Walden-Respond- nurs 6052
Description
Respond to at least two of your colleagues on two different days and provide further suggestions on how their database search might be improved
First Post:
Trisha Carroll
Main Post Trisha Carroll
Discussion Main Post
PICO(T) Formula
A PICO(T) question uses a format or formula to develop research questions that are answerable. This formula assists in the evaluation of evidence, making the process easier and more straightforward (Melnyk, B. & Fineout-Overholt, E. 2018). To break it down P stands for population or patient problem this part of the formula answers the question of who is your patient? The I means intervention or what do you plan to do for the patient. The C stands for comparison, asking what is the alternative to your plan? O means outcome or what outcome do you seek? Finally, the T stands for time asking what is the time frame? (Lansing Community College Library, 2020). Nurses are encouraged to use this formula to create questions that will lead to better clinical care.
PICO(T) Question
Can healthcare providers decrease the overuse or misuse of antibiotics for treatment of urinary tract infections in the elderly through proper diagnostic testing versus improper testing within three months time?
Search Terms
When performing research it is important to use specific key search words. Some keywords used to create this PICOT question include urinary tract infection, elderly, and antibiotics. These keywords brought forth many useful articles that relate to the misuse of antibiotics in the elderly due to non-symptomatic bacteriuria. Bacteriuria is a chronic condition that often occurs within the elderly when bacteria in the bladder becomes colonized, yet does not cause negative signs and symptoms that are associated with a urinary tract infection. Alternative keywords used include bacteriuria and
Databases
CINAHL plus is a useful database in the research of healthcare issues (Walden University Library. n.d.). After using specific keywords 78 articles were found, at least half of these being relevant to this PICOT question. MEDLINE is another commonly used database to assist in healthcare-related research (Walden University Library. n.d.). After using the same key search words, 164 articles were found. Many of these articles were the same articles found through the CINAHL database. This database found multiple articles related to antibiotic resistance. After altering search words, another 173 articles were found through this database.
Boolean Operators
The use of Boolean operators assists a researcher by providing more focused and productive results. Boolean operators are simple words, they are used as conjunctions to combine or exclude keywords in a search. These operators help to narrow down search results to reduce time spent researching and scanning through databases (Library of Congress. n.d.)
Strategies
To help find more systematic reviews one can use filtered databases such as the Cochrane Database of System Reviews instead of unfiltered databases. When unfiltered databases are used there are additional limiters that a researcher can set that will refine the search to systematic reviews (Walden University Library. n.d.). Systematic reviews refine large quantities of data into a single document. Clinical decisions are summarized and clinical questions are reviewed through the analysis of specific criteria (Walden University Library. n.d.). Through the use of these strategies, articles can be found that are direct and related to the PICOT question above. These strategies will help to minimize the time spent researching and filtering through articles to find more relevant information.
References:
Lansing Community College Library. (2020). Nursing: PICOT. Retrieved on 3/17/20 from https://libguides.lcc.edu/nursing
Library of Congress. (n.d.). Search/browse help- Boolean operators and nesting. Retrieved on 3/17/20 from http://catalog.loc.gov/vwebv/ui/en_US/htdocs/searc…
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
Walden University Library. (n.d.-c.). Evidence-Based practice research: CINAHL search help. Retrieved 3/17/20 from https://academicguides.waldenu.edu/library/healthe…
Walden University Library. (n.d.-c.). Evidence-Based practice research: MEDLINE search help. Retrieved 3/17/20 from https://academicguides.waldenu.edu/library/healthe…
Walden University Library. (n.d.-h.). Quick Answers: How do I find a systematic review article related to health, medicine, or nursing? Retrieved on 3/17/20 from https://academicanswers.waldenu.edu/faq/72670
Walden University Library. (n.d.-i). Systematic Review. Retrieved 3/17/20 from https://academicguides.waldenu.edu/library/healthe…
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References:
Nursing Standards
Nursing and Midwifery Board of Australia. (2018). Code of conduct for midwives. https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx
Clinical Guidelines
Guideline Adaption Committee. (2016). Clinical practice guidelines and principles of care for people with dementia. NHMRC Partnership Centre for Dealing with Cognitive and Related Function Decline in Older People. https://cdpc.sydney.edu.au/wp-content/uploads/2019/06/CDPC-Dementia-Guidelines_WEB.pdf
Living Guideline
Stroke Foundation. (2022). Australian and New Zealand living clinical guidelines for stroke management – chapter 1 of 8: Pre-hospital care. https://app.magicapp.org/#/guideline/NnV76E
Evidence-based practice
BMJ Best Practice
Goldfarb, S., & Josephson, M. (2020). Cystic fibrosis. BMJ Best Practice. https://bestpractice.bmj.com/
Schub, T., & Cabrera, G. (2018). Bites: Head lice [Evidence-based care sheet]. Cinahl Information Systems. https://www.ebscohost.com
Beyea, S. C., & Slattery, M. J. (2006). Evidence-based practice in nursing: A guide to successful implementation. http://www.hcmarketplace.com/supplemental/3737_browse.pdf
JBI: Evidence summary
Swe, K. K. (2022). Blood glucose levels: Self-monitoring [Evidence summary]. JBI EBP Database. https://jbi.global
JBI: Best practice information sheet
Bellman, S. (2022). Experiences of living with juvenile idiopathic arthritis [Best practice information sheet]. JBI EBP Database, 24(1), 1-4.
Cochrane Database of Systematic Reviews
Srijithesh, P. R., Aghoram, R., Goel, A., & Dhanya, J. (2019). Positional therapy for obstructive sleep apnoea. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD010990.pub2
Drug Information
Codeine. (2023, January). In Australian medicines handbook. Retrieved February 2, 2023, from https://amhonline.amh.net.au
Colorado State University. (2011). Why assign WID tasks? http://wac.colostate.edu/intro/com6a1.cfm
Dartmouth Writing Program. (2005). Writing in the social sciences. http://www.dartmouth.edu/~writing/materials/student/soc_sciences/write.shtml
Rutherford, M. (2008). Standardized nursing language: What does it mean for nursing practice? [Abstract]. Online Journal of Issues in Nursing, 13(1). http://ojin.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Health-IT/StandardizedNursingLanguage.html
Wagner, D. (n.d.). Why writing matters in nursing. https://www.svsu.edu/nursing/programs/bsn/programrequirements/whywritingmatters/
Writing in nursing: Examples. (n.d.). http://www.technorhetoric.net/7.2/sectionone/inman/examples.html
Perth Children’s Hospital. (2022, April). Appendicitis [Emergency Department Guidelines]. Child and Adolescent Health Service. https://www.pch.health.wa.gov.au/For-health-professionals/Emergency-Department-Guidelines/Appendicitis
Department of Health. (n.d.). Who is being active in Western Australia? https://ww2.health.wa.gov.au/Articles/U_Z/Who-is-being-active-in-Western-Australia
Donaldson, L. (Ed.). (2017, May 1). Healthier, fairer, safer: The global health journey 2007-2017. World Health Organisation. https://www.who.int/publications/i/item/9789241512367
NCBI Bookshelf
Rodriguez Ziccardi, M., Goyal, G., & Maani, C. V. (2020, August 10). Atrial flutter. In Statpearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK540985/
Royal Perth Hospital. (2016). Procedural management: Pre and post (24-48 hours) NPS. Canvas. https://courses.ecu.edu.au
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