Develop a 2-4 page scholarly paper in which you describe a quality or safety issue or a chosen diagnosis, and then identify and analyze credible evidence that could be used as the basis for applying EBP to the issue. Determining the Credibility of Evidence and Resources Introduction

Determining the Credibility of Evidence and Resources

Quality or Safety Issue

In this context, the quality or safety issue is the new nurse using an evidence-based approach to manage nausea and vomiting in a patient undergoing chemotherapy. It is important to utilize an evidence-based approach because persistent nausea and vomiting can lead to fluid and electrolyte loss and cause severe dehydration (Cope, 2022). Fluid and electrolyte loss disrupts the normal function of various physiological processes, such as cell function, generation and transmission of nerve impulses, and cardiac and muscle contractility (Cope, 2022). Consequently, this can increase the mortality rates among cancer patients undergoing chemotherapy (Cope, 2022). Nausea and vomiting are the most common toxicities associated with chemotherapy (Cope, 2022). The severity of these toxicities varies based on the type of drug and patient factors. Therefore, evidence-based practices should be used to manage nausea and vomiting in patients undergoing chemotherapy to prevent severe dehydration and ensure their well-being (Dielenseger et al., 2019).

Criteria to be Considered When Determining Credibility of Resources

The CRAAP criteria should be embraced when evaluating the credibility of resources. This criterion focuses on the timeliness, relevance, accuracy, authority, and purpose of the source (Esparrago-Kalidas, 2021). Timeliness evaluates when the article was published, whether it is updated and current (C) for a specific topic, and whether its links are operational (Esparrago-Kalidas, 2021). Relevance (R) evaluates the applicability of the resource to the specific topic. This focuses on fulfilling specific needs and the target audience. Authority (A) evaluates the origin of the article. This entails identifying authors’ credentials, affiliations, qualifications, contact information, and uniform resource locators (Esparrago-Kalidas, 2021). Accuracy (A) evaluates reliability by checking in-text citations, references, peer reviews, grammatical errors, and reproducibility of the information. Purpose (P) evaluates whether the authors stated their intentions, objectives, and goals and the presence of any bias or conflict of interest (Esparrago-Kalidas, 2021).

Credibility and Relevance of Evidence within the Context of the Issue

In this context, the new nurse should use an evidence-based approach to manage nausea and vomiting in a patient undergoing chemotherapy. The six specific sources to be used for research have been authored by Clark-Snow et al. (2018), Cope (2022), Dielenseger et al. (2019), Ergin et al. (2021), Gupta et al. (2021), and Samami et al. (2022). These articles met the CRAAP criteria. They are current because they were published within the past five years and relevant because they discuss various strategies used to manage nausea and vomiting induced by chemotherapy. The authority of the authors is credible because they are specialists in various healthcare professions. The accuracy can be verified because the six articles are peer-reviewed, have in-text citations, and are appropriately referenced. The authors of the six resources identified their purpose and objectives. Among the six articles, the two articles authored by Cope (2022) and Gupta et al. (2021) are the most useful. Unlike the other articles that focus on either pharmacological or nonpharmacological management of nausea and vomiting, these articles discuss both interventions and provide extra information.

Importance of Incorporating Credible Evidence into the EBP Model

Evidence-based practice models facilitate the effective implementation of evidence-based practices. This ensures that nurses optimize the use of healthcare resources. In this context, managing nausea and vomiting induced by chemotherapy, the Iowa model can be embraced. This model emphasizes that the whole healthcare system is essential in implementing evidence-based practices (Cullen et al., 2020). It advocates for interdisciplinary collaboration, the identity of decision-making points, and pragmatism in solving problems (Cullen et al., 2020). Key steps include identifying the safety issue, evaluating whether the organization prioritizes the issue, evaluating a research topic, involving various stakeholders, and checking whether sufficient evidence is available. Further, credible evidence warrants a pilot test of the strategy, and the final step is to appraise the pilot test and implement the evidence-based practice (Cullen et al., 2020).

In this context, the safety issue is nausea and vomiting associated with chemotherapy; the issue is a priority because it can cause dehydration and physiological changes in body function, such as impaired cardiac contractility, leading to death. Various healthcare providers, such a