Discussion: Searching Databases
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.
*Library tip:
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.
- 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:
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. 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.
Discussion – Week 4
The clinical issue I chose is hand hygiene (HH) in the Intensive care unit (ICU). Patients in ICU are more susceptible to nosocomial infection. The health care workers must perform hand hygiene using soap and water, alcohol based-hand rub, feedback, and education (Farmani et al., 2019). Hand hygiene is the single preventive way to reduce infection (Stahmeyer et al., 2017). Hospitals and health organizations must adhere to hand hygiene guidelines used at the facility. HH must be performed by all people who come to the ICU, including family and friends visiting the patients. According to KHosravi et al. (2021), compliance in hand hygiene reduces the spread of hospital-acquired infection (HAI) from patient to nurse and inanimate environment. I am a hand hygiene champion at my place of work. Hospitals can nominate hand hygiene champions to monitor the health care workers to ensure compliance (Merino-Plaza et al., 2017).
I used CINAHL and MEDLINE FULL TEXT. I searched for hand hygiene and came up with 10 823 articles. Then I looked for the article, which is five years old and less. I came up with 1227. I checked the peer review box marked, and it has 522 in total. When I added ICU, it went down 31
The strategy I would use is to formulate and brainstorm on a PICOT question, search different databases, and use other keywords or opposite words. Using the Boolean phrase will help retrieve the relevant articles with less difficulty and be less time-consuming going through fewer articles. It will reduce the number of articles that will come up, and the relevant articles will come up.
References.
References
Farmani, Z., Kargar, M., Khademian, Z., Paydar, S., & Zare, N. (2019). The effect of training and awareness of subtle control on the frequency of hand hygiene among intensive care unit nurses. BMC Research Notes, 12(1), 647. https://doi.org/10.1186/s13104-019-4635-z
KHosravi, N., Alami, A., Aelami, M. H., & KHosrovan, S. (2021). Improving Hand Hygiene Compliance of Intensive Care Unit by Using Pender’s Model. Ethiopian Journal of Health Sciences, 31(3), 553–560. https://doi.org/10.4314/ejhs.v31i3.12
Merino-Plaza, M. J., Rodrigo-Bartual, V., Boza-Cervilla, M., García-Llopis, A., Gomez-Pajares, F., Carrera-Hueso, F. J., & Fikri-Benbrahim, N. (2018). [How to increase the health staff adherence to the hands hygiene protocol?]. Revista Espanola de Salud Publica, 92.
Stahmeyer, J. T., Lutze, B., von Lengerke, T., Chaberny, I. F., & Krauth, C. (2017). Hand hygiene in intensive care units: a matter of time? Journal of Hospital Infection, 95(4), 338–343. https://doi.org/10.1016/j.jhin.2017.01.011
8 months ago
Rona Adams
RE: Discussion – Week 4
Memory,
I enjoyed reading your posting on hand hygiene in the ICU; it is a significant health care issue. As a former ICU nurse, I have witnessed many medical staff, especially physicians, not washing their hands. They would enter a patient’s room pretending to use the hand sanitizer. According to Musa et al., 2017, health care professionals are the majority responsible for spreading microorganisms that lead to healthcare-associated infections (HAI). These infections cause increased health care costs, deaths, and poor quality of life.
My previous employer conducted handwashing surveillance using nursing staff. Randomly nurses from different units would be asked to report individuals who were not washing their hands when interacting with patients. The surveillance team was responsible for reducing the number of infections acquired during particular hospital stays. Individuals who did not practice good hand hygiene were given written warns and instructed to attend a hand hygiene in-service. Handwashing can save lives, and because of this, the Center for Disease Control and Prevention (CDC) began a “clean hands count campaign.” This campaign’s overall objective was to encourage health care providers to clean their hands to reduce the risk of infection (CDC.gov, 2020).
