Clinical Inquiry And Professional Decisions Assignment

Discussion: Searching Databases
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. Clinical Inquiry And Professional Decisions Assignment
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.

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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. Clinical Inquiry And Professional Decisions Assignment
• 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.
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. 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. Clinical Inquiry And Professional Decisions Assignment

Learning Resources
Required Readings
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
• Chapter 2, “Asking Compelling Clinical Questions” (pp. 33–54)
• Chapter 3, “Finding Relevant Evidence to Answer Clinical Questions” (pp. 55–92)

Davies, K. S. (2011). Formulating the evidence based practice question: A review of the frameworks for LIS professionals. Evidence Based Library and Information Practice, 6(2), 75–80. Clinical Inquiry And Professional Decisions Assignment

Library of Congress. (n.d.). Search/browse help – Boolean operators and nesting. Retrieved September 19, 2018, from https://catalog.loc.gov/vwebv/ui/en_US/htdocs/help/searchBoolean.html

Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010). Evidence-based practice, step by step: Asking the clinical question: A key step in evidence-based practice. American Journal of Nursing, 110(3), 58–61.

Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2009). Evidence-based practice: Step by step: Igniting a spirit of inquiry. American Journal of Nursing, 109(11), 49–52. doi:10.1097/01.NAJ.0000363354.53883.58 Clinical Inquiry And Professional Decisions Assignment

Stillwell, S.B., Fineout-Overhold, E., Melnyk, B.M., & Williamson, K.M. (2010). Evidence-based practice step-by-step: Searching for evidence. American Journal of Nursing, 110(5), 41-47.

Walden University Library. (n.d.-a). Databases A-Z: Nursing. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981

Walden University Library. (n.d.-c). Evidence-based practice research: CINAHL search help. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/cinahlsearchhelp

Walden University Library. (n.d.-d). Evidence-based practice research: Joanna Briggs Institute search help. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/jbisearchhelp

Walden University Library. (n.d.-e). Evidence-based practice research: MEDLINE search help. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/medlinesearchhelp

Walden University Library. (n.d.-f). Keyword searching: Finding articles on your topic: Boolean terms. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/boolean

Walden University Library. (n.d.-g). Keyword searching: Finding articles on your topic: Introduction to keyword searching. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/searching-basics Clinical Inquiry And Professional Decisions Assignment

Walden University Library. (n.d.-h). Quick Answers: How do I find a systematic review article related to health, medicine, or nursing? Retrieved September 6, 2019, from https://academicanswers.waldenu.edu/faq/72670

Walden University Library. (n.d.-i). Systematic review. Retrieved January 22, 2020, from https://academicguides.waldenu.edu/library/healthevidence/types#s-lg-box-1520654

BELOW IS A SPECIFIC INSTRUCTIONS/GUIDELINES FROM MY INSTRUCTOR. PLEASE FOLLOW THEM .
THE TOPIC USED FOR MY WEEK3 ASSIGNMENT IS HEALTHCARE ASSOCIATED INFECTIONS AND THEIR RELEVANCE TO HEALTHCARE. PLEASE USE THE SAME TOPIC. Clinical Inquiry And Professional Decisions Assignment
Hi Everyone,
For this discussion we are first developing your PICO(T) question. For the week 3 assignment you used a topic to research, for this discussion you should use the same topic unless you did not find enough information. If this is the case, please email me so that I can help you work on a new topic.

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From my experience, it is usually easier to use an intervention type question, but you can use any formats suggested in your textbook chapter 2, page 40, table 2.2 and there are some templates on page 44, table 2.2. Here is the intervention type format to use (if you like).
In_____________________(POPULATION) how does __________________(Intervention) compared with ___________________(Comparison) affect _______________________(Outcome) within______________________(time, optional). Clinical Inquiry And Professional Decisions Assignment

Example: In acute care hospitalized patients (Population) what is the effect of using CHG caps on all central line ports (intervention) compared to current ports used (comparison) on rates of CLABSI (outcome…be sure it is measurable), over a 6-month period (time)?

The second part of this discussion post is to describe your experience in your database searches. Chapter 3 in your textbook offers some great strategies or database searches. This can be a narrative description, or some students like to use a chart. Something like this:
Search terms using Boolean operators Database used Number of Hits Notes on any outstanding articles, what level of evidence were found Clinical Inquiry And Professional Decisions Assignment

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.

Be sure to include a reference page including all the resources you used for this discussion post.

Don’t forget these resources are available to help:
Essentials of Evidence-Based Practice: Library Tips

Weeks 3 & 5: Database searching

Walden Library recommends starting your search broadly with one concept or search word, and adding more elements one at a time. Depending on your topic, the evidence will not necessarily address all the aspects of your PICO(T) question in one article. Select the most important concepts to search and find the best evidence available, even if that means assembling evidence from multiple articles. Clinical Inquiry And Professional Decisions Assignment

• Nursing Research Page – databases and resources specifically for Nursing
• Evidence-Based Practice guide: Evidence Types
• Nursing and Health research videos, including a 15-minute introduction
• Get Help page, including Ask a Librarian service

Quick Answers:
• How do I find an article that reports on research that uses a specific methodology?
• How do I find original or primary research that analyzes empirical data?
• What is the Find at Walden button? Clinical Inquiry And Professional Decisions Assignment

I look forward to reading about your experiences.

THE TOPIC USED FOR MY WEEK3 ASSIGNMENT IS HEALTHCARE ASSOCIATED INFECTIONS AND THEIR RELEVANCE TO HEALTHCARE. PLEASE USE THE SAME TOPIC. PLEASE FOLLOW MY INSTRUCTORS GUIDELINES.
THANK YOU. Clinical Inquiry And Professional Decisions Assignment