NRS 493: Professional Capstone and Practicum

Please use about 150 words for each Discussion Question and cite 2 references each.

Topic 1, Discussion Question 1:
Identify two GCU Library scholarly databases that will help you find the best research articles to support your capstone project change proposal. Discuss why these two databases are better than Google Scholar or a general Internet search.

Topic 1, Discussion Question 2:
The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020. According to, the United States is currently at approximately 15%. Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which identified barriers may be addressed.

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Topic 1, Discussion Question 1

Scholarly databases

The Cumulative Index to Nursing and Allied Health Literature (CINAHL) and MEDLINE are two GCU library databases that will help me find the best research articles to support my project change proposal. According to Oermann et al. (2021), PubMed acts as the search engine for accessing MEDLINE. MEDLINE has citations from over 5,200 scholarly journals. Hopia and Heikkila (2020) indicate that the CINAHL database is believed to be a very significant electronic database for nurse researchers and nurses.

CINAHL and MEDLINE databases are better than a general Internet search or Google Scholar because they are credible and are less likely to contain predatory journal articles. According to Oermann et al. (2021), predatory nursing journals do not comply with ethical and quality publishing standards. Citations of articles in these journals might be found when searching Google Scholar or Google,   which make these citations easily accessible but potentially leading to the integration of low quality into nursing literature. On the contrary, searches via credible databases Scopus, MEDLINE, and CINAHL have a less likelihood of yielding citations of articles from predatory publications.


Hopia, H., & Heikkila, J. (2020). Nursing research priorities based on CINAHL database: A scoping review. Nursing Open, 7(2), 483-494. doi: 10.1002/nop2.428

Oermann, M. H., Wrigley, J., Nicoll, L. H., Ledbetter, L. S., Carter-Templeton, H., & Edie, A. H. (2021). Integrity of Databases for Literature Searches in Nursing: Avoiding Predatory Journals. ANS Advances in Nursing Science, 44(2), 102-110. doi: 10.1097/ANS.0000000000000349


Topic 2, Discussion Question 2

Barriers to Evidence-based nursing

Despite nurses being the biggest group of health workforce in the United States health care system, they still face challenges to implementing or adopting evidence-based nursing.  According to Correa-de-Araujo (2016), barriers to the ability of nurses to provide evidence-based care are limitations with the health system resulting in less support for their development and education and nurses’ beliefs, research training, and difficulties with eliciting and integrating the preferences of patients.

Nurses’ lack of training and the inability of the health care system to adequately support nurses’ development and education can be addressed by training nurses on evidence-based practice and curriculum development through the establishment of programs for doctoral, master, and undergraduate level s of education that focuses in the used of evidence for making clinical decisions.  Knowledge of culturally competent care and communication skills can lessen the barriers connected with eliciting and integrating the perspectives of patients (Correa-de-Araujo, 2016).

Continuously exposing nurses to evidence-based practice through bedside implementation of practice changes, projects, and education programs can benefit novice and experienced nurses. Each healthcare organization can complete assessments on individualized learning needs to determine the proper professional development and Evidence-based practice education plan to engage nurses (Warren et al, 2016)


Correa-de-Araujo, R. (2016). Evidence-Based Practice in the United States: Challenges, Progress, and Future Directions.  Health Care for Women International, 37(1), 2-22. doi: 10.1080/07399332.2015.1102269

Warren, J. I., McLaughlin, M., Bardsley, J., Eich, J., Esche, C. A., Kropkowski, L., &  Risch, S. (2016). The Strengths and Challenges of Implementing EBP in Healthcare Systems.  Worldviews on Evidence-Based Nursing, 13(1), 15-24. doi: 10.1111/wvn.12149.