NURS FPX 4030 Assessment 02:
Determining the Credibility of Evidence and Resources

Determining the Credibility of Evidence and Resources

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Determining the trustworthiness of resources and knowledge is crucial when it comes to medical problems like postoperative pain. Assessing the truthfulness of resources and evidence is essential because it guarantees that individuals and medical professionals get supplied with accurate and trustworthy information that enables them to make informed choices. In the context of postoperative pain, reliable data and resources may be very important for the identification, treatment, and control of postoperative pain. When deciding how to manage postoperative pain, physicians must critically assess the reliability of the available information and resources (Cruz et al., 2021). The process of looking through the sources of information, going over the study methodology, and evaluating the strength of the scientific proof for severe postoperative pain is all part of that assessment.

Quality Safety Issue or a Chosen Diagnosis that can Benefit from an Evidence-Based Approach

One typical complication that may have a detrimental effect on a patient's rehabilitating and general well-being is severe postoperative pain. A considerable number of individuals have postoperative discomfort, which is a prevalent issue after treatment. Patients who have severe postoperative pain may require longer hospital stays, have more rehabilitation time, and have a worse quality of life. Moreover, using medications excessively might have negative consequences, including addiction or adverse additional implications. Consequently, it's critical to discover safe and efficient ways to deal with postoperative pain, and an evidence-based approach is a useful tool for doing this (Macintyre et al., 2022).

Importance of Evidence-Based Approach for Severe Postoperative Pain

The treatment of this problem may be strengthened by using an evidence-based strategy, which combines patient standards and preferences, scientific knowledge, and the best available research information (McCall et al., 2022). The following are some advantages of the evidence-based approach:

  1. Enhanced Results for Patients
  2. Enhanced Security
  3. Enhanced Efficiency
  4. Lower Medical Expenses
  5. Enhanced Provider Self-Assurance (Faeni, 2023)

Determining the Criteria for Credible Resources

When treating severe postoperative pain, an evidence-based strategy may enhance safety, lower costs related to medicine, boost provider assurance, and improve patient results. When assessing the reliability of sources like websites and journal articles, concern should be given to the following requirements:

Author credentials:

The resource's author(s) need to be associated with a respectable organization and carry the necessary qualifications in the subject matter.

Publication venue:

The source needs to be included in a respectable, peer-reviewed publication or on an authoritative website that disseminates factual content (Espina & Spracklin, 2022).

Evidence-based:

The source must supply information supported by evidence as well as citations to pertinent research findings and studies (Thelwall, 2022).

Timeliness:

To ensure that the data is significant and up to date, the resource has to be recent (Espina & Spracklin, 2022).

Objectivity:

The source ought to provide a neutral standpoint and not be prejudiced in favor of any one viewpoint or item (Thelwall, 2022).

When investigating postoperative pain in a patient, the CRAAP (Currency, Relevance, Authority, Accuracy, Purpose) test may be used to evaluate the trustworthiness of sources.
Money (Jivanelli et al., 2022). The date of creation or the most recent modification to the resource's material is referred to as its currency. Since medical knowledge and therapies are vulnerable to rapid change, the material needs to be updated. By taking these factors into account, you can make sure that the information you use to guide you in making choices and support providing the best treatment for your patient is honest and reliable.

Analysis of Trustworthy Resources and Importance of Reliable Evidence

The medical sector depends substantially on the analysis of reliable sources. The variables that follow may be taken into consideration when evaluating the reliability and applicability of resources and research in the context of postoperative pain:

Source:

The information's source ought to be reputable and trustworthy. Resources and evidence from recognized institutions like the American Pain Society (APS) or the World Health Organization (WHO) are regarded as more reliable than information from dubious sources or individual web pages (Chaw et al., 2021).

Evidence-based:

The data must be supported by reliable research and proof. Anecdotal or firsthand accounts are less reliable than resources that are grounded in evidence.

Relevant:

The data must be helpful to the current problem. More appropriate materials are those that address postoperative pain more specifically as opposed to general pain treatment (Mariano et al., 2022).

The American Society of Anesthesiologists (ASA) Clinical Practice Guideline for Acute Pain Management in the Perioperative Setting is the best advantageous evidence or resource for this topic based on those requirements. The information presented is reliable as it comes from the ASA, a respectable organization, and it is supported by research with empirical data (Mariano et al., 2022). Additionally, it is pertinent since it concentrates on acute pain treatment in the perioperative context, which has a bearing on pain after surgery. Additionally, according to the CRAAP requirements, a systematic review or meta-analysis that has been posted in a respectable, peer-reviewed publication, like the, would be the most beneficial source of information or data on chronic postoperative pain.

  • Anesthesiology
  • British Journal of Anaesthesia
  • Journal of Pain
  • Regional Anesthesia and Pain Medicine

Identification of Evidenced-based Practice Model

When using a scientifically supported strategy to address any quality or safety concern, including a patient experiencing acute postoperative pain, trustworthy evidence is essential. The goal of evidence-based practice models, which involve the Stetler Model and the Iowa Model of EBP, is to integrate the best available information from various sources in order to support medical decision-making. In the absence of accurate information, decision-making may be blocked, potentially resulting in worse-than-ideal medical conditions.

An EBP model for serious postoperative discomfort could be improved by including reliable data. This would enable the identification of safe and efficient pain treatment methods based on careful research. The best ways to treat pain and prevent adverse effects and interactions between medicines may be guided by evidence-based practices. Such understanding is crucial to improving patient outcomes and reducing possible damage (Zuo et al., 2021).

