DQ 1: Review the evidence-based practice project ideas you described in Topic 5 DQ 1.
Topic 6 DQ 1
Review the evidence-based practice project ideas you described in Topic 5 DQ 1. Based on your initial ideas, what types of scholarly nursing research (such as quantitative or qualitative research, peer-reviewed resources, etc.) would be required to further investigate the issue? Select an article related to your topic. Identify the criteria you would use based on the CRAAP test to evaluate the appropriateness of the research. Why is it important to select research that meets these criteria? Evaluate the “CRAAP Test” article from the New Jersey Institute of Technology Library, located in the topic Resources. Explain the five criteria as they relate to your selected article.
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The evidence-based project idea I described in Topic 5 DQ 1 was reducing patient readmission rates via care management. The scholarly nursing research that would best support further investigation of this issue would be quantitative. Data related to “fee-for-service” readmission rates versus “pay-for-performance” readmission rates would be a good base data set to further investigate this issue. I selected the 2018 article: “The hospital readmissions reduction program: learning from failure of a healthcare policy” from the European journal of heart failure (Gupta & Fonarow, 2018).” The criteria I would use from the CRAAP test to evaluate the appropriateness of the research includes: currency (timeliness of the information), relevance (how well does the information relate to the research topic), authority (what is the sources of the information), accuracy (reliability and correctness of content), and purpose (why does the information exist). In the article selected, the 5 criteria of the CRAAP test relate to the selected article. The article was written in 2018 making it less than 5 years old, and appropriately current. The information contained in the article is relevant because it is related to hospital readmission reduction programs and associated concern
s. The journal in which the article is contained is a recognized professional journal with evidence-based, peer reviewed content. This supports the authority of the journal. The article contents have been peer reviewed for accuracy, and methods of analysis are described thoroughly. The purpose of the article is to provide insight into benefits, and concerns, that can arise with hospital readmission reduction programs. It is important to select research that meets these criteria because they provide guidelines for ensuring high quality data is included when investigating existing research and basing further investigation on the merit of that information.
References
Gupta, A., & Fonarow, G. C. (2018). The hospital readmissions reduction program: learning from failure of a healthcare policy. European journal of heart failure, 20(8), 1169–1174. https://doi.org/10.1002/ejhf.1212
New Jersey Institute of Technology. (2022). How to evaluate information sources: CRAAP test. https://researchguides.njit.edu/evaluate/CRAAP
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The evidence-based practice project idea that I described in Topic 5 DQ 1 is that public health nurses needed to be and still need to be more visible during the pandemic. Based on my initial idea, I would start with peer-reviewed resources such as articles and nursing journals written by public health experts during the initial phases of the pandemic to gather a real-time perspective of the public health nurse at the time as well as what actions they may have implemented that I am not aware of as a member of the general public. I selected an article found on The Commonwealth Fund website. Per the website The Commonwealth Fund provides financial resources to promote independent research, on public health and to improve access, quality, and efficiency in healthcare (The Commonwealth Fund, n.d.). The specific article that I chose to assess using the CRAAP test is titled “A Strong Public Health System Depends on Making the Invisible Visible,” written in 2022 by Shanoor Seervai, M.P.P. The article has functioning links, is current and in date to my topic. The article provides relevant insight and answers to my question regarding what roles public health experts in certain parts of the country played and programs that they organized in response to the pandemic. Unfortunately, the article focuses heavily on the medical doctor interviewed, it mentions the public health workforce but does not specifically discuss the role of the public health nurses. Ms. Seervai obtained a Master of Public Policy from Harvard Kennedy School, and her qualifications are easily verified via an internet search where there are multiple articles written by her on the topic of public health on multiple websites both scholarly and non-scholarly. Both her telephone number and email address are available. The accuracy of the information provided in the article is verifiable by doing an independent search for the organizations, people and or events mentioned in the article such as the New York City Public Health Corps. I was unaware that this program existed and was pleased to learn about it from this article. The article’s purpose is to inform. It looks backwards to how the public health system in America responded to the pandemic and seeks to learn from that experience to create a stronger public health system. I do feel that both the author and the medical doctor interviewed for the article do express a small amount of opinion but mainly focus on their experience and expertise on the topic. Although this is an article that passes most elements of the CRAAP test, I would use this article in addition to scholarly peer-reviewed journal articles to eliminate all personal bias and or potential financial influence.
References:
Seervai, S. (2022). A strong public health system depends on making the invisible visible. (2022). The Commonwealth Fund. https://www.commonwealthfund.org/publications/podcast/2022/jun/strong-public-health-system-depends-on-making-invisible-visible
The Commonwealth Fund. (n.d.). https://www.commonwealthfund.org/
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The evidence-based practice project idea that I had the idea of doing research on is a major problem in healthcare in general is infection control but specifically central-line associated bloodstream infections (CLABSI). According to the Arizona Department of Health Services CLABSI’s are the most serious of all healthcare-associated infections- causing thousands of deaths each year and about $700M in added costs and 25% of people that get them die from them (2022). The type of scholarly nursing research that I think would be required for further investigation on this issue is quantitative and peer-reviewed methods. The article that I selected related to my topic of CLABSI prevention is Quantitative Results of a National Intervention to Prevent Central Line–Associated Bloodstream Infection. It is important to perform a CRAAP test and make sure that the research I select meets the criteria because It will lead to more accurate research on my end as well as improve relevance. This test considers currency, relevance, authority, accuracy, and purpose when evaluating articles (New Jersey Institute of Technology, 2022).
Using the New Jersey Institute of Technology Library CRAAP test, I will evaluate the appropriateness of the research. When it comes to currency this source was published in late 2019 and I feel like the information is very timely. This article is very relevant to my research question and meets my needs. The CDC funded the study as well as the national STRIVE team that followed out the research. The authors were a group of doctors as well as nurses with master’s in public health degree and the study is in the Annals of Internal Medicine Journal. When it comes to accuracy all of the authors involved in the research have participated in a number of other reputable research studies. I would also argue that when CDC funs a study there are many different guidelines or accuracy. The purpose of this article is for information and to figure out ways to solve a problem. The intended audience would be healthcare workers and administrators looking for better ways to improve their hospitals CLABSI rates. There is no bias present in this article and the article does show different viewpoints.