References
Centers for Disease Control and Prevention. (2020, March 4). Clean hands count for safe healthcare. https://www.cdc.gov/patientsafety/features/clean-hands-count.html
Musu, M., Lai, A., Mereu, N. M., Galletta, M., Campagna, M., Tidore, M., Piazza, M. F., Spada, L., Massidda, M. V., Colombo, S., Mura, P., & Coppola, R. C. (2017). Assessing hand hygiene compliance among healthcare workers in six intensive care units. Journal of preventive medicine and hygiene, 58(3), E231–E237. https://europepmc.org/articles/PMC5668933?pdf=render
8 months ago
Shontrice Davis
RE: Discussion – Week 4
Hello, memory. I think you chose a great topic for your PICO(T) question. Hand hygiene is so important for the public in general. It is especially important for providers caring for patients in the intensive care unit (ICU). These patients are more susceptible to infections due to their compromised immune system. I agree with your statement about hand washing is the best way to prevent infection. According to the CDC (2022), hand washing is the number way to prevent infection. Often times, providers can be in a hurry and forget to wash their hands or perform hand hygiene. So, it is very important for management to encourage hand hygiene. It is also important for visitors and family members to wash their hands as well. At John Hopkins Medicine, over 65,000 hand hygiene observations are monitored to prevent the spread of germs (John Hopkins Medicine, 2022). I can not stress enough how important hand hygiene is. I am looking forward to reading more of your discussion posts on this topic.
References
CDC hand-hygiene. Centers for Disease Control . (2022). Retrieved March 26, 2022, from https://www.cdc.gov/handhygiene/pdfs/cdc_handhygieneposter.pdf
Hand hygiene: patient safety & quality at Johns Hopkins Medicine. Johns Hopkins Medicine. (2022, February 16). Retrieved March 26, 2022, from https://www.hopkinsmedicine.org/patient_safety/infection_prevention/hand_hygiene.html
8 months ago
Brittni Rodio
RE: Discussion – Week 4
Discussion Response Two
Memory, I completely agree with your strategy for future database researching. I would implore you to try using truncation while searching through different databases. Truncation allows you to search any ending on the root word of your topic (Walden University Library, n.d.).
Another suggestion would be to assess the features of any related or similar articles to ones you have previously chosen. University of Washington (2020) identifies this as a beneficial strategy for those dealing with too few of references or developing a systematic review.
References
University of Washington. (2020, March, 17). How to improve database search results. Retrieved March 23, 2022, from https://guides.lib.uw.edu/hsl/improving
Walden University Library. (n.d.). Keyword searching: Finding articles on your topic: Truncate root words. Retrieved March 21, 2022, from https://academicguides.waldenu.edu/library/keyword/boolean
9 months ago
Kehinde Tade
RE: Discussion – Week 4
Evidence-based practice (EBP) aims to reduce healthcare costs, improve healthcare quality, and deliver the best patient outcomes (Melnyk & Fineout, 2019). I have developed this PICOT question: In patients with HIV/AIDS aged 25-50 years, (P) how would the intensive outpatient treatment (I) compared with the hospital admission (C) affect their retention (O) during the three months (T). Melnyk & Fineout (2019) noted that PICOT questions aid in the systematic research of healthcare databases for the best available evidence that answers a clinical question. In this case, my clinical issue is the client’s retention failure during the long-term outpatient intervention.
Brief Description
Client retention is a common problem that mainly occurs in intensive outpatient treatment. This is due to unclear decision-making processes and retention strategies. The challenge becomes more intense, especially when long-term treatment programs (Seifu, Ali & Meresa, 2018). Patients in such cases are not given maximum attention due to limited resources to locate the missing patients. As a result, care providers cannot determine the patients’ situation, whether dead or transferred to the new treatment site, and the medical, economic, social, and psychological barriers that hinder such patients from sticking to the facility. For instance, HIV/AIDS patients and those under opioid prescription might eventually deviate from coming for their usual programs despite the potential risks. Despite the improved access to antiretroviral therapy, failure to retain clients to the treatment programs has been on the increase (Adelekan et al., 2019). Losses to follow-up in healthcare facilities lower the retention rate. This, in turn, impacts the care continuum, thus limiting care outcomes. Again, people living with HIV/AIDS are faced with social and psychological issues, thus might not adhere to hospital visitations.
Search terms
After keying in the keywords of my clinical questions, including client OR patient + retention, I got over 10000 articles with varying years of publication and relevance. The databases used in this case were TRIP and PubMed. From the result findings, there were initially meta-analyses and systematic reviews. Retrieving too many references with almost similar concepts was confusing, and I had to open the links to ascertain the originality. However, the answers I considered satisfying were meta-analyses that answered my clinical question. Occasionally, Boolean operators can yield too few or many articles with varied relevancy (Library of Congress n.d.). This depends on using the operators AND, OR, and NOT to search the clinical concept or inquiry. The results from the two databases had slight differences.
