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Evidence on a chosen diagnosis in NURS-FPX4030 Assessment 1

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NURS-FPX4030: Making Evidence-Based Decisions

Assessment 1: Locating Credible Databases and Research

Capella University | BSN Nursing | Fall 2026


Assessment Overview

Evidence-based practice (EBP) separates nursing care that works from nursing care that merely continues. This assessment asks you to build the research foundation for a clinical decision by locating, evaluating, and ranking credible sources around a diagnosis you will carry through the course. The skills you practise here, database selection, search strategy, source ranking, and professional communication, sit underneath every later assessment in NURS-FPX4030.

You will choose one diagnosis from the approved list, identify five credible online sources for evidence about that diagnosis, rank them from most to least useful for a practising nurse, and explain why each source belongs in the list. Three of the five sources must be specific to your chosen diagnosis.


Learning Outcomes

By completing this assessment, you will demonstrate:

  1. Interpretation of findings from scholarly quantitative, qualitative, and outcomes research.

  2. Analysis of the relevance and potential effectiveness of evidence when making clinical decisions.

  3. Planning of care based on the best available evidence.

  4. Application of professional, scholarly communication strategies to lead practice changes.


Scenario

You supervise three nurses on a medical-surgical floor of a teaching hospital. The hospital maintains a computer lab with an online library providing access to CINAHL, PubMed, Medline, and the Cochrane Library, alongside hospital policies and guidelines at nurse workstations. A new nurse who joined the unit two weeks ago is assigned a patient with a diagnosis she has not encountered in clinical placement. During shift report, she admits she does not know where to start looking for evidence about the condition. Your task is to produce a resource she can use immediately.

For this assessment, use the Capella University Library to simulate the hospital’s online library.


Approved Diagnoses

Select one diagnosis. You will use this diagnosis across subsequent assessments in the course.

  • Urinary Tract Infection (UTI): Infection in any part of the urinary system. Interventions: antibiotic therapy, increased fluid intake, urinary analgesics, bladder training. Keywords: cystitis, pyelonephritis, bacteriuria, dysuria, urinary frequency.

  • Deep Vein Thrombosis (DVT): Blood clot in a deep vein, usually in the legs. Interventions: anticoagulant therapy, compression stockings, leg elevation, mobility education. Keywords: venous thromboembolism, pulmonary embolism, clotting factors, INR monitoring, heparin.

  • Cellulitis: Bacterial skin infection that can spread. Interventions: antibiotic therapy, warm compresses, elevation, wound care. Keywords: skin infection, erythema, edema, abscess, staphylococcus.


Assessment Instructions

Create a 2–4 page resource that describes databases relevant to EBP around your chosen diagnosis and that a new hire nurse could use to engage in EBP. Address the following:

1. Communication Strategies

Describe communication strategies that encourage nurses to research a diagnosis, along with strategies to collaborate with nurses to access resources. Note specific benefits of these strategies for building professional competence or a positive professional relationship. Cite literature to support your discussion.

2. Best Places to Complete Research

Describe the best places to complete research within the workplace environment and what types of resources one would want to access to find pertinent information for the diagnosis. Note one or more reasons for using these places within the healthcare setting.

3. Five Sources of Online Information

Identify five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence for your chosen diagnosis. Ensure three of the five are specific to the diagnosis. Rank the sources from most useful for nurses to least useful.

4. Source Justification

Explain why the sources selected should provide the best evidence for the chosen diagnosis. Move beyond listing sources; justify each selection with reference to currency, relevance, authority, accuracy, and purpose.

5. Academic Writing

Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style.


Grading Rubric

Criteria Non-Performance (0) Basic (1) Proficient (2) Distinguished (3)
Communication strategies Does not describe communication strategies. Lists communication strategies without development. Describes communication strategies to encourage research and collaborate on resource access. Describes strategies and notes specific benefits for professional competence or relationship building. Cites literature.
Best places for research Does not describe best places. Lists places without development. Describes best places and resource types for finding diagnosis-specific information. Describes places, resource types, and notes reasons for using them within the healthcare setting.
Five sources identified Does not identify sources. Identifies fewer than five, or sources are inappropriate. Identifies five sources, with three specific to the diagnosis. Identifies five sources, three diagnosis-specific, and ranks them from most to least useful.
Source justification Does not explain sources. Identifies sources without clear relevance explanation. Explains why sources provide best evidence for the diagnosis. Explains and justifies source selection with reference to credibility criteria.
APA and writing Writing is unclear; APA absent. Writing has errors; APA inconsistent. Writing is clear and logical; APA mostly correct. Writing is professional; APA correct throughout; grammar and spelling error-free.

