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1. Use of Academic Research Databases Discussion
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Discussionattachment_1attachment_2Unformatted Attachment PreviewDQ1 Shauna
Thomas 3 posts Re: Topic 1 DQ 1 The GCU library Nursing database is INCREDIBLE and can
be reached at https://libguides.gcu.edu/Nursing This database represents a collection of
multiple other databases such as the Lippincott Advisor and Lippincott Procedures. We are
all familiar with Lippincott by now, the gold standard for procedures and Nursing
interventions. This source allows you to access all Lippincott procedures and guides in one
convenient and free location. Another killer resource tucked into this collection is the
Empirical Research Database. Empirical Articles or primary research articles involve only
the primary researcher. These types of peer-reviewed resources are key when performing
capstone or Doctorate-level research. Again, this places all the articles in one spot for easy
access. When performing even an internet search for these types of content, it is difficult to
find reliable resources in volumes such as this, you would need to sort through so much
internet to find a collection like this. Having these resources will save you HOURS.
References Research guides: Nursing & health sciences: Lippincott advisor & procedures.
(2020). GCU Research Guides; Lippincott advisor & procedures. Retrieved September 19,
2020, from https://libguides.gcu.edu/Nursing/Lippincott DQ2 Catherine Hummel 1 posts
Re: Topic 1 DQ 1 CINAHL and Joanna Briggs Institute EBP are two research databases that
will help me find journal articles and other scholarly results that will support my capstone
project. CINAHL Database provides nursing and allied health literature that can help to
retrieve information with basic and advanced search features. CINAHL provides access to
nursing journals, health care books, nursing dissertations, standards of practice, book
chapters as well as research instruments and clinical trials just to name a few. (EBSCO
Health, n.d.). Joanna Briggs Institute (JBI) is a database that has evidence-based healthcare
resources. These databases are better than using Google Scholar or a general Internet
search because the research found has been published and an editor checks the facts or is
peer reviewed for accuracy. The databases also have features such as specifying years, peer
reviewed or narrowing the results of the search so that time is not wasted on unwanted
information. (Western Kentucky University Libraries, 2020). Resources: CINAHL Database,
(n.d.). EBSCO Health. Use of Academic Research Databases DiscussionRetrieved from

2. https://health.ebsco.com/products/the-cinahl-database Why use data bases, not Google?
(July 30, 2020). Western Kentucky University Libraries. Retrieved from
https://libguides.wku.edu/c.php?g=946465&p=6891281 DQ3 Jenisef Diaz Padron 1 posts
Re: Topic 1 DQ 1 The two main databases that will be helpful in the capstone project
proposal are CINAHL Complete and Cochrane Library. CINAHL Complete provides credible
and updated journal articles on nursing and health sciences. The database will be useful
since it has a powerful search tool that allows users to narrow down their queries and
quickly find relevant information. For instance, one can filter articles based on date, author,
peer-review status, language, and text format (GCU, 2020). Alternatively, Cochrane Library
covers a wide range of journals in healthcare, nursing, and biomedical fields. This database
has numerous credible resources, including books, articles, and evidence-based tools.
Cochrane Library will be especially useful since it features independent publications that
are relevant to clinical decision-making and treatment management (GCU Library, 2020).
There are several reasons why CINAHL Complete and Cochrane Library are better than
general internet search or Google Scholar. Firstly, the internet cannot provide
comprehensive results on a specific topic. Users have to sieve the materials to find quality,
current, or peer-reviewed resources. On the contrary, scientific databases provide a wide
range of relevant data and inform users about any updates. Secondly, the information in
Google Scholar may sometimes lack credibility and authenticity. Researchers using the
service must decide whether the article they are accessing is peer-reviewed or scholarly. On
their part, databases provide accurate publication, citation, and authorship information.