Six strategies recommended to increase the rigor and effectiveness of a database search for PICOT questions include: theorize your search, appropriate vocabulary use, use of Boolean terms that combine terms and concepts, search strategy revision, utilization of more than one database, and acquisition of the database search rules and particularities (The University of Texas, 2019). Many universities and public libraries include resources on their web pages to assist students with proper guidance; hence, students must be familiar with these resources that provide sources of evidence that can help answer their PICOT questions. Increasing the rigor and effectiveness of the database search require strategies, including replacing the terms too general and searching using a combination of databases. For instance, the term client was too general as it generated both medical and business results. On the other hand, a single database cannot yield satisfactory results. The two databases have unique terms, thus different results.
Reference
Adelekan, B., Andrew, N., Nta, I., Gomwalk, A., Ndembi, N., Mensah, C., … & Aliyu, A. (2019). Social barriers in accessing care by clients who returned to HIV care after transient loss to follow-up. AIDS Research and Therapy, 16(1), 1-7.
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
Melnyk, B., & Fineout-Overholt, E. (2019). Evidence-based Practice in Nursing & Healthcare (4th ed.). Wolters Kluwer.
Seifu, W., Ali, W., & Meresa, B. (2018). Predictors of loss to follow up among adult clients attending antiretroviral treatment at Karamara general hospital, Jigjiga town, Eastern Ethiopia, 2015: a retrospective cohort study. BMC infectious diseases, 18(1), 1-8.
The University of Texas. (2019, July 23). Best practices for developing search strategies: Home. https://libguides.sph.uth.tmc.edu/c.php?g=543359
9 months ago
Mary Bemker-page WALDEN INSTRUCTOR MANAGER
RE: Discussion – Week 4
I appreciate the systematic manner you selected in reviewing article specific to your topic. Where some students have difficulty is narrowing the topic search down so that the content reflects the actual topic under investigation. For example, if one was to consider the importance of consumption of a pregnant female to minimize birth defects in an unborn child, it would stand to reason that alcohol, other drugs, and raw fish would be on that list. However, smog, cost of food and being around dogs and cats would not be my first choice in looking for articles on the topic.
Knowing how to narrow down a search and still obtain credible articles (peer-reviewed, published in the last five years, etc.) on the topic can be a juggling act. Your success with this endeavor is well evidenced here.
Dr. B.
9 months ago
Stacy Hinson
RE: Discussion – Week 4
Clinical Issue of Interest. The clinical issue that was researched was how racial/ethnic differences affect the kind of care that is provided for the treatment in depression (Bailey et al., 2019). It looked at influences such as culture, location, socioeconomic status, and the type of providers that are available to diagnose. The clinical issue reviewed the differences in patients being diagnosed by a primary care physician versus a mental health professional. The focus of the population is based on racial/ethnic youth age range from 10-20 years (Yucel et al., 2018). The patients were newly diagnosed with depression and treated with a variety of treatments such as medication, and psychotherapy. The Research Process. I had no idea what to focus on when I started this search. The search started off with a basic search through the Walden Library in the Nursing Subject for mental health concerns. This basic search brought back 10,866 articles. This search took me to review articles on youth and opioids. I utilized Boolean phrases youth, racial/ethnic that only returned 7 articles (Stillwell et al., 2010). I went back to the original articles and saw a common thread of depression and did another search. The new Boolean phrases that were searched were Racial/ethnic, depression, and youth this gave me 308 articles for a quick review of abstracts to find articles to utilize toward a better understanding of this national problem. The direction to obtain better resources. To further my research, I will review studies done in other countries to ascertain if they also face this problem and if they have found a way to address the discrepancies in care. Another source would be to look at the Cochrane evidence-based website to find out what the evidence-based treatment should be for the care for newly diagnosed depression in youth. Reference: Bailey, R., Mokonogho, J., & Kumar, A. (2019). racial and ethnic differences in depression: Current perspectives. Neuropsychiatric Disease and Treatment, Volume 15, 603–609. https://doi.org/10.2147/ndt.s128584 Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010). Evidence-based practice, step by step: Searching for the evidence. AJN, American Journal of Nursing, 110(5), 41–47. https://doi.org/10.1097/01.naj.0000372071.24134.7e Yucel, A., Essien, E. J., Sanyal, S., Mgbere, O., Aparasu, R. R., Bhatara, V. S., Alonzo, J. P., & Chen, H. (2018). Racial/ethnic differences in the treatment of adolescent major depressive disorders (MDD) across healthcare providers participating in the Medicaid program. Journal of Affective Disorders, 235, 155–161. https://doi.org/10.1016/j.jad.2018.04.045
