PICO Heart Failure Database

User Generated

ahefr2003

Health Medical

Description

Using the following table (ATTACHMENT)—search the 5 databases based on your PICOT Question—under findings note the number of relevant articles found—you may not find something in every database. Under features discuss what you liked about that database. ON the discussion board summarize your search---attach your chart for those that would like to see your search. You may not find what you are looking for in every search—and that is OK—but you must search every database to see what may be out there.

It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources.

Unformatted Attachment Preview

Week 4 Capstone Literature Strategies Tips Search Strategies Keyword searching uses words generated from each component of the PICOT question All appropriate keywords, including common terms, synonyms, acronyms, phrases and brand names, need to be used Major strengths: Provides a quick snapshot of how helpful a database will be in finding relevant evidence Major weaknesses: May miss studies that do not exactly match the authors’ keyword choices; may find many studies irrelevant to the PICOT question Subject headings’ searching uses a standardized set of preselected terms for the search Major strengths: Searches can be broadened without considering every synonym for the chosen keyword; studies selected only if at least 25% relevant to the topic, thus decreasing the number of irrelevant hits Major weaknesses: Newly developed technologies, phrases, and acronyms may not yet be linked in the database and thus be missed Title searching uses keywords generated from the “P,” “I,” and “O” components of the PICOT question to search article titles with the same keywords As with the use of keyword searches, all appropriate common terms, synonyms, acronyms, phrases and brand names need to be used Major strengths: Increases the chance of the article found being relevant to the PICOT question and is highly effective in finding relevant articles Major weaknesses: Misses studies that do not contain the keywords in the title Combining Searches • Placing several concepts from the PICOT question in one search allows a simultaneous search, but it cannot be determined which concept has the most available evidence • Running multiple single-word searches allows the number of “hits” to be seen for each. Then decisions can be made to possibly use Boolean operators. • Using the Boolean operator “AND” is useful when narrowing a search to combine two search results. BOTH terms need to be present or an article will not be included in the results. Using “OR” will expand a search to include either one or both terms in the results Filtered vs Unfiltered Sources Filtered Resources When searching for evidence-based information, it is wise to begin by searching for the highest level of evidence possible, which is considered to be systematic reviews or meta-analyses. Systematic reviews, meta-analyses, and critically-appraised topics/articles have all gone through an evaluation process: they have been "filtered". With filtered resources, the literature on a topic has already been searched to provide the best answer to a clinical question or practice issue. In other words, experts have 1) located all the available evidence they could find on a topic from individual studies and reports; 2) analyzed the validity and reliability of the studies to determine whether each study should be included; and 3) summarized the findings from the available research to present the data, conclusions and recommendations for clinical questions and nursing practice based on the best available evidence. Unfiltered Resources Information that has not been critically appraised is considered "unfiltered". If you don’t find an appropriate answer in the filtered resources, you’ll need to search unfiltered resources (the primary literature) to locate studies that answer your question. Additionally, you may choose to search the unfiltered resources to see if any new research has been done since the conclusions reached in the filtered resources were released. Unfiltered resources are individual articles that provide the most recent information from clinical and practice research, such as case studies, comparative studies, or clinical trials. With unfiltered resources, it is up to the nurse to evaluate each study s/he found to determine its validity and applicability to the patient or the practice question. Final Tips • Begin with PICOT question to generate keywords • Use subject headings when available • If search results are sparse, expand it using the explode option (if not automatic) • Use available search engine mechanisms to focus the search so that the topic of interest is the main point of the article • Establish inclusion/exclusion criteria before searching so that the studies that answer the question are easily identifiable. Apply these criteria after search strategy is complete. The most appropriate databases for finding filtered resources are: • Cochrane Database Cochrane Library • Dyna Med: DynaMed is a point-of-care tool for health care professionals. Includes frequently updated, organized summaries for more than 3,200 topics. Also includes patient handouts. Dynamed Plus • Database of Abstracts of Review Effects (DARE): The Database of Abstracts of Reviews of Effectiveness (DARE) contains critical assessments of systematic reviews from a variety of medical journals. DARE is produced by the expert reviewers and information staff of the National Health Services' Centre for Reviews and Dissemination (NHS CRD) at the University of York, England, and covers topics such as diagnosis, prevention, rehabilitation, screening, and treatment. PubMed Health • TRIP Database: Locate high quality, evidence based medical literature using this metasearch engine. Trip The most appropriate resources for finding unfiltered resources are: • CINAHL • MEDLINE VIA PubMed • MEDLINE • PsychInfo • Nursing and Allied Health Source ProQuest Week 4 Example Capstone Concepts are the research ideas that are used to create a