Submission Requirements

  • Format: APA 7th edition title page, body, reference list.

  • Length: 2–4 pages, excluding title page and references.

  • Font: Times New Roman 12 pt or Calibri 11 pt, double-spaced.

  • Sources: Minimum of three peer-reviewed sources published within the last five years.

  • File naming: LastnameFirstinitial_NURS-FPX4030_Assessment1.docx


Sample Response Excerpt

A new nurse on a medical-surgical unit faces a patient with cellulitis and has no clinical experience with the condition. The supervising nurse can bridge that gap by pairing a brief, structured orientation to the hospital’s online library with a modelled search. Walking through a CINAHL search in real time, narrating term choices, and pointing out the “Evidence-Based Practice” filter turns an abstract expectation into a visible procedure. Collaboration continues when the senior nurse schedules fifteen minutes at the end of shift to review what the new nurse found and to correct search errors without judgment. This approach reflects what the literature identifies as a core feature of evidence-based mentorship: learning happens through guided practice rather than through instruction alone . A mentor who demonstrates a search strategy and then observes the mentee replicate it builds both skill and confidence. The new nurse learns where to look and how to recognise a credible result, which matters more than receiving a pre-made reading list.

The best places to complete research sit inside the workplace infrastructure the hospital already funds. The online library, accessible from the computer lab and nurse workstations, provides CINAHL, PubMed, Medline, and the Cochrane Library alongside hospital policy databases and clinical guidelines. These resources matter because they carry the indexing, peer review, and currency checks that general web searches cannot supply. A search conducted through CINAHL with the term “cellulitis” and the filter for systematic reviews returns a different quality of result than a search engine query returns. The hospital’s own policy database adds a second layer: local protocols translate broad evidence into the specific actions expected on that unit. Nurses who use both layers can move from evidence to action without leaving the clinical environment.

Five sources anchor the resource. CINAHL ranks first for nursing-specific evidence on cellulitis because it indexes nursing journals that PubMed does not prioritise, and its subject headings capture nursing interventions with more precision than MeSH terms alone. PubMed ranks second: broad coverage of biomedical literature means it captures dermatology and infectious disease research that nursing databases may miss, and its clinical queries filters support rapid retrieval of systematic reviews. The Cochrane Library ranks third for its systematic reviews and meta-analyses, which carry the highest level of evidence for treatment questions, though the narrow scope means it may return fewer cellulitis-specific results than CINAHL. The hospital policy database ranks fourth because it translates evidence into unit-level expectations, yet policies lag behind new evidence by design and should not serve as a standalone source. The Journal of Wound Care ranks fifth: it publishes practice-relevant cellulitis and skin infection research, though it covers a narrower range than the major databases. This ranking reflects the principle that the best source depends on the question being asked, not on a fixed hierarchy of database prestige.


Follow-Up Discussion

Search Strategy Documentation

Documenting the search strategy separates a rigorous assessment from a casual literature scan. Record the databases searched, the exact terms and Boolean operators used, the filters applied (publication date, peer review, language), and the number of results each combination returned. This record allows a reader to reproduce the search and judge whether the sources selected actually represent the available evidence. McClinton’s guidance on formulating a PICOT question from an assigned area of inquiry emphasises that the question structure drives the search structure; a vague question produces vague terms and unreliable results . The rubric criterion on source justification implicitly rewards this discipline, because a source that appears without a documented search trail is difficult to defend as the best available evidence. Search documentation also protects against the common failure of using too narrow a term set, which returns thin results and leaves the writer concluding that no evidence exists when the search was simply too narrow.

Source Ranking Logic

Ranking five sources from most to least useful forces a decision that many students avoid: not all credible sources serve the same purpose. A common misconception holds that peer-reviewed always outranks a hospital policy or a clinical guideline. That hierarchy collapses when the question is about local implementation. A Cochrane review may carry the strongest evidence for whether an intervention works, yet it cannot tell a nurse what the unit’s infection-control protocol requires for a cellulitis dressing change. The Johns Hopkins Evidence-Based Practice Model addresses this by separating evidence level from evidence applicability; a source can be high-level and still low-relevance for a specific practice decision . Ranking should therefore reflect the question being asked, not a fixed prestige order. A second misconception treats database coverage as interchangeable. CINAHL and PubMed overlap substantially but not completely, and a search conducted in one without the other risks missing diagnosis-specific nursing literature. The ranking exercise is a test of whether the writer understands what each source is for.

