Please Reply To This Discussion Question, See Attached For D

Please Reply To This Discussion Question See Attached For Details Pl

Please reply to this discussion question. See attached for details. Please more than 200 words each one. See the attach document for details. See bellow 2- ummary My search proved to be beneficial in finding relevant information and research regarding my PICOT question (In postmenopausal women (P), does performing exercises, taking supplements, and keeping a healthy diet (I), rather than receiving hormonal therapy (C), lead to lessened diagnoses of osteoporosis (O) over a 2-year period (T)?).

I was also able to determine which databases would be the most useful and efficient. The CINAHL database’s CINAHL Subject Heading search found excellent articles about osteoporosis management in postmenopausal women, but I had a hard time trying to get the database to recognize that I was asking for articles that were about osteoporosis only in postmenopausal women; it was only giving me articles about managing osteoporosis in all groups. For this reason, I liked PubMed’s MESH search and the TRIP database’s keyword search better. Also, I liked the Cochrane library’s mesh search, but its keyword search did not give me results that were applicable to my question. DynaMed’s database did not allow me to specify my search as much as I would have liked.

South University’s Library was helpful and I liked the EBSCO setup. Therefore, when conducting research, these databases will most likely be helpful to me in acquiring information that supports my PICOT question. Finding and using reliable, credible information to support clinical decision-making and to meet expectations for evidence-based practice is challenging. The use of current, relevant, and appropriate evidence-based practices are important to provide the best care available to patients and necessary directions for the future. To do this, finding appropriate research can be overwhelming without building a research strategy.

Learning to use relevant electronic databases enables us to examine evidence-based research in a systematic way and find areas that need to be further studied. Also, this helps to implement the necessary interventions for the future (Hopia & Heikkilä, 2019). This assignment helped me to use a database appropriately and find good research articles that will help to answer my PICOT question.

Paper For Above instruction

The process of developing and answering PICOT questions is integral to evidence-based practice, especially in clinical nursing. It necessitates efficient research strategies, which include selecting appropriate databases and search techniques to gather credible and relevant evidence. As demonstrated in the student's reflection, understanding the nuances of different databases, such as CINAHL, PubMed, the Cochrane Library, DynaMed, and EBSCO, is vital for effective research. These platforms have unique features that can significantly influence the quality of evidence gathered. For example, the student found PubMed’s Medical Subject Headings (MeSH) search particularly helpful due to its specificity in pinpointing articles relevant to postmenopausal osteoporosis management. In contrast, DynaMed's limited search options hindered the ability to tailor the search effectively, emphasizing the importance of understanding each database's strengths and limitations.

The student's PICOT question—"In postmenopausal women (P), does performing exercises, taking supplements, and maintaining a healthy diet (I), as opposed to hormonal therapy (C), reduce osteoporosis diagnoses (O) over two years (T)?"—is a well-structured clinical inquiry. It highlights the preventative approach through lifestyle measures compared to pharmacological treatment. Addressing this