Finally, databases such as Cochrane Library have more filters that allow users to access only
the resources that are relevant for their topic. For instance, those using the Cochrane
Library can browse data by subject and even set alerts for new publications (Cochrane
Library, 2020). However, individuals using Google Scholar may take more time sifting
through irrelevant information. In summary, CINAHL Complete and Cochrane Library will
be useful in my project since they provide credible, accurate, specific, and comprehensive
information. References Cochrane Library. (2020). Trusted evidence. Informed decisions.
Better health. Retrieved from https://wwwcochranelibrary-com.lopes.idm.oclc.org/# GCU
Library. (2020). Journal Databases – Nursing & Health Sciences. Grand Canyon University.
Retrieved from
https://library.gcu.edu/Database/Subject?subject=Nursing_And_Health_Sciences Grand
Canyon University. (2020). CINAHL Complete. Retrieved from https://web-b-
ebscohostcom.lopes.idm.oclc.org/ehost/search/advanced?vid=0&sid=667d7f5e-f9be-47ea-
8e1a-9570f4a340b5%40pdc-vsessmgr04 DQ4 Shauna Thomas 1 posts Re: Topic 1 DQ 2
There are so many obstacles to efficient healthcare and implementing the IOM report’s
guidelines. One is EHR; Specialties communicate poorly, if at all, and records are isolated in
electronic tombs owned by the originating source facility or at best by that EHR database.
Hospitals lack efficiency, wasted hours are spent duplicate charting, gathering supplies, and
redundancy exists in charting and testing, since results are unavailable between
organizations. Healthcare MUST CHANGE, or risk dying a slow and financially crippling
death of inefficiency. Use of Academic Research Databases DiscussionNursing education
faces a similar challenge; while hospitals struggle to adequately staff qualified Nurses,

3. schools are forced to turn away applicants due to a lack of resources. The art of Nursing
evolves so quickly that content should be altered to reflect new EBP through the newest
proven pathways of learning. However, according to the IOM, schools lack the staff and
clinical opportunities. The disjointed nature of healthcare is evident to all who work inside
it, and the IOM calls the educators to build a new structure where disciplines are trained
together, improving continuity and communication. Until this can be achieved, Nursing will
remain alienated so far from the medical education of the MD and DO, we will never see
Nurses in the many positions that will bring the IOM’s recommendations to fruition.
References IOM (Institute of Medicine). The Future of Nursing: Leading Change, Advancing
Health. Washington, DC: The National Academies Press. (2011). Retrieved from
https://www.nap.edu/read/12956/chapter/1#ii DQ5 Jenisef Diaz Padron 1 posts Re: Topic
1 DQ 2 Evidence Based Practice (EBP) has become a significant part of the clinical-decision
making for nurses, physicians, and other health care team members. The definition of EBP is
“the conscientious, explicit, and judicious use of the current best evidence in making
decisions about the care of the individual patients” ( Jyothi, 2012). Using research and the
knowledge to provide optimal patient care has proven to be successful in producing
positive patient outcomes. One of the barriers of which has been found to hold nursing
practice back from achieving this goal is time management. Nurses are accustomed in
working diligently to advocate and care for their patients, with the resistance to take up
time to research their skills and practice. In addition to the research taking up valuable
time, comprehending the information is another factor affecting time management.
Research is a practice involving extensive data which takes time to understand, meaning the
information may be accepted but not used effectively or accurately. Another issue
concerning time management using EBP in that it must be shared with other health care
members so everyone is on the same path. This process is also time consuming, while
facilitating committees and members willing to put in the work to educate and make the
changes in nursing practice. In order to address this barrier, time needs to be set aside for
nurses to engage in EBP (Leilani, 2015). To help facilitate the use of EBP, organizations
should offer a yearly skills day and encourage furthering their education by reimbursement
for training and/or incentives in participating in teaching EBP to others or changes in
policies. Another barrier in implementing EBP is the lack of organizational support. Many
times, nurses feel EBP is not supported by their peers and/or administration. In some cases,
nurses who have been employed at the same location for many years have became set in
their ways and may be resistant to change. To increase the level of support, administration
should work with other members of the interdisciplinary team and with local universities
for the research and review in providing up to date EBP. Collaboration will help encourage
and motivate staff members to use EBP, especially when they have been a part of the
research and implementation of change (Leilani, 2015). References Jyothi, N. (2012).
