Review of References Paper/Reflection Paper



Reflection PaperDiana VanRheeFerris State UniversityReflection PaperIntroductionNursing is a profession that is constantly changing in methods of delivering healthcare and with providing the rationale behind it. Nursing research is analyzing information that is significant to nursing in a systematic, orderly and objective manner (Niewswiadomy, 2012). The knowledge obtained from nursing research is important in providing evidence based nursing care. Using research from credible sources to deliver high quality evidence based nursing care is an absolute must. “The purpose of this assignment is to reevaluate references used to guide practice decisions" (Ferris State University, 2014).CredibilityThe credibility and accountability of the nursing profession is essential in providing high quality care from the knowledge obtained through scholarly research. Merriam-Webster defines scholarly as being related to formal research or study (merriam-, 2014). Not only must a nursing research source be scholarly, but it must be credible and pertain directly to the field of nursing. Credible sources include sources that are accurate, reliable, trustworthy and have authors that are respected by others in their field of study (Owl English Purdue, 2014).Profession nursing practice is influenced by nursing research, which is “the systematic investigation of events or circumstances related to improving nursing practice” (Black, 2014, p. 352). Providing high quality evidence based care founded on research is an expectation of nurses (White & O’Sullivan, 2012). Nurses need to be able to understand and assign a level of evidence when consulting their source for research data. The Melnyk system assigns a level of evidence, one through seven, based on the type of study and format used in the research (Melnyk & Fineout-Overholt, 2011). Using the Melnyk level of evidence guideline, two articles were reviewed for reference and evidence level. Level one being the highest and level seven being the lowest.Review of Referenced ArticlesThe first article, “Medication dosing errors in pediatric patients treated by emergency medical services”, written by Hoyle et al, is found to be medical research and authors primarily by doctors (Hoyle, Davis, Putman, Trytko, & Fales, 2012). The statistically analyzed data is quantitative and provided from eight Michigan Emergency Medical Service MS) agencies. The article was a retrospective chart review on patients less than or equal to 11 years of age that were given six commonly administered medications during an EMS call (Hoyle, Davis, Putman, Trytko, & Fales, 2012). This article did clearly demonstrate that there are medication dosage errors made to pediatric patients treated by EMS. Hoyle et al, made a credible and reliable report based on borrowed knowledge. Based on the guidelines of Melnyk level of evidence, this article is a level six. The rational for this decision is that there was no trial or systematic review and yet it was above an expert opinion. This gained knowledge will benefit the medical personnel and perhaps initiate more guidelines/policies in medicating pediatric clients during EMS calls. Borrowed knowledge helps validate the evidence based research.Review of article two, “Medication administration practices among children’s nurses: a survey”, was written by Maryanne Murphy and Alison While. This article is a level six evidence using the Melnyk guidelines (Melnyk & Fineout-Overholt, 2011). This data was quantitative nursing research, no specific trial or systematic review was done and it was above an expert’s opinion. The survey was aimed at medication administration practices by medical personal on pediatric patients. The sample survey was relatively small and limited to clinical staff working in the area of a children’s hospital (Murphy & While, 2012). Nursing research and statistical data was used from other studies. The article was interesting to read from a nursing perspective and does prove there are a variety of reasons for errors in medication administration to pediatric patients. This information is relevant to nurses who administer medications to pediatric patients and allows for further research and habits to be changes in nursing care. Pediatric nurses would benefit from reading this article so that they could become aware of potential errors.Significance to NursingNursing research directly impacts nursing care in an everyday setting. When performing a specific nursing intervention that is not founded on research evidence, it may not be the most appropriate intervention used (Niewswiadomy, 2012, p. 2). Nurses strive to promote health and prevent diseases in a quality manner. Theoretical and evidence-based knowledge is significant when collaborating with other members of the health care team (White & O’Sullivan, 2012). Research generates new knowledge that assists in providing the quality optimal care nurses are expected to deliver. Healthcare facilities strive to continually evaluate and improve their quality of care and it is an expectation that “RN’s should contribute to quality nursing practice” (White & O’Sullivan, 2012, p. 148).As health care professionals, nurses must abide by the Code of Ethics for Nurses. Provision five encompasses the responsibility to preserve safety and maintain competence in their personal and professional growth (Black, 2014). Safety, not only for the client, but also for the nurse, should be a priority in the care provided. QSEN, Quality and Safety Education for Nurses, was developed to ensure that future nursing graduates have competencies in providing the quality safe care that is expected (). By using QSEN as an educational guideline, quality and safety in healthcare is improved.All health care professionals have a responsibility to provide quality care and Standard 10, Quality of Practice, clearly states that “The registered nurse contribute to quality nursing practice” (White & O’Sullivan, 2012, p. 145). Quality represents a measure of excellence. When quality improvement measures are initiated by research and EBP, the standards of care improve. Quality, in regards to professionalism, work hand in hand. Professionalism has its own unique criteria which include intellectual and individual responsibility, it is based on knowledge, is practical and theoretical, and can be taught through specialized professional education (Black, 2014, p. 53). Nurses, as members of a profession, have a well-developed sense of consciousness and usually have a strong desire to help others (Black, 2014, p. 53). Nurses take pride and have confidence in the knowledgeable care they provide. When conducting research in nursing, it is important to use sources that are distinct to the nursing profession. A registered nurse will need to integrate the research findings and evidence into their everyday practice, which is Standard nine of the Standards of Nursing Practice (White & O’Sullivan, 2012, p. 133). Selecting peer review articles and journals are very important in nursing research. Peer review is a “process that allows journal editors to obtain objective opinions about a manuscript from experts in the field” (Niewswiadomy, 2012, p. 265). Reviewing credible nursing articles as evidence based research will provide nurses with a better foundation in education in which to provide high quality care.ConclusionIn conclusion, nursing is a profession that uses evidence based knowledge based on research. Participating in nursing research and abiding by the Code of Ethics and Standards of Care, nurses can used peer reviewed articles that are scholarly and obtained from credible sources to increase their knowledge and provide optimal care. Reviewing referenced based articles and assigning them a level of evidence will assist in providing nurses with a level of authority and is important to the profession of nursing. ReferencesBlack, B. P. (2014). Professional Nursing Concepts & Challenges (7th ed.). St. Louis, Missouri: Elsevier Saunders.Ferris State University, (2014) Research in nursing syllabus. Retrieved from fsu.edu February 5, 2014Hoyle, J. D., Davis, A. T., Putman, K. K., Trytko, J. A., & Fales, W. D. (2012, January/March). Medication Dosing Errors in Pediatric Patients Treated by Emergency Medical Services. Prehospital Emergency Care, 16, 59-66.Melnyk, B. M., & Fineout-Overholt, E. (2011). Evidence-based practice in nursing and healthcare: A guide to best practice. Philadelphia: Lippincott, Williams & Wilkins.Merriam-Webster. (2014). dictionary/scholarlyMurphy, M., & While, A. (2012). Medication administration practices among children’s nurses: a survey. British Journal of NursingNieswiadomy, R. M. (2012). Foundation of Nursing Research (6th ed.). Upper Saddle River, NJ: Pearson Education, Inc.Owl English Purdue. (2014). owl.english.purdue.edu/owl/resourcesWhite, K. M., & O’Sullivan, A. (2012). The essential guide to nursing practice. Washington D.C.: American Nurses Association ................
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