9 months ago
Shontrice Davis
RE: Discussion – Week 4
The clinical topic that I am interested in is pressure ulcer prevention. Pressure ulcers are painful skin lesions cause by prolonged pressure on body parts, specifically bony prominences. They have serious risks associated with them such as infection, debilitation, and increased hospitalization (AHRQ, 2014). The prevention and precautions for these lesions are evolving. New studies and technologies are coming about to aid in the prevention of pressure ulcers. My PICO(T) question is: In adult patients with limited mobility, how effective is pressure ulcer prevention interventions compared to only turning patients every two hours while hospitalized or in long term care facilities? During my research on my topic of choice, I searched many databases. I used the MEDLINE and CINAHL databases for my research. The terms used for my search were “pressure ulcer prevention in hospitals”, pressure ulcer prevention in nursing homes”, “prevalence of pressure ulcers”, and “effectiveness of pressure ulcer prevention”. On each search, the terms I used pulled up over 100 articles each search. The topic that I chose is very important for patients outcomes in hospitals and long term care facilities, which is why I think there are so many articles on it. Therefore, each time I changed the terms I used to search there was not a big change in the number of articles that returned. To improve the research for my PICO(T) question, I will be sure to use boolean operators. They focus a search when the topic contains multiple searches (LibGuides, 2022). It will allow me to connect more information together for a more thorough search. The most popular Boolean operators are AND, OR, and NOT. Parenthesis, truncations, and phrases can also be used as Boolean commands (University of Toronto, 2022). For example, I will put into the search bar “pressure ulcer prevention AND hospitals AND nursing homes”. This will bring up more articles that contain all three subjects. Using those strategies, I think I will have a more thorough research for my PICO(T) question.
References
Preventing pressure ulcers in hospitals. AHRQ. (2014, October). Retrieved March 23, 2022, from https://www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/index.html
Database search tips: Boolean operators. LibGuides. (2022). Retrieved March 23, 2022, from https://libguides.mit.edu/c.php?g=175963&p=1158594
Libraries, U. of T. (2016, October 27). What are boolean operators? how can I use them to improve my searches? University of Toronto Libraries. Retrieved March 23, 2022, from https://onesearch.library.utoronto.ca/faq/what-are-boolean-operators-how-can-i-use-them-improve-my-searches
8 months ago
Sarah Lockwood
RE: Discussion – Week 4
Hello Shontrice,
thank you for your post about pressure ulcer prevention. Your interest in preventing pressure ulcers cultivates an awareness for enhanced skincare management in the healthcare industry. A pressure ulcer is an injury to the subcutaneous tissue at a bone protuberance due to constant pressure in that area or from shear forces (Yoa et al., 2021). Pressure placed on this area disrupts circulation, which damages capillaries and prevents blood flow to the tissue. Reducing, alleviating, and redistributing pressure are interventions to support skincare management and require minimal effort and time (Yoa et al., 2021). Unfortunately, pressure ulcers account for 2.5 million hospitalizations and 60 thousand deaths, yearly, in the United States, yet are easily avoidable (Afzali Borojeny et al., 2020). Furthermore, pressure ulcers contribute to supplementary infections and pain, longer hospital stays, reduction in patient autonomy, untimely deaths, and rising healthcare costs (Afzali Borojeny et al., 2020). Pressure ulcer prevention measures are essential for the recovery of a patient and reduction in hospital costs (Yoa et al., 2021).
Afzali Borojeny, L., Albatineh, A. N., Hasanpour Dehkordi, A., & Ghanei Gheshlagh, R.
(2020). The Incidence of Pressure Ulcers and its Associations in Different Wards
of the Hospital: A Systematic Review and Meta-Analysis. International journal of
preventive medicine, 11, 171. https://doi.org/10.4103/ijpvm.IJPVM_182_19
Yao, J., Zhao, J., Chen, T., & Zeng, X. (2021). Prevention effects of chain management
on pressure ulcers of hospitalized patients. Journal of Healthcare Engineering,
2021, 1-13. https://doi.org/10.1155/2021/6368189
8 months ago
Memory Rinomhota
RE: Discussion – Week 4
Hi Shontrice.
Great post. Pressure ulcers are indeed a cause of concern in immobile patients. It takes great care to prevent a patient from developing pressure ulcers in the hospital. Evidence-based practice showed that patients with controlled anemia, hypertension, frequent repositioning, and a high protein diet have a better chance are best practices to prevent pressure ulcers (Nadukkandiyil et al., 2020). The skin for older adults is fragile and easy to tear. Pressure ulcers are difficult to treat when nurses do not follow guidelines. Patients with a high risk of decubitus can use the special mattress to redistribute the pressure (Phelps et al., 2021).