Communication and Mentorship Evidence

The communication strategies criterion asks for more than a list of nice behaviours. It asks for strategies with a documented mechanism and a cited rationale. Structured mentoring, modelled searching, and scheduled follow-up each appear in the evidence-based practice literature as factors associated with research engagement among new nurses. A randomised controlled trial of a clinical scenario-based education programme found that structured, interactive EBP training improved knowledge, skills, and implementation among hospital nurses . That finding supports the shift from telling a new nurse to “look it up” toward showing her how, then checking what she found. The professional relationship benefit matters too: a mentee who receives corrective feedback without judgment is more likely to ask for help again, which sustains the learning beyond a single patient encounter. Communication strategy and source selection are not separate rubric items in practice; the strategy determines whether the sources ever get used.


Conclusion

This assessment builds a resource that a real new nurse could open on a real shift. The diagnosis you choose becomes the thread that runs through the search, the ranking, and the justification. What matters most is not the number of sources listed but whether the reasoning behind each selection holds up when someone asks why that source and not another. A resource that ranks CINAHL first because of nursing-specific indexing and puts a hospital policy lower because policies lag behind evidence demonstrates exactly the kind of judgement the rubric is looking for. Keep the search record. It will make Assessment 2 easier, because credibility evaluation starts from the sources you already found and already justified.


References

Alotaibi, A. N., Alanazi, E. M., Alsubaie, H. S., & Alotaibey, M. H. (2024). The impact of nursing interventions on patient care outcomes: A systematic review of evidence-based practices and holistic approaches. Journal of Posthumanism, 4(3), 1606–1616. https://doi.org/10.63332/joph.v4i3.3354

McClinton, T. D. (2022). Formulating a PICOT from assigned areas of inquiry. Worldviews on Evidence-Based Nursing, 19(5), 426–427. https://doi.org/10.1111/wvn.12598

Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Wolters Kluwer.

Morimoto, A., et al. (2025). Development and evaluation of a clinical scenario-based education program to enhance evidence-based practice knowledge, skills, and implementation among hospital nurses: A randomized controlled trial. Japan Journal of Nursing Science. https://doi.org/10.1111/jjns.70030

Willis, L. D. (2023). Formulating the research question and framing the hypothesis. Respiratory Care, 68(8), 1180–1185. https://doi.org/10.4187/respcare.10975

NURS-FPX4030 Assessment 1: Locating Credible Databases and Research

Capella University | BSN Nursing | Fall 2026

Assessment Overview

Evidence-based practice separates nursing care that works from nursing care that merely continues. In NURS-FPX4030 Assessment 1, you will build the research foundation for a clinical decision by locating, evaluating, and ranking credible sources related to one approved diagnosis. The skills practised here, including database selection, search strategy, source ranking, and professional communication, support every later assessment in the course.

You will choose one diagnosis from the approved list, identify five credible online sources for evidence about that diagnosis, rank the sources from most to least useful for a practising nurse, and explain why each source belongs on the list. Three of the five sources must be specific to the selected diagnosis.

Learning Outcomes

By completing this assessment, you will demonstrate the ability to:

  • Interpret findings from scholarly quantitative, qualitative, and outcomes research.
  • Analyse the relevance and potential effectiveness of evidence when making clinical decisions.
  • Plan care based on the best available evidence.
  • Apply professional, scholarly communication strategies to lead practice changes.

Scenario

You supervise three nurses on a medical-surgical floor of a teaching hospital. The hospital maintains a computer lab with an online library providing access to CINAHL, PubMed, Medline, and the Cochrane Library, alongside hospital policies and guidelines at nurse workstations. A new nurse who joined the unit two weeks ago is assigned a patient with a diagnosis she has not encountered in clinical placement. During shift report, she states that she does not know where to begin looking for evidence about the condition. Your task is to produce a resource she can use immediately.

For this assessment, use the Capella University Library to simulate the hospital’s online library.

Approved Diagnoses

Select one diagnosis. You will use this diagnosis across subsequent assessments in the course.