framework to identify any connections and relationships of the variables. (Melnyk, 2015) The search engines were similar in offering keyword searches and limiting the data by a date range. The search engine Dynamed and TRIP required a log-in to get full access which I found not to be user-friendly. Also, the Dynamed and TRIP search sites were new to me and therefore took more time to get comfortable to use with the limits of not having a log-in. The CINAHL, PubMed, Cochrane and SU library search engines were user-friendly and allowed enough keywords or terms to limit the search to get at the specific topics needed for the research project. I liked the SU library search where you can select PICO limit and get specific results for the PICOT questions. Also, I found the results accurate to the PICOT topic with SU library versus the TRIP database PICO options which did not give as many accurate match results with the question. The Mesh term searches I found the most challenging because I felt like it was only focused on the disease states, i.e. hypertension and would show no results when you add a term such as text messaging. Overall, I was amazed at all of the different databases available not only for research purposes but also to be able to use to stay current on evidence-based medicine as a nurse practitioner. The ethical climate is an important concept and challenge in the medical profession. The technological developments to improve care and treatment can produce ethical dilemmas such as privacy issues. The researchers and clinicians play a vital role in ensuring that patients burden and ethical considerations are balanced in data collection and research methods to ensure that the study results are reliable and valid. (Suhonen, Stolt, Katajisto, & Leino, 2015) References: Melnyk, B. M. (2015). Evidence-based practice in nursing and healthcare: A guide to best practice. Philadelphia: Lippincott Williams & Wilkins. Suhonen, R., Stolt, M., Katajisto, J., & Leino, K. H. (2015). Review of sampling, sample and data collection procedures in nursing research—An example of research on ethical climate as perceived by nurses. Scandinavian Journal of Caring Sciences, 29(4), 843–858. https://doi.org/10.1111/scs.12194 Picot Question: In adults with uncontrolled hypertension between the ages of 40 and 65, is an educational program delivered by short message service (SMS) significantly more effective than traditional education in increasing knowledge levels and medication adherence as evidenced by improved BP control? Research Search Tips Search Terms & Limits Finding Features Tool s CINAHL▪ Look at the CINAHL Heading search: In 46 I liked the CINAHL is Major Subject adults with uncontrolled articles fact that you an SU Heading in the hypertension between the ages of 40 can select subscription Full Record and 65, is an educational program limits and ▪ Use the Limits delivered by adjust the onlyresource Feature: short message service (SMS) signific limits to that offerso Example: antly more effective than traditional narrow down full text Publication education in increasing knowledge on specific access to Type=Systematic levels and medication adherence as topic of 336 Review evidenced by improved BP control? searches . scholarly ▪ Try the CINAHL Limits: year 2014-2018, Full text, 2 Also, if you journals and Heading search: Evidence cased Practice, peer articles click an indexes over reviewed ,Full pdf text article topic 3,000 that you like journals Keyword search: Hypertension, you can select from the short message service, adults find similar fields of Limits: 2014-2018, full text, results. nursing and research artilces, randomized control allied health. study, age group45-64 Indexed journals do not provide access to full-text. Just because it is indexed in does not mean the library has full-text access to the journal. SU can always request articles for students via Interlibrary Loan, but the service is not instantaneou s PubMed ▪ PubMed is a free health science ▪ citation & abstracts o index from the National Center for Biotechnolo ▪ gy Information at the U.S. National Library of Medicine. Look at MeSH 0 Terms in Full MESH search: hypertension articles Record intervention. 2) electronic messaging for all 4 Use the Limits 3) SMS hypertension 4) In adults searches Feature: with uncontrolled hypertension Examples: Article between the ages of 40 and 65, is an Type=Metaeducational program delivered by Analysis; Age=All short message service (SMS) Adult significantly more effective than Look for the open traditional education in increasing access Free knowledge levels and medication 16 articles! adherence as evidenced by improved articles BP control? Limits: mesh term Keyword search: Hypertension, text messaging Limits: clinical trial, review, abstract, free full text, full text, humans middle ages 45064 Cochrane▪ Use the Simple Library Search and the Cochrane Advance Search Library Features provides ▪ Allows you to access to the search with Cochrane MeSH Terms Library of▪ Check out the Systematic New Reviews Reviews. Browse reviews Full text of by topic reviews are subscription only. Index summaries are a public resource. Indexed journals do not provide access to full-text. Just because Keyword search: uncontrolled hypertension and short message service (SMS) significantly Limits: 2014-2018, Cochrane Reviews, key word Keyword search: uncontrolled hypertension and short message service (SMS) significantly Limits: 2014-2018, Cochrane Reviews, all text MESH search: Hypertension and Short Message Service Limits: mesh term MESH search: Hypertension, essential Limits: mesh term I could not get results when trying to get specific key words so that was frustrating. However I did like when you started a key word a drop menu list would appear. The Pub med site was good and had many limit options just make sure you select free. 0 I found it articles interssting that I used the same keyword but selected 5 key word and articles then all text and articles resulted. The MESH 0 search I found articles challenging to find articles. 