I also used MEDLINE and CINAHL for my search. I find it easier to use than PUBMED. Have you tried using google scholar? I followed the advice from the instructor, and I found it helpful. It has many articles. Using the Boolean commands will limit your search to the relevant words. MEDLINE and CINAHL already have the Boolean built in. All you need is to change OR to AND in the drop box.
References
Nadukkandiyil, N., Syamala, S., Saleh, H. A., Sathian, B., Ahmadi Zadeh, K., Acharath Valappil, S., Alobaidli, M., Elsayed, S. A., Abdelghany, A., Jayaraman, K., & Al Hamad, H. (2020). Implementation of pressure ulcer prevention and management in elderly patients: a retrospective study in tertiary care hospital in Qatar. The Aging Male : The Official Journal of the International Society for the Study of the Aging Male, 23(5), 1066–1072. https://doi.org/10.1080/13685538.2019.1670156
Phelps, S., Smith, W., Carney, J., Houston, T., & Bounds, J. (2021). Using the pressure injury aetiology specific T.I.M.E. clinical decision support tool to promote consistent holistic wound management and eliminate variation in practice. Wounds International, 12(4), 46–53.
9 months ago
Inderpreet Sandhar
RE: Discussion – Week 4
Before starting research into any kind of clinical issue, one must start with a good clinical question. The PICOT format is set up so you can form a clinical question that would help your searching process easier. According to Melnyk & Fineout-Overholt (2019), ” The purpose of the PICOT question is to guide the systematic search of the healthcare databases to find the best available evidence to answer the question”. PICOT stands for a patient population, issue of interest, comparison issue of interest, outcome, and period (Abbade et al., 2016). The clinical issue of interest involves the chronic issue of inadequate staffing to the number of patients. Inadequate staffing is considered an issue that has major significance in patient outcomes and unsafe staffing is linked to medical errors, preventable falls, high morbidity, and mortality rates (Mudallal et al., 2017). Additionally, inadequate staffing also leads nurses to burnout, emotional exhaustion, job dissatisfaction, and fatigue that affects the quality of care. However, the Covid-19 pandemic has been a huge strain on nurses and other healthcare professionals due to the limitation of staff. Inadequate staffing negatively affects both nurse and patient safety as well as patient outcomes (Lasater et al., 2020). Thus, based on this problem, the PICOT question that I developed is ” What strategies are needed to prevent burnout and maintain the balance between nurse staffing and nurse-to-patient ratio?”. From the PICOT abbreviation, the (P) presents the nurses working in the hospital, (I) presents the what strategies are needed to maintain the nurse-to-patient ratios and prevent adverse outcomes, (C) presents compared to treatment of adverse outcomes, (O) presents the result in the reduction of nurse’s burnout and inadequate staffing as well as positive outcomes, and (T) over the course of six months. There are other things to consider when looking at a clinical trial such as sample size, statistical methods, limitations, and ethical issues (Lira & Rocha, 2019).
Evidence-based practice exists from rigorous research. Formulating a question to begin an EBP (Evidence Based Practice) requires a PICOT question with Boolean operators, which will give successful results. Resources such as databases, computers, and libraries enable the health care providers to retrieve the needed information to provide high-quality care to the patients. There are multiple databases for research and there are specifically 15 databases that are related to nursing at Walden University. Using these databases, nurses are allowed to research reliable sources and find information to help support health issues, policies, and procedures.
I searched through numerous databases such as Walden Library, PubMed, and CINAHL with full-text databases because these databases are noted to be the most comprehensive. Some of the databases require subscriptions but I was able to access the articles through the institution. The use of Boolean operators helps search for specific words and key phrases to find the data that will reflect the most appropriate results for a clinical question (Library of Congress, n.d.). I narrowed down my search by adding filters and search into the search engine of the databases and used terms such as healthcare provider problems, burnout in nurses, shortage of nurses, job dissatisfaction, missed care, nursing staffing, and patient mortality. My original broad search resulted in 2,495 articles. I went over to the left side and clicked on full text and peer-reviewed scholarly journal articles from 2017-2022. After the end of the search, I selected 35 articles and read the summary/abstract and searched both quantitative and qualitative studies to help answer my PICOT question. One strategy I would use to increase the rigor and effectiveness of a database search would be to use truncation. Truncation is used to search for an ending of a root word by adding an asterisk at the end of the root (Walden University, n.d.). Also, the use of Boolean operators and nest search engines enabled a combination of words or phrases which resulted in more specific research results.