  • Urinary tract infection (UTI): Infection in any part of the urinary system. Interventions include antibiotic therapy, increased fluid intake, urinary analgesics, and bladder training. Keywords include cystitis, pyelonephritis, bacteriuria, dysuria, and urinary frequency.
  • Deep vein thrombosis (DVT): Blood clot in a deep vein, usually in the legs. Interventions include anticoagulant therapy, compression stockings, leg elevation, and mobility education. Keywords include venous thromboembolism, pulmonary embolism, clotting factors, INR monitoring, and heparin.
  • Cellulitis: Bacterial skin infection that can spread. Interventions include antibiotic therapy, warm compresses, elevation, and wound care. Keywords include skin infection, erythema, oedema, abscess, and staphylococcus.

Assessment Instructions

Create a 2–4 page resource that describes databases relevant to evidence-based practice for your chosen diagnosis and that a newly hired nurse could use to engage in evidence-based practice. Address each requirement below.

1. Communication Strategies

Describe communication strategies that encourage nurses to research a diagnosis, along with strategies to collaborate with nurses to access resources. Identify specific benefits of these strategies for building professional competence or a positive professional relationship. Support the discussion with current literature.

2. Best Places to Complete Research

Describe the best places to complete research within the workplace environment and the types of resources a nurse should access to find pertinent information for the diagnosis. Provide one or more reasons for using these places within the healthcare setting.

3. Five Sources of Online Information

Identify five sources of online information, such as medical journal databases, professional websites, or hospital policy databases, that could be used to locate evidence for the chosen diagnosis. Ensure that three of the five sources are specific to the diagnosis. Rank the sources from most useful for nurses to least useful.

4. Source Justification

Explain why the selected sources should provide the best evidence for the chosen diagnosis. Move beyond listing sources; justify each selection using currency, relevance, authority, accuracy, and purpose.

5. Academic Writing

Communicate using clear, logical, and professional writing with correct grammar and spelling in current APA style.

Grading Rubric

Criteria Non-Performance (0) Basic (1) Proficient (2) Distinguished (3)
Communication strategies Does not describe communication strategies. Lists communication strategies without development. Describes communication strategies to encourage research and collaborate on resource access. Describes strategies and notes specific benefits for professional competence or relationship building. Cites literature.
Best places for research Does not describe best places. Lists places without development. Describes best places and resource types for finding diagnosis-specific information. Describes places, resource types, and reasons for using them within the healthcare setting.
Five sources identified Does not identify sources. Identifies fewer than five sources or inappropriate sources. Identifies five sources, with three specific to the diagnosis. Identifies five sources, three diagnosis-specific, and ranks them from most to least useful.
Source justification Does not explain sources. Identifies sources without clear relevance explanation. Explains why sources provide the best evidence for the diagnosis. Explains and justifies source selection using credibility criteria.
APA and writing Writing is unclear; APA is absent. Writing contains errors; APA is inconsistent. Writing is clear and logical; APA is mostly correct. Writing is professional; APA is correct throughout; grammar and spelling are error-free.

Submission Requirements

  • Format: APA 7th edition title page, body, and reference list.
  • Length: 2–4 pages, excluding the title page and references.
  • Font: Times New Roman 12 pt or Calibri 11 pt, double-spaced.
  • Sources: Minimum of three peer-reviewed sources published within the last five years.
  • File naming: LastnameFirstinitial_NURS-FPX4030_Assessment1.docx

Sample Response Excerpt: Building Research Confidence for Cellulitis

A new nurse assigned a patient with cellulitis needs a direct, non-judgemental route into the evidence. The supervising nurse can begin by pairing a brief orientation to the hospital’s online library with a modelled search. Demonstrating a CINAHL search in real time, explaining the choice of terms such as “cellulitis,” “skin infection,” and “antibiotic therapy,” and showing how to apply an evidence-based practice filter makes the process visible rather than abstract. Collaboration continues when the senior nurse schedules fifteen minutes at the end of shift to review the search results and correct errors without criticism. Evidence-based practice competencies include locating evidence, appraising its quality, and applying it to patient care, so mentorship should address each step rather than simply handing over a reading list (Melnyk et al., 2018). A mentor who demonstrates a search and then observes the new nurse repeat it builds both skill and confidence. The new nurse learns where to look and how to recognise a credible result, which matters more than receiving a prepared list of articles.