Evidence-Based Practice: the future of Nursing and the Role of Nurse. International Journal
of Nursing Education, 2. Leilani Tacia, K. B. (2015). Identifying Barriers to Evidence-Based
Practice adoption: Use of Academic Research Databases DiscussionA Focus group study.
Clinical Nursing Studies, 7. DQ6 Stephanie Frey 1 posts Re: Topic 1 DQ 2 Two barriers that
may be holding nursing practice back from achieving the Institute of Medicine (IOM) goal of

4. 90% of practice being evidence based are lack of time and lack of staff experience. Today
nurses are being asked to do more with less—increased patient ratios, decreased ancillary
staff, and increased hours. According to Ginex (2018), “lack of time is often cited as a barrier
to implementing evidenced based practice (EBP)” (Barriers section). In addition, many
nurses reported “uncertainty or lack of knowledge about the EBP process” (Ginex, 2018,
“Barriers” section). If the nurse is unaware of how to research EBP and implement them,
reaching the IOM goal will be difficult. To address these barriers, Ginex (2018) first suggests
engaging the appropriate stakeholders as well as administration support. Stakeholder
engagement “builds trust and enables you to learn from their experience and provide input
on the project” (Ginex, 2018, “Strategies” section). Administration support can help tackle
time barriers, as well as provide proper education to ensure competence and skill in
researching and implementing EBP (Ginex, 2018). Administration must work to ensure
proper staffing and patient ratios as well as ample ancillary help. By doing this, nurses will
have more time to focus on EBP implementation. Ginex, P. (2018). Overcome barriers to
applying and evidence-based process for practice change. Retrieved from
https://voice.ons.org/news-and-views/overcome-barriers-to-applying-an-evidence-based-
process-forpractice-change OBJECTIVES The first step in developing an evidence-based,
practice change proposal is to identify an issue or problem that is significant to nursing
practice. In this topic, students will examine a health care clinical problem or an
organizational issue and its implications to nursing practice. Objectives: 1. Create a plan for
successful completion of the course. 2. Integrate reflective practice in the form of a
reflective journal. 3. Demonstrate interprofessional collaboration during the creation of the
capstone project change proposal. SOURCES GCU LIBRARY – https://library.gcu.edu/ Read
“Evidence-Based Practice, Step by Step: Asking the Clinical Question: A Key Step in
Evidence-Based Practice,” by Stillwell, Fineout-Overholt, Melnyk, and Williamson, from
American Journal of Nursing (2010).
URL:https://journals.lww.com/ajnonline/Fulltext/2010/03000/Evidence_Based_Practice,_
Step_by_Step__Asking_the.2 8.aspx Read “Evidence-Based Practice: The Future of Nursing
and the Role of Nurse,” by Jyothi, from International Journal of Nursing Education (2012).
URL:
https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true
&db=ccm&AN=10439466 6&site=eds-live&scope=site Read “Evidence-Based Practice:
Share the Spirit of Inquiry,” by Arzouman, from MEDSURG Nursing (2015). URL:
https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true
&db=edsovi&AN=edsovi. 00008484.201507000.00001&site=eds-live&scope=site Read
“Adopting Evidence-Based Practice in Clinical Decision Making: Nurses’ Perceptions,
Knowledge, and Barriers,” by Majid, Schubert, Luyt, Zhang, Theng, Chang, and Mokhtar,
from the Journal of the Medial Library Association (2011). URL:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3133901/ For additional information, the
following is recommended: Review the webinar information offered by the GCU Library.
From the “Webinars and Workshops: Webinar Calendar” page, select the “Category” tab and
scroll down to the Nursing and Health Sciences selection. Webinar participation is optional.

5. URL: http://libguides.gcu.edu/webinars …Use of Academic Research Databases Discussion