Searching for Evidence-based Guidelines: Concept Map
Read Top Diagnoses in Primary Care Offices [DOCX]. Review Tables 1 and 2 from the article. Read Searching for Evidence Based Guidelines(1).docx. Evidence-based “practice” guidelines (EBG) are the basis for evidence-based practice. EBGs can be found on government websites or housed within healthcare resources like UpToDate and clinical guideline textbooks. Also, many professional organizations publish guidelines related to their specialty. You can search for EBGs within the databases of the UA Libraries. Critically appraise each guideline to evaluate its validity and applicability to your practice setting. Be sure to check for currency and relevance to your clinical context. Make sure the guideline is from a reputable source and not just a review of the guideline. Search for the actual, most up-to-date guideline from the original source. Consider the context of the patient population, setting, and practice. Avoid using guidelines that are from other countries unless they are unique circumstances that warrant their use. Using Table 2 from the article above, identify a diagnosis that you would like to explore. Select one that you have limited knowledge about but anticipate diagnosing frequently in the clinical setting. Research the diagnosis/disease. Use course resources such as the Comprehensive Physical Exam document, medical apps (examples on Student Resources module in the Course Content area), UpToDate, course textbooks and the 3P textbooks. Research the evidence-based guideline that guides the care for the diagnosis you selected. Follow the instructions below to document a concept map using the Disease Based Concept Map Template [DOCX]. Fill in the responses to the questions provided within each box of the concept map. Delete the instructions from each box in the template prior to completing your work.
NURSING CONCEPT MAP WRITING HELP
Evidence-based “practice” guidelines (EBG) are the basis for evidence-based practice. EBGs can be found on government websites or housed within healthcare resources like UpToDate and clinical guideline textbooks. Also, many professional organizations publish guidelines related to their specialty. You can search for EBGs within the databases of the UA Libraries.
Critically appraise each guideline to evaluate its validity and applicability to your practice setting. Be sure to check for currency and relevance to your clinical context. Make sure the guideline is from a reputable source and not just a review of the guideline. Search for the actual, most up-to-date guideline from the original source. Consider the context of the patient population, setting, and practice. Avoid using guidelines that are from other countries unless they are unique circumstances that warrant their use.
Places to find current guidelines:
- To find guidelines in UpToDate, select a topic, then scroll down in the left column to Guidelines and Resources or Society Guidelines respectively. UpToDate is a free resource for UA students. UpToDate is a free resource for all UA nurse practitioner students. Log in information can be found under the “Student Resources” course menu tab.
- To find current guidelines in UA Library databases, search PubMed and CINAHL. Log in to UA library here: https://www.lib.ua.edu/libraries/rodgers/
- In PubMed: After conducting a topic search, use the Publication Type filters: Guideline, Practice Guideline, Consensus Development Conference, or Consensus Development Conference NIH. Or search for the topic and combine with a search for ("practice guideline"[Publication Type] OR "practice guidelines as topic"[MeSH] OR ("guideline"[Publication Type] OR "guidelines as topic"[MeSH]
- In CINAHL: Search the topic and click on Edit to the right of the results in search history, then select Practice Guideline as a Publication Type. Or combine your topic search with a search for the CINAHL heading - Practice Guidelines.