The hospital library, nurse workstations, and unit-based policy manuals are the most practical research locations because they place evidence close to the point of care. CINAHL, PubMed, Medline, and the Cochrane Library should be the first databases searched because they index peer-reviewed nursing, medical, and systematic-review evidence. For cellulitis, the nurse should also consult the hospital’s antimicrobial policy, wound-care protocol, and infection-prevention guidance before changing practice. Barriers such as limited time, unfamiliar search skills, and difficulty judging study quality commonly affect evidence-based practice implementation, so supervisors should remove practical obstacles rather than expect independent mastery immediately (Li et al., 2019). A short, structured search routine can fit into clinical work: identify the clinical question, search two databases, prioritise systematic reviews or guidelines, and confirm local policy alignment. This routine gives the new nurse a repeatable method for future unfamiliar diagnoses.

Ranking Credible Cellulitis Sources

The five sources should be ranked according to usefulness at the bedside. The Cochrane Library ranks first because systematic reviews synthesise multiple studies and reduce the risk of relying on one weak trial. CINAHL ranks second because it provides nursing-specific research on wound assessment, patient education, and nursing interventions. PubMed or Medline ranks third because it offers broad biomedical coverage, including randomised trials and clinical guidance. A current hospital antimicrobial or skin-and-soft-tissue-infection policy ranks fourth because it translates evidence into locally approved care. The CDC cellulitis webpage ranks fifth because it is authoritative and accessible but provides less depth than peer-reviewed databases or systematic reviews.

  • The Cochrane Library supports decisions through systematic reviews and explicit appraisal of study quality.
  • CINAHL supports nursing-sensitive questions about assessment, education, prevention, and care coordination.
  • PubMed and Medline support broader clinical questions, including antibiotic selection, complications, and diagnostic accuracy.
  • Hospital policy databases confirm whether recommended interventions are authorised within the organisation.
  • Government health websites provide reliable background information but should not replace peer-reviewed evidence for complex clinical decisions.

Justifying Source Quality

Source selection must rest on more than familiarity with a website. Currency matters because cellulitis management changes with antimicrobial resistance patterns, local guidelines, and new evidence on topical or systemic treatment. Authority matters because peer-reviewed journals, systematic-review databases, professional societies, and government health agencies apply editorial or methodological review. Accuracy requires that claims trace back to primary studies or recognised clinical guidance rather than unsupported opinion. Relevance requires a direct connection to cellulitis assessment, treatment, monitoring, or patient education. Purpose should also be examined; a pharmaceutical website may contain accurate information but can serve a commercial purpose, so it should not outrank independent clinical evidence. The World Society of Emergency Surgery guidelines, for example, provide structured recommendations for skin and soft tissue infections and demonstrate how professional societies translate research into practice recommendations (Sartelli et al., 2020).

Common Search Mistakes

Students often treat any website with medical language as credible evidence. A better test asks whether the source identifies its authors, publication or update date, evidence base, and intended audience. Another common error is searching only for the diagnosis name; adding intervention terms such as “antibiotic therapy,” “wound care,” “compression,” or “patient education” produces more usable results. A third error is confusing background information with best evidence. A CDC page may explain cellulitis clearly, but a systematic review or current clinical guideline carries greater weight when the question concerns treatment effectiveness. New nurses should also avoid copying a single study finding into practice without checking whether the evidence has been synthesised, reviewed by a professional body, and permitted by organisational policy.

Conclusion

A strong response to this assessment does more than name five websites. It shows how a supervising nurse can help a new colleague turn an unfamiliar diagnosis into a manageable clinical question, locate high-quality evidence, and connect that evidence to safe care. The strongest papers explain communication strategies in practical terms, identify realistic workplace research locations, rank five credible sources, and justify each ranking using currency, relevance, authority, accuracy, and purpose. For cellulitis, the most useful sequence begins with systematic reviews, moves to nursing and biomedical databases, then checks hospital policy before applying evidence at the bedside. A clear search routine gives the new nurse independence rather than dependence on senior staff. The final resource should read as something a nurse could use during a busy shift, not as a general essay about evidence-based practice.

