NURS 6052 Searching Databases

NURS 6052 Searching Databases

NURS6052 Searching Databases

NURS 6052 Searching Databases

Please review complete instructions on attached document

**Clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question. ** Please choose a clinical issue that is easy to work with as this will remain for the rest of the course

When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data focused more on these factors and less on color options and sound systems.

The same holds true when searching for research evidence to guide your clinical inquiry and professional decisions. Developing a formula for an answerable, researchable question that addresses your need will make the search process much more effective. One such formula is the PICO(T) format.

In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question.

To Prepare:

  • Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
  • Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.
  • Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least two different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
  • Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. It is suggested that an Intervention-type PICOT question be developed as these seem to work best for this course.

By Day 3 of Week 4

  • Post a brief description of your clinical issue of interest. This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question. Then, post your PICO(T) question, the search terms used, and the names of at least two databases used for your PICO(T) question.
  • Describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples.

By Day 6 of Week 4

Respond to at least two of your colleagues on two different days and provide further suggestions on how their database search might be improved.

Submission and Grading Information

Grading Criteria

  • To access your rubric:
  • Week 4 Discussion Rubric

Post by Day 3 and Respond by Day 6 of Week 4

  • To participate in this Discussion:
  • Week 4 Discussion

NURS 6052 Searching Databases

RE: Discussion – Week 4

My PICO subject involves post-operative pain management using a numerical pain scale over the use of the Critical Care Pain Assessment Tool ( CPOT) to minimize opioid use.  My question is will the implementation of a collective assessment approach in acute care nursing at the PACU, containing the Critical Care Pain Observation Tool (CPOT) and comparative pain score, decrease post-operative use of narcotics compared to the comparative pain scale alone? NURS 6052 Searching Databases

I selection of search terms used to get posts, feedback and other information are as follows: Terms of research analgesia, post-operative analgesia, preventive analgesia, non-opioid, pain, post-operative, fentanyl, multimodal treatment, preoperative nursing, analgesia, vital signs, pain effect, pain scale, postoperative pain, preoperative care, surgical procedures, surgical treatment, and pain management.

I started using the Walden library but I still haven’t received any search returns even with all the parameters remaining. I started using Google Scholar which I am pretty familiar with.  I started searching for only the top three of Meta-Analysis, Systematic Reviews, and Critically Appraised Topics in the hierarchy because these are the three most reliable results and three of the four that can be filtered.

My three top search topics got the following: On the subject of (The criteria is the search sentence and the type of review method) Analgesia-(Meta-Analysis- 166,000). (Systematic Reviews-267,000), Topic Critically Assessed-13,500) Primary Care Pain Assessment Method -(Meta Research-120,000), (Systematic Reviews-235,000), (Topic Objectively Appraised-19,000) Multi-model Pain Treatment-(Meta-Analysis-46,300), (Systemic-Reviews-57,500). (Topics Critically Appraised-4,030).

The reason I searched for only three types of review methods is that they contain the most reliable information that my PICO question needs to be answered with the greatest precision. Depending on the type of research that I am doing, it depends on where I look for the information from the evidence hierarchy. I look more towards the Meta-Analysis if I am looking for statistical evidence.

I have taken a closer look at the Systemic Reviews that fit my pre-specified eligibility criteria. The most useful ones in my view are the Critically Appraised Topics, as they are brief summaries of findings that may be close to my area of concern as they concentrate on a particular issue (Polit, D.F., & Beck, C. T., 2017).

Some of the information I found was that the result of one meta analyst outcomes indicated the CPOT’s reliability and validity was acceptable. “Strong intra-class correlations varying from 0.74 to 0.91supported the inter-rater reliability.

Significant associations between CPOT scores and both FLACC 0.87-0.92 and pain intensity Numeric Rating Scale Score 0.50-0.69 were found for criterion-related validity” (Buttes, et al., 2015). A key point to my question has been that a comprehensive, multimodel analgesic regimen will not only provide the most complete control of pain but will also minimize the need for opioids and thus reduce the resulting side effects. (Carlson, R.H., 2015).

References

  • Buttes, P., Keal, G., Cronin, S. N., Stocks, L., & Stout, C. (2015). Validation of the Critical-Care Pain Observation Tool in Adult Critically Ill Patients. Dimensions of Critical Care Nursing,33(2), 78-81. doi:10.1097/dcc.0000000000000021
  • Carlson, R. H. (2015). Multimodal Pain Management Minimizes Need for Opioids. Oncology Times,37(9), 36-37. doi:10.1097/01.cot.0000465759.66907.be

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