaulay, A. C. (1998). Diabetes management: New evidence-based recommendations. Highlights of the 1998 Canadian clinical practice guidelines. Canadian Diabetes Association. Canadian Family Physician, 44, 1445-1452. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2277968/

Hilliard, M. E., Powell, P. W., & Anderson, B. J. (2016). Evidence-based behavioral interventions to promote diabetes management in children, adolescents, and families. American Psychologist, 71(7), 590-601. https://doi.org/10.1037/a0040359

Hasan, H., Zodpey, S., & Saraf, A. (2012). Diabetologist’s perspective on practice of evidence-based diabetes management in India. Diabetes Research and Clinical Practice, 98(2), 210-218. https://doi.org/10.1016/j.diabres.2011.09.021

Nyenwe, E. A., & Kitabchi, A. E. (2011). Evidence-based management of hyperglycemic emergencies in diabetes mellitus. Diabetes Research and Clinical Practice, 94(3), 340-351. https://doi.org/10.1016/j.diabres.2011.09.007

Larme, A. C., & Pugh, J. A. (2001). Evidence-based guidelines meet the real world: The case of diabetes care. Diabetes Care, 24(10), 1728-1733. https://doi.org/10.2337/diacare.24.10.1728

Tajima, N., Noda, M., Origasa, H., Noto, H., Yabe, D., & Fujita, Y. (2015). Evidence-based practice guideline for the treatment for diabetes in Japan 2013. Diabetology International, 6(4), 212-239. https://doi.org/10.1007/s13340-015-0206-2

Anwer, M. A., Al-Fahed, O. B., & Arif, S. I. (2018). Quality assessment of recent evidence-based clinical practice guidelines for management of type 2 diabetes mellitus in adults using the AGREE II instrument. Journal of Evaluation in Clinical Practice, 24(5), 1163-1170. https://doi.org/10.1111/jep.12785 

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