References

  • Li, S., Cao, M., & Zhu, X. (2019). Evidence-based practice: Knowledge, attitudes, implementation and barriers in nursing and midwifery professionals: A cross-sectional survey. Worldviews on Evidence-Based Nursing, 16(6), 493–502. https://doi.org/10.1111/wvn.12407
  • Melnyk, B. M., Gallagher-Ford, L., Zellefrow, C., Tucker, S., VanLeuvan, P., & Fineout-Overholt, E. (2018). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings. Worldviews on Evidence-Based Nursing, 15(1), 38–47. https://doi.org/10.1111/wvn.12253
  • Sartelli, M., Guirao, X., Hardcastle, T. C., et al. (2020). 2020 update of the WSES guidelines for the management of skin and soft tissue infections. World Journal of Emergency Surgery, 15, Article 49. https://doi.org/10.1186/s13017-020-00318-3
  • Centers for Disease Control and Prevention. (2024). Cellulitis: Clinical overview. https://www.cdc.gov/group-a-strep/hcp/clinical-overview/cellulitis.html
  • Cochrane Library. (2026). Cochrane evidence: Skin and soft tissue infections. https://www.cochranelibrary.com/

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NURS-FPX4030: Making Evidence-Based Decisions

Assessment 1: Locating Credible Databases and Research

Institution: Capella University | Program: BSN Nursing (FlexPath) | Study Period: Fall 2026

Assessment Type: Written Resource Paper | Length: 2-4 pages (excluding title page and reference list)

Formatting: APA 7th Edition | Font: Times New Roman 12 pt or Calibri 11 pt, double-spaced

Assessment Overview and Professional Context

Evidence-based practice (EBP) separates nursing care that produces measurable outcomes from care that merely continues without question. NURS-FPX4030 Assessment 1 builds the research foundation you will use across every subsequent assessment in this course. You will select one diagnosis from the approved list, identify five credible online sources for evidence about that diagnosis, rank them from most to least useful for a practising nurse, and justify each selection using standard credibility criteria. The communication strategies, database selection skills, and source evaluation habits you develop here underpin clinical reasoning, care planning, and practice change leadership in later modules.

As a baccalaureate-prepared nurse, you will supervise clinical staff, mentor new graduates, and model how to turn a clinical question into a searchable problem and then into an evidence-based intervention. This assessment asks you to produce a resource that a new hire nurse could open during a shift and use immediately. The document must describe where to search, what to search for, and why the selected sources deserve trust. Currency, relevance, authority, accuracy, and purpose; the CRAAP framework; should guide every justification.

Learning Outcomes

By completing this assessment, you will demonstrate the ability to:

  • Interpret findings from scholarly quantitative, qualitative, and outcomes research.
  • Analyse the relevance and potential effectiveness of evidence when making clinical decisions.
  • Plan care based on the best available evidence.
  • Apply professional, scholarly communication strategies to lead practice changes and mentor novice nurses.

Clinical Scenario

You supervise three registered nurses on a medical-surgical floor of a teaching hospital. The hospital maintains a computer lab with an online library that provides access to CINAHL, PubMed, Medline, and the Cochrane Library. Nurse workstations also connect to hospital policy databases and clinical guideline portals. During shift report, a nurse who completed orientation two weeks ago tells you that one of her assigned patients carries a diagnosis she has never managed in clinical placement. She does not know which database to open first, which keywords to use, or how to recognise a credible result. Your task is to produce a 2-4 page resource she can use to locate, evaluate, and rank evidence about the diagnosis.

For this assessment, use the Capella University Library to simulate the hospital’s online library environment.

Approved Diagnoses

Select one diagnosis. You will carry this diagnosis through subsequent assessments in NURS-FPX4030.

Option A: Urinary Tract Infection (UTI)

Infection in any part of the urinary system. Common interventions include antibiotic therapy, increased fluid intake, urinary analgesics, and bladder training. Suggested keywords: cystitis, pyelonephritis, bacteriuria, dysuria, urinary frequency.

Option B: Deep Vein Thrombosis (DVT)

Blood clot in a deep vein, usually in the lower extremities. Common interventions include anticoagulant therapy, compression stockings, leg elevation, and mobility education. Suggested keywords: venous thromboembolism, pulmonary embolism, clotting factors, INR monitoring, heparin.

Option C: Cellulitis

Bacterial skin infection that can spread rapidly without treatment. Common interventions include antibiotic therapy, warm compresses, elevation, and wound care. Suggested keywords: skin infection, erythema, edema, abscess, staphylococcus.

Assessment Instructions

Create a 2-4 page resource that describes databases and online sources relevant to EBP around your chosen diagnosis and that a new hire nurse could use to engage in evidence-based practice. Address every element below. Each element aligns directly with the scoring guide criteria.

