Analyze Credibility and Relevance of Evidence within the Context of the Issue

In this scenario, the new nurse is managing a patient with VAP. She is supposed to locate credible evidence that provides detailed information on VAP, including its etiology, prevention, and management. Examples of resources that the nurse should embrace are authored by Branco et al. (2020), Kallet (2019), Martin-Loeches et al. (2018), Papazian et al. (2020), Sousa et al. (2019), Wu et al. (2019) and Yeganeh et al. (2019). The utility of the CRAAP test reveals that the articles provide credible and relevant evidence. Firstly, they offer the current information as evidenced by the year of their publication (within the past five years). Secondly, they are relevant because they provide critical information on VAP. Notably, they discuss the management, prevention, and practice essentials of VAP. Thirdly, the credentials of the authors and affiliated organizations are verifiable. Fourthly, the accuracy of the resources is demonstrated by the fact that they are peer-reviewed.

Additionally, their information is backed up by references and adequately referenced. The purpose of the resources is clearly defined and is harmonious with the quality issue of concern (ventilator-associated pneumonia). These resources will equip the new nurse with relevant knowledge of VAP and enable her to manage the patient adequately.

Importance of Incorporating Credible Evidence into the EBP Model

Evidence-based practice models give nurses a structured framework for research. As such, nurses embrace the best evidence in their clinical decision-making process. In this scenario, the Iowa model is relevant. The model acknowledges the role of all stakeholders in a healthcare facility in the decision-making process while selecting the best evidence (Cullen et al., 2020). By so doing, it promotes interdisciplinary collaboration. It has sequential phases: identifying an issue that necessitates change, evaluating the relevance of the issue to the facility, creating a problem statement, recruiting an interdisciplinary team to research the issue, and determining whether credible evidence is available (Cullen et al., 2020). Research is necessitated when credible evidence is absent. If credible evidence is present, the evidence-based practice is implemented on a pilot basis. After that, its success is evaluated.

The Iowa model applies to this scenario that involves VAP. In this context, VAP is the problem that necessitates change. It is relevant to the organization because it is associated with high morbidity and mortality rates. Additionally, it impacts monetary reimbursements from insurers. Research should be focused on the prevention and adequate management of VAP. Members of the interdisciplinary team, such as nurses, physicians, and pharmacists, should be involved in the research. Findings from research should form the basis of a pilot study on preventing and managing VAP. Evaluation of the pilot study will reveal the effectiveness of the chosen intervention.

 Conclusion

The quality issue in this scenario is a new nurse using an evidence-based approach to manage a patient with ventilator-associated pneumonia. The nurse should use the CRAAP test to evaluate the credibility and relevance of resources. Additionally, the healthcare facility can use the Iowa evidence-based practice model to choose the best evidence-based practice.

 References

Branco, A., Lourençone, E. M. S., Monteiro, A. B., Fonseca, J. P., Blatt, C. R., & Caregnato, R. C. A. (2020). Education to prevent ventilator-associated pneumonia in intensive care unit. Revista Brasileira de Enfermagem, 73(6), e20190477. https://doi.org/10.1590/0034-7167-2019-0477