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 problem.
Determining the Credibility of Evidence and Resources
The utilization of available evidence to improve practice has proven to have positive outcomes for patients, healthcare professionals, and healthcare organizations (Cleary-Holdforth et al., 2021). Developing evidence-based practice (EBP) competency and implementation of EBP by nurses requires understanding how to collect, process, and consistently implement evidence in clinical practice (Melnyk et al., 2021). This paper focuses on the application of evidence-based practice in the diagnosis of chronic pain syndrome. The paper will discuss the criteria to use in determining the credibility of resources to support an evidence-based diagnosis of the health issue, analyze the credibility and relevance of available evidence that can be used to support the diagnosis of chronic pain syndrome and the importance of credible evidence in an evidence-based practice model.
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Diagnosis of Chronic Pain Syndrome
Chronic pain syndrome (CPS) describes pain that can persist from three months to several years. The diagnosis of CPS can be controversial due to the various views on the causes and nature of the pain. Both physical and mental causes can trigger chronic pain syndrome. The physical triggers of CPS are easily identifiable, such as arthritis, physical injuries, and medical conditions such as cancer. The mental triggers are thought to result from miscommunication between the nervous system. CPS can also result from learned responses due to occasional pain (Vlaeyen & Crombez, 2020). Additionally, there is a lot of physical and psychological comorbidity in CPS to make a conclusive diagnosis of patients suspected to have the health condition. Therefore, nurses need to base their diagnosis of CPS on available evidence to avoid misdiagnosis and risk compromising the safety and quality of care provided.
Criteria to Determine Credibility of Resources
The review of available evidence can help nurses to diagnose CPS conclusively. The sources of evidence and information include scholarly and research articles, websites, and existing guidelines. The sources must be credible and relevant enough to support conclusive diagnosis and the development of fitting care interventions for CPS. The main criteria for the credibility of the resources include authority, creditability, timeliness, currency, objectivity, audience, and verifiability of the resources to be used.
Authority and creditability of the sources to be used focus on the extent of the author’s knowledge of the subject covered and the authenticity of the claims. The authority and creditability of the resources may be determined by checking if the paper is peer-reviewed, confirming the references, and crediting cited authors. The timeliness and currency of the resources to be used focus on the current information. The sources must present the most updated diagnosis procedures for chronic pain. The objectivity and verifiability criteria determine whether the information given by the sources are facts or opinions and whether such claims can be verified. Lastly, the audience criteria focus on the purpose of the resources. Resources for professionals are more credible than resources for the general population.
Analysis of the Credibility and Relevance of Evidence for Diagnosis of Chronic Pain Syndrome
There is extensive research and websites focused on the diagnosis and management of the various types of chronic pain syndrome. The most credible and relevant resources for diagnosing CPS are those that provide authoritative and updated details on the etiopathogenetic processes of CPS, diagnostic and management procedures for CPS, and details on differential diagnostic procedures for CPS. For instance, the articles by Nicholas et al. (2019), Treede et al. (2019), and Mesaroli et al. (2021) have been published in the Pain Journal, a publication of the International Association for the Study of Pain. The articles by Nicholas et al. (2019) and Treede et al. (2019) present diagnostic information on the classification of chronic pain based on the International Association for the Study of Pain (IASP) classification of pain to improve the International Classification of Diseases (ICD-11) for the diagnosis of chronic pain. On the other hand, the article by Mesaroli et al. (2021) is a systematic review of available screening and diagnostic tools for complex regional pain syndrome (CRPS).
Further, the article by Bourgaize et al. (2018) was published in the peer-reviewed Journal of the Canadian Chiropractic Association. The article focuses on differential diagnosis and management of myofascial pain syndrome