Credible evidence further ensures that the EBP model is based on the most recent and precise information for addressing severe postoperative pain. Since evidence-based practices are always changing, using reliable evidence implies that the EBP model being used is up-to-date and suitable given the state of knowledge at the time. This means that patients get the greatest care imaginable and that their demands have been met in a timely and efficient manner (Moraes et al., 2024).

Example 1: Iowa Model of EBP

By first choosing the most appropriate evidence-based strategies for pain management during the postoperative phase, the Iowa Model of EBP might be used to take on the issue of severe postoperative pain. For information on the most recent findings and recommendations for treating postoperative pain, a nurse or team of nurses might conduct a literature study. After gathering the facts, the team might evaluate the hospital's existing pain treatment methods using the Iowa Model to see whether they make sense in light of the findings (Cullen et al., 2022). If not, the group might create a strategy to put the proven best practices into practice and assess their effects to see if they promote pain management and lessen severe discomfort after surgery.

Conclusion

To sum up, in order to cope with quality or safety problems, including severe postoperative pain, an EBP model needs to involve reliable data. This makes it feasible to guarantee that patients get the most effective therapy possible and that clinical decision-making is informed by only the most reliable and current data.

References

Chaw, S. H., Lo, Y. L., Lee, J. Y., Wong, J. W., Zakaria, W. A. W., Ruslan, S. R., Tan, W. K., & Shariffuddin, I. I. (2021). Evaluate construct validity of the Revised American Pain Society Patient Outcome Questionnaire in gynecological postoperative patients using confirmatory factor analysis. BMC Anesthesiology, 21(1). https://doi.org/10.1186/s12871-020-01229-x

Cruz, J. J., Kather, A., Nicolaus, K., Rengsberger, M., Mothes, A. R., Schleussner, E., Meissner, W., & Runnebaum, I. B. (2021). Acute postoperative pain in 23 procedures of gynaecological surgery analysed in a prospective open registry study on risk factors and consequences for the patient. Scientific Reports, 11(1), 22148. https://doi.org/10.1038/s41598-021-01597-5

Cullen, L., Hanrahan, K., Farrington, M., Tucker, S., & Edmonds, S. (2022). Evidence-Based Practice in Action: Comprehensive Strategies, Tools, and Tips From University of Iowa Hospitals & Clinics, Second Edition. In Google Books. Sigma Theta Tau. https://books.google.com/books?hl=en&lr=&id=QU5-EAAAQBAJ&oi=fnd&pg=PP1&dq=By+first+choosing+the+most+appropriate+evidence-based+strategies+for+pain+management+during+the+postoperative+phase

Espina, C. R., & Spracklin, E. (2022). What is information literacy in an infodemic? Nurse Education Today, 111, 105294. https://doi.org/10.1016/j.nedt.2022.105294

Faeni, D. P. (2023). SERVQUAL measures: Indonesian government healthcare (BPJS) from a human resource perspective. Journal of Infrastructure, Policy and Development, 8(2), 2271. https://doi.org/10.24294/jipd.v8i2.2271

Jivanelli, B., Goto, R., & Page, S. K. (2022). Charting Consumer Health: Online Orthopedic Resources. Journal of Hospital Librarianship, 22(1), 54–60. https://doi.org/10.1080/15323269.2021.2019510

Macintyre, P. E., Quinlan, J., Levy, N., & Lobo, D. N. (2022). Current Issues in the Use of Opioids for the Management of Postoperative Pain. JAMA Surgery, 157(2), 158. https://doi.org/10.1001/jamasurg.2021.6210

Mariano, E. R., Dickerson, D. M., Szokol, J. W., Harned, M., Mueller, J. T., Philip, B. K., Baratta, J. L., Gulur, P., Robles, J., Schroeder, K. M., Wyatt, K. E. K., Schwalb, J. M., Schwenk, E. S., Wardhan, R., Kim, T. S., Higdon, K. K., Krishnan, D. G., Shilling, A. M., Schwartz, G., & Wiechmann, L. (2022). A multisociety organizational consensus process to define guiding principles for acute perioperative pain management. Regional Anesthesia & Pain Medicine, 47(2), 118–127. https://doi.org/10.1136/rapm-2021-103083

McCall, E., Shores, R., & McDonough, J. (2022). The effectiveness of ERAS guidelines in reducing postoperative pain. Worldviews on Evidence-Based Nursing. https://doi.org/10.1111/wvn.12595

Moraes, É. B. de, Antunes, J. de M., Ferrari, M. F. M., Fontes, B. V., Pereira, R. C. da S., Ogawa, L., & Daher, D. V. (2024). Postoperative pain management by nurses in an intensive care unit: a best practice implementation project. JBI Evidence Implementation. https://doi.org/10.1097/XEB.0000000000000401

Thelwall, M. (2022). Introduction to Webometrics: Quantitative Web Research for the Social Sciences. In Google Books. Springer Nature. https://books.google.com/books?hl=en&lr=&id=xYlyEAAAQBAJ&oi=fnd&pg=PR1&dq=When+assessing+the+reliability+of+sources+like+websites+and+journal+articles

Zuo, J., Qian, J., Wang, T., Ye, M., & Zhao, J. (2021). An analysis of implementation of evidence-based nursing model in health education for early fracture patients and its therapeutic influences. American Journal of Translational Research, 13(5), 4868–4875. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8205770/

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