Advanced Levels of Clinical Inquiry and Systematic Reviews.

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Advanced Levels of Clinical Inquiry and Systematic Reviews.

 

Your quest to purchase a new car begins with an identification of the factors important to you. As you conduct a search of cars that rate high on those factors, you collect evidence and try to understand the extent of that evidence. A report that suggests a certain make and model of automobile has high mileage is encouraging. But who produced that report? How valid is it? How was the data collected, and what was the sample size?Advanced Levels of Clinical Inquiry and Systematic Reviews.

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In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected.

To Prepare:

  • Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
  • Develop a PICO(T) question to address the clinical issue of interest you identified in Module 2 for the Assignment. This PICOT question will remain the same for the entire course.
  • Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically-appraised topics (evidence syntheses), critically-appraised individual articles (article synopses). The evidence will not necessarily address all the elements of your PICO(T) question, so select the most important concepts to search and find the best evidence available.Advanced Levels of Clinical Inquiry and Systematic Reviews.
  • Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.

The Assignment (Evidence-Based Project)

Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

  • Identify and briefly describe your chosen clinical issue of interest.
  • Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.
  • Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
  • Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.
  • Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.

By Day 7 of Week 5

Submit Part 3 of your Evidence-Based Project.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “WK5Assgn+last name+firstinitial.(extension)” as the name.
  • Click the Week 5 Assignment Rubric to review the Grading Criteria for the Assignment.
  • Click the Week 5 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK5Assgn+last name+firstinitial.(extension)” and click Open.
  • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
  • Click on the Submit button to complete your submission.
  • Due to the nature of this assignment, your instructor may require more than 5 days to provide you with quality feedback.Advanced Levels of Clinical Inquiry and Systematic Reviews.

RE: Discussion – Week 4

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Top of Form

PICOT questions of inquiry yield the best, relevant information and saves an inordinate amount of time (Melnyk and Fineout-Overholt, 2015)

 

 

P(patient/problem) Cancer patients who wish to use complementary and alternative modalities.
I(intervention/indicator) will education on the benefits of complementary and alternative modalities to cancer patients.
C(comparison) Compared to no education in complementary and alternative modalities
O(outcome) Increase patient satisfaction rates.

 

THE PICO QUESTION

In a population of cancer patients who wish to use complementary and alternative modalities,

will education in complementary and alternative modalities compared to no education increase patient satisfaction rates?

SEARCH TERMS USED

Cancer

Cancer and treatments

complementary and alternative modalities.

Education

 

Two different data bases were used including limitations such as publication dates, full texts, scholarly and peer reviewed journals. Walden Library, EBSCO, and CINAHL were used. I narrowed the search to peer reviewed articles and changed the dates, so they ranged from 2015 to 2020 to show the most recent articles in evidence-based practice.Advanced Levels of Clinical Inquiry and Systematic Reviews.

First, I used the filters cancer treatment and complementary and alternative medicine and got 1, 801 results.

Second, the key phrases were remained the same and   Boolean/ phrase operator was used without changing the dates which resulted into 170 peer reviewed journals and articles.

Third, the publication start date was narrated from 2018 to 2020 while adding full text including academic journals and 57 articles were generated.

Between 2015 and 2020 years, CINAHL returned 21 peered revered articles including evidence-based limitation

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.

I will increase the rigor and effective of the database search by using alternative key words including complementary therapy. Complementary therapy qualitative research, complementary and alternative therapy non-research, Conventional medicine, on-conventional medicine.Advanced Levels of Clinical Inquiry and Systematic Reviews.

I would use the WGU Alumni library search engines which is available to all Alumni students data bases and limitations such as publication dates, full texts, scholarly and peer reviewed journals.

RESOURCES

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-a) Databases A-Z, Nursing.

Walden University Library. (2019). Keyword searching: Finding articles on your topic: Boolean terms. Retrieved from

Advanced Levels of Clinical Inquiry and Systematic Reviews.