1. Communication and Collaboration Strategies

Describe communication strategies that encourage nurses to research a diagnosis, along with strategies to collaborate with nurses to access resources. Note specific benefits of these strategies for building professional competence or a positive professional relationship. Cite literature to support your discussion. Avoid simply listing behaviours; explain the mechanism by which each strategy works and why it matters in a busy clinical environment.

2. Best Places to Complete Research

Describe the best places to complete research within the workplace environment and what types of resources one would want to access to find pertinent information for the diagnosis. Note one or more reasons for using these places within the healthcare setting. Explain why proximity to clinical areas, librarian support, or integration with electronic health records matters.

3. Five Sources of Online Information

Identify five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence for your chosen diagnosis. Ensure that three of the five sources are specific to your chosen diagnosis. Rank the sources from most useful for nurses to least useful. The ranking should reflect the clinical question, not a fixed prestige order.

4. Source Justification

Explain why the sources selected should provide the best evidence for the chosen diagnosis. Move beyond listing sources; justify each selection with reference to currency, relevance, authority, accuracy, and purpose. A source can be highly credible yet low relevance for a specific practice decision, so connect each justification to the diagnosis you selected.

5. Academic Writing and APA Format

Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style. Include a properly formatted title page, body, and reference list. Use active voice where appropriate, define any term a novice nurse may not know, and keep jargon to a minimum.

Submission Requirements

  • Length: 2-4 pages, excluding title page and reference list.
  • Format: APA 7th edition title page, body, and reference list.
  • Font and spacing: Times New Roman 12 pt or Calibri 11 pt, double-spaced.
  • Sources: Minimum of three peer-reviewed sources published within the last five years (2018-2026).
  • File naming: LastnameFirstinitial_NURS-FPX4030_Assessment1.docx

Grading Rubric / Scoring Guide

Criteria Non-Performance (0) Basic (1) Proficient (2) Distinguished (3)
Communication strategies Does not describe communication strategies. Lists communication strategies without development. Describes communication strategies to encourage research and collaborate on resource access. Describes strategies and notes specific benefits for professional competence or relationship building. Cites literature.
Best places for research Does not describe best places. Lists places without development. Describes best places and resource types for finding diagnosis-specific information. Describes places, resource types, and notes reasons for using them within the healthcare setting.
Five sources identified Does not identify sources. Identifies fewer than five, or sources are inappropriate. Identifies five sources, with three specific to the diagnosis. Identifies five sources, three diagnosis-specific, and ranks them from most to least useful.
Source justification Does not explain sources. Identifies sources without clear relevance explanation. Explains why sources provide best evidence for the diagnosis. Explains and justifies source selection with reference to credibility criteria (currency, relevance, authority, accuracy, purpose).
APA and writing Writing is unclear; APA absent. Writing has errors; APA inconsistent. Writing is clear and logical; APA mostly correct. Writing is professional; APA correct throughout; grammar and spelling error-free.

Sample Answer Excerpt: Communication and Collaboration for EBP Engagement

A new nurse on a medical-surgical unit faces a patient with cellulitis and has no clinical experience with the condition. The supervising nurse can bridge that gap by pairing a brief, structured orientation to the hospital’s online library with a modelled search. Walking through a CINAHL search in real time, narrating term choices, and pointing out the “Evidence-Based Practice” filter turns an abstract expectation into a visible procedure. Collaboration continues when the senior nurse schedules fifteen minutes at the end of shift to review what the new nurse found and to correct search errors without judgment. This approach reflects what the literature identifies as a core feature of evidence-based mentorship: learning happens through guided practice rather than through instruction alone. Koçak et al. (2025) found that nurses who received structured EBP-based mentor training showed significantly higher EBP knowledge and implementation scores than controls, which suggests that mentorship works best when it is systematic rather than incidental. The new nurse learns where to look and how to recognise a credible result, which matters more than receiving a pre-made reading list.

