UpToDate web application
Jun 17, 2022, 10:02 AM
Immediately the first resource that comes to mind is UpToDate, a web-based application that is highly regarded by medical professionals for its reliability and communal forum. I was first exposed to UpToDate when I switched from working in the emergency department to the neurology department. The physicians and nurse practitioners of the team use it frequently and showed the benefits. UpToDate is a great resource as it provides evidence based information about many different medical diagnoses. One of the great attributes of the website is that it is as implied in the name, up to date on recent information and data. It is a reliable resource as it is peer reviewed and verified for the accuracy of the information provided. I have really grown to appreciate the section provided that includes a list of differential diagnosis that is provided on most medical condition pages. Nurse practitioners who support evidence-based nursing practice create a culture of inquiry and lay the foundation for the use of evidence to make informed clinical decisions (Majers & Warshawksy, 2020). Ideally I should incoporate more time reading new journals sent to me from my different memberships such as AAN and ANA as those will allow me to stay concurrent with new study and trial results. One barrier that we should be self aware of is the common aversion to change when new practices or suggested (Duncombe, 2017). Having an open mind to change from what is our routine will allow more room for growth. Participating in committees also allows a space for exposure to current and innovative practices that may occur at the facilities that we work at.
Duncombe, D.C. (2017) A multi-institutional study of the perceived barriers and facilitators to implementing evidence-based practice. Journal of Clinical Nursing 27(5-6), 12161-1226. Doi: https://doi.org/10.1111/jocn.14168
Majers, J.S., Warshawksy, N. (2020). Evidence-based decision-making for nurse leaders. Nurse 18(5), 471-475. Retrieved from https://www.sciencedirect.com/science/article/pii/S1541461220301385?casa_token=EgCxoHHrArUAAAAA:GRzPltHpBhfiCr4BIf0cKS-CYakK3CW2xbf9b8TSVbWXSBKWy1bTvkoUYQZqk48zv43sweewQ_4