- U.S. Preventive Task Force (USPSTF) U.S. Preventive Task Force (USPSTF)
- World Health Organization https://www.who.int/publications/who-guidelines
- National Institute of Health (NIH) https://www.nccih.nih.gov/health/providers/clinicalpractice
- Centers for Disease Control and Prevention https://search.cdc.gov/search/?query=clinical%20practice%20guidelines&dpage=1
- Agency for Healthcare Research and Quality: https://www.ahrq.gov
- Professional Organizations post relevant evidence-based medicine reviews or practice guidelines based on their websites. Here are some examples:
- American Diabetes Association: https://professional.diabetes.org/standards-of-care
- American Heart Association https://professional.heart.org/en/guidelines-and-statements
- American Academy of Family Physicians https://www.aafp.org/family-physician/patient-care/clinical-recommendations/clinical-practice-guidelines/clinical-practice-guidelines.html
- American College of Physicians https://www.acponline.org/clinical-information/clinical-guidelines-recommendations
- American Psychiatric Association Psychiatry.org - Clinical Practice Guidelines
- American Academy of Pediatrics American Academy of Pediatrics Guidelines and Clinical Guideline Summaries (guidelinecentral.com)
- American College of Gastroenterology https://gi.org/guidelines/
- American College of Obstetricians and Gynecologists https://www.acog.org/clinical/clinical-guidance/clinical-practice-guideline
- American Headache Society https://americanheadachesociety.org/resources/guidelines/guidelines-position-statements-evidence-assessments-and-consensus-opinions/
- Endocrine Society https://www.endocrine.org/clinical-practice-guidelines
- National Comprehensive Cancer Network: https://www.nccn.org/guidelines/guidelines-process/about-nccn-clinical-practice-guidelines
Disease Based Concept Map
Grading Rubric
Criteria |
Meets Expectations |
Does Not Meet Expectations |
Student Score |
Disease (4 points) |
Names a top diagnosed disease to explore from the chart. (2-4 points) |
Does not explore a disease from the proposed chart of top diagnoses in the US. (0-2 points) |
- |
Physical Assessment (12 points) What body systems should the NP assess for this disease and why? What assessment findings are consistent with this disease? |
Clearly identifies the body systems and expected assessment findings for the disease. (7-12 points) |
Body systems and assessment findings not identified or are partially answered. Lacks thoroughness. (0-6 points) |
- |
Pathophysiology (12 points) In five sentences, explain the underlying pathophysiology of the disease. |
Explains the pathophysiology in a clear, concise manner; writes at least five quality sentences. (7-12 points) |
Writes less than five sentences about the pathophysiology of the disease. Does not fully explain the pathophysiology of the disease. (0-6 points) |
- |
Labs (12 points) List the laboratory tests required to confirm the disease. What constitutes an abnormal finding?
|
Thoroughly lists the appropriate lab tests and abnormal values. Answer is specific to the disease. (7-12 points) |
Does not answer or partially answers the prompt questions. Required labs are missing. (0-6 points) |
- |
Diagnostic Tests (12 points) List the diagnostic tests required to confirm the disease. What constitutes an abnormal finding? |
Thoroughly lists the appropriate diagnostic tests for the disease and discusses abnormal values. Answer is specific to the disease. (7-12 points) |
Does not answer or partially answers the prompt questions. Required diagnostic tests are missing. (0-6 points) |
- |
Evidence-Based Guideline (12 points) Name the EBP Guideline for the disease and provide a URL link to it.
|
Names the EBP guideline. Includes link to EBP guideline. (7-12 points) |
Guideline not named. Does not include link to EBP guideline. (0-6 points) |
- |
Advanced Practice Skills (12 points) Explain the advanced practice skills the NP uses to assess for this condition. What tools would the NP use?
|
Answer is specific and thoroughly explains expected advanced practice skills required to assess the disease. (7-12 points) |
Partially explains relevant advance practice skills used to assess the disease. Does not answer the prompt questions. Lacks specificity. (0-6 points) |
- |
Pharmacologic (12 points) Name the drug of choice used to treat the condition, including the MOA, Indications, Common AE, Serious AE, Dosing, Administration, CI, and Interactions. If a class of medication is first line, choose a medication in that drug class to discuss here.
|
Excellent, clear demonstration of the pharmacologic treatment and how that treatment works on the pathophysiology of the disease (MOA). Includes all appropriate considerations and indications for the drugs. Contains appropriate dosing based on the case. (7-12 points) |
Poor demonstration or no demonstration of the pharmacologic treatment and how that treatment works on the pathophysiology of the disease (MOA). Little to no information about considerations, indications, and dosing. (0-6 points) |
- |
Patient Education (12 points) List five education facts the NP should discuss with the patient and support person related to the disease. Ideas include explaining the diagnosis, symptoms that warrant a return to the clinic or ER, medication adverse side effects, required lab monitoring, etc. Provide a link to an evidence- based educational resource the NP should provide to the patient (i.e., CDC, UpToDate, national association like the AHA).
|
Comprehensive education plan is outlined and addresses such things as medications, labs, referrals, SDOH, and follow-up with clarity and relevance to the patient's situation. A link to an evidence-based patient handout is provided from a reputable organization/website, such as the CDC. (7-12 points) |
Patient education plan is unclear, or not relevant to the patient's situation, hindering understanding of the proposed plan. A link may or may not be included; it is not evidence based or from a reputable organization/website like the CDC. (0-6 points) |
- |
Total points for assignment: 100