Follow-Up: Why Mentored Search Practice Outperforms Independent Trial and Error

Mentored search practice outperforms independent trial and error because it targets the exact moment where novice nurses struggle, the translation of a clinical question into a searchable string. Agnel et al. (2025) conducted a scoping review of EBP mentor impact and found that mentors who modelled database navigation and then observed mentees replicate the search produced higher sustained research engagement than those who simply directed nurses to library links. The mechanism is twofold. First, modelling reduces the cognitive load of simultaneously learning a new diagnosis and a new database interface. Second, scheduled follow-up creates accountability without surveillance, which builds trust. A mentor who demonstrates a search strategy and then observes the mentee replicate it builds both skill and confidence. The professional relationship benefit matters too; a mentee who receives corrective feedback without judgment is more likely to ask for help again, which sustains learning beyond a single patient encounter. Communication strategy and source selection are not separate rubric items in practice; the strategy determines whether the sources ever get used.

Follow-Up: Search Strategy Documentation and Common Student Misconceptions

Documenting the search strategy separates a rigorous assessment from a casual literature scan. Record the databases searched, the exact terms and Boolean operators used, the filters applied (publication date, peer review, language), and the number of results each combination returned. This record allows a reader to reproduce the search and judge whether the sources selected actually represent the available evidence. A common misconception holds that peer-reviewed always outranks a hospital policy or a clinical guideline. That hierarchy collapses when the question is about local implementation. A Cochrane review may carry the strongest evidence for whether an intervention works, yet it cannot tell a nurse what the unit’s infection-control protocol requires for a cellulitis dressing change. The Johns Hopkins Evidence-Based Practice Model addresses this by separating evidence level from evidence applicability; a source can be high-level and still low-relevance for a specific practice decision. Ranking should therefore reflect the question being asked, not a fixed prestige order. Another misconception treats database coverage as interchangeable. CINAHL and PubMed overlap substantially but not completely, and a search conducted in one without the other risks missing diagnosis-specific nursing literature. The ranking exercise tests whether the writer understands what each source is for.

Follow-Up: Workplace Research Locations and Resource Types

The best places to complete research sit inside the workplace infrastructure the hospital already funds. The online library, accessible from the computer lab and nurse workstations, provides CINAHL, PubMed, Medline, and the Cochrane Library alongside hospital policy databases and clinical guidelines. These resources matter because they carry the indexing, peer review, and currency checks that general web searches cannot supply. A search conducted through CINAHL with the term “cellulitis” and the filter for systematic reviews returns a different quality of result than a search engine query returns. The hospital’s own policy database adds a second layer; local protocols translate broad evidence into the specific actions expected on that unit. Nurses who use both layers can move from evidence to action without leaving the clinical environment. Quiet study rooms near the unit also serve a purpose; they allow nurses to read and synthesise findings without the interruptions that fragment clinical reasoning. The key is proximity: resources located far from the unit discourage use, while workstations integrated into the workflow encourage it.

Conclusion

This assessment builds a resource that a real new nurse could open on a real shift. The diagnosis you choose becomes the thread that runs through the search, the ranking, and the justification. What matters most is not the number of sources listed but whether the reasoning behind each selection holds up when someone asks why that source and not another. A resource that ranks CINAHL first because of nursing-specific indexing and puts a hospital policy lower because policies lag behind evidence demonstrates exactly the kind of judgement the rubric rewards. Keep the search record. It will make Assessment 2 easier, because credibility evaluation starts from the sources you already found and already justified.

References and Learning Materials

Note: The following references are real, verifiable sources published between 2018 and 2026. Use them to support your discussion of communication strategies, EBP mentorship, and source evaluation.

  1. Agnel, J., Molle, J., Colson, S., & Chays-Amania, A. (2025). The impact of the evidence-based practice mentor on nurses: A scoping review. Worldviews on Evidence-Based Nursing. https://doi.org/10.1111/wvn.70016
  2. Koçak, V., Arslan, S., & Aldem, M. (2025). Effectiveness of evidence-based practice-based mentor nurse training program: A quasi-experimental controlled study design. Worldviews on Evidence-Based Nursing. https://doi.org/10.1111/wvn.70069
  3. Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in nursing and healthcare: A guide to best practice (5th ed.). Wolters Kluwer.
  4. Ratcliffe, C. (2023). Teaching source evaluation to undergraduate nursing students: Comparing the CRAAP test and the source + beyond the source framework. College and Research Libraries. https://crl.acrl.org/index.php/crl/article/view/27487/35239
  5. Vlerick, I., Kinnaer, L. M., Delbaere, B., & Coolbrandt, A. (2023). Characteristics and effectiveness of mentoring programmes for specialized and advanced practice nurses: A systematic review. Journal of Advanced Nursing. https://doi.org/10.1111/jan.16023

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