113 trial Also, I liked articles when I used 7 the cochrane Hypertension reviews search that a MESH tree appeares that allows for a another limit. I liked the it is indexed in does not mean the library has fulltextaccess to the journal. SU can always request articles for students via Interlibrary Loan, but the service is not instantaneou s Dynamed• Use the Simple Keyword search: hypertension Search and the Advance Search Features • • Allows you to search with MeSH Terms Check out the New Reviews Browse reviews by topic Also browse by: Text message search results because it was easy to see what type of results articles were found. Gives categori es and wants to sign up to website. I liked the browse by specialty. Als o, as your type a key word suggestion appears for 0 GO TO or articles SEARCH FOR category. I do not like the results does not give a number of results. Note I did not sign up for a free trial offer, so I may be limited in search. I do like the recent updates as it gives a few sentences about topic TRIP ▪ Database▪ TRIP is a clinical ▪ search engine to locate publicly available clinical evidence. • Limit to: Systematic Reviews Guidelines-US Library Search is setup just like an EBSCO • The Library even has a specialized SU Library PICOT search Search setup in Library Search—must go to Advance search to get to PICOT option Other Databases: and drug updates. Keyword search: (45 to 42 I liked the 65)(educational program delivered by results options to short message service (SMS) select significantly more searches and effective)(traditional education in gives a PICO increasing knowledge levels and area that you medication adherence )(improved BP can use for a control) 650 search. The Limits: PICO format articles results did not Keyword: hypertension and text really get to message my PICOT question. The evidence type after a search is nice for easy look at types of articles. I found search to be accurate for key words. I like the site user friendly and the PICOT Keyword: Hypertesnion and text options was message good and Limit: Last 5 years, full text 129 showed many Key word: (45 to 65 ages articles results and hypertension) AND (text message 36041 even modified OR standard of care) AND (improved articles the part of bp) PICO that had LIMIT: PICO format, 5 year, full text no match to show a word change to get results. Week 4 Literature Search Capstone Using the following table—search the 5 databases based on your PICOT Question—under findings, note the number of relevant articles found—you may not find something in every database. Under features discuss what you liked about that database. ON the discussion board summarize your search---attach your chart for those that would like to see your search. You may not find what you are looking for in every search—and that is OK—but you must search every database to see what may be out there. Exploring the Literature Picot Question: - Does an outpatient heart failure program lead by an APN have decreased hospital remittance (P) by increasing patients’ empowerment and gaining control over the disease process (I) thus enhancing patient satisfaction, symptom management and overall quality of life. (C) It is vital that individuals identify initial indications of worsening heart failure (O). Timely follow up by registering individuals in a heart failure program can avert deteriorating results and allow patients to manage their personal health care with the support of an APN and a multidisciplinary team that can address a number of aspects of the disease process (T). Research Tool CINAHL CINAHL is an SU subscriptiononly resource that offers full text access to 336 scholarly journals and indexes over 3,000 journals from the fields of nursing and allied health. Indexed journals do Search Tips Search Terms & Limits ▪ Look at the Major Subject Heading in the Full Record Keyword search: ▪ Use the Limits Feature: Limits: o ▪ Example: Publication Type=Systematic Review Try the CINAHL Heading search: CINAHL Heading search: Limits: Findings Features not provide access to full-text. Just because it is indexed in does not mean the library has full-text access to the journal. SU can always request articles for students via Interlibrary Loan, but the service is not instantaneous PubMed PubMed is a free health science citation & abstracts index from the National Center for Biotechnology Information at the U.S. National Library of Medicine. Cochrane Library Cochrane Library provides access to the Cochrane Library of Systematic Reviews. Full text of reviews is subscription only. Index summaries are a public resource. Indexed ▪ Look at MeSH Terms in Full Keyword Record search: ▪ Use the Limits Feature: o Examples: Article Type=Meta-Analysis; Age=All Adult Limits: MESH search: ▪ Look for the open access free Limits: articles! ▪ Use the Simple Search and the Keyword Advance Search Features search: ▪ Allows you to search with MeSH Terms ▪ Check out the New Reviews Browse reviews by topic Limits: MESH search: Limits: journals do not provide access to full-text. Just because it is indexed in does not mean the library has full-text access to the journal. SU can always request articles for students via Interlibrary Loan, but the service is not instantaneous Dynamed • Use the Simple Search and the Keyword Advance Search Features search: • Allows you to search with MeSH Terms • Check out the New Reviews Also browse by: Browse reviews by topic TRIP Database ▪ Limit to: TRIP is a clinical search engine to locate publicly available clinical evidence. ▪ Systematic Reviews ▪ Guidelines-US • Library Search is setup just like an EBSCO • The Library even has a specialized PICOT search setup in Library Search— SU Library Search Keyword search: Limits: must go to Advance search to get to PICOT option Other Databases:
Purchase answer to see full attachment
User generated content is uploaded by users for the purposes of learning and should be used following Studypool's honor code & terms of service.

Explanation & Answer

...


Anonymous
Goes above and beyond expectations!

Studypool
4.7
Trustpilot
4.5
Sitejabber
4.4

Related Tags