References:
Melynk, B., & Fineout-Overholt, E. (2019). Evidence-based practice in Nursing & Healthcare (4th ed.). Wolters Kluwer.
Abbade, L. F., Wang, M., Sriganesh, K., Mbuagbaw, L., & Thabane, L. (2016). Framing of research question using the picot format in randomized controlled trials of venous ulcer disease: a protocol for a systematic survey of the literature. BMJ Open, 6(11), e013175. https://doi.org/10.11136/bmjopen-2016-012175
Mudallal, R. H., Othman, W. M. & Hassan, N. F. (2017). Nurses’ Burnout: The influence of leader empowering behaviors, work conditions, and demographic traits.
9 months ago
Mary Bemker-page WALDEN INSTRUCTOR MANAGER
RE: Discussion – Week 4
It is important to be able to apply the information you are seeking. Knowing how this information can apply to present or future practice, increases the relevance of this activity. When we look at nursing education, for example, one key dynamic that pops up repeatedly in literature is the direct application of findings to retention. This is noted in content via the NLN (2019), Billings and Hallstead (2016), and others currently in the field. Please note that the NLN website is one that offers a variety of free information for nurse educators and others who are interested in presentations, article publications, etc.
Billings, D., & Hallstead, J. (2016). Teaching in nursing: A guide for faculty (5th
ed.). Elsevier Publishing.
National League for Nursing (NLN). (2019). Hallmarks for excellence. Retrieved from
http://www.nln.org/professional-development-programs/teaching-resources/hallmarks-of-excellence
9 months ago
Shirley Harleston
RE: Discussion – Week 4
My clinical issue of interest is substance use in adolescence and its impact on school success and mental health. I have decided to inquire on this topic because of the increase in marijuana use all across the country, especially after the Passing of laws making it legal. Nowadays you drive on the streets and you can smell marijuana because of people smoking in their vehicles. Children are exposed early and the parents do not consider substances like marijuana as a hazard.
During My search, I went to the Walden library (Walden, n.d-a.), and Under database A-Z, I checked nursing, all databases then I put in substance use. The result came up with 0. databases with nursing, substance use. Then I decided to go under Publications: Journals and Articles, and searched Journals and articles and checked peer review and scholarly and search EBSCO. (Walden,n.d-j.) I clicked on the search and this led me to the EBSCO search engine. I then refined my search using boolean/phrase Substance Use and School success. I was able to get to 180 articles. I then limited my search to include articles between 2017 to 2022, full text, and peer-reviewed then click on search. I got 20 articles. I was able to choose from the 20.
One important thing I believe is to start using the filter from the initial search to include scholarly articles that are peer-reviewed and include the dates in the initial search. Also, you may want to limit the database in your search to a minimum of ones like EBSCO which has access to full-text e-books covering a wide variety of topics and databases. The EBSCO collection includes theoretical works, primary source materials, writing and research guides, technical help books, reference materials, and more.(Walden, n.d.-j).
According to the American Journal of Nursing (AJN) To fully implement evidence-based practice (EBP), “nurses need to have both a spirit of inquiry and a culture that supports it”.(Stillwell, et al, 2010). The help of librarians has been found to make the task of applying evidence-based practice research more productive. ( Hot al, 2016)
References:
Ho, G. J., Liew, S. M., Ng, C. J., Hisham Shunmugam, R., & Glasziou, P. (2016). Development of a Search Strategy for an Evidence Based Retrieval Service. PloS one, 11(12), e0167170. https://doi.org/10.1371/journal.pone.0167170
Stillwell, Susan B. DNP, RN, CNE; Fineout-Overholt, Ellen PhD, RN, FNAP, FAAN; Melnyk, Bernadette Mazurek PhD, RN, CPNP/PMHNP, FNAP, FAAN; Williamson, Kathleen M. PhD, RN Evidence-Based Practice, Step by Step: Asking the Clinical Question, AJN, American Journal of
Walden University Library. In.d.-a). Databases A-Z: Nursing. September 6 2019, from https://academicguides.waldenu.edu/az.php?s=19981
Walden University Library. (n.d.-j). Publications: Journals and Articles. https://academicguides.waldenu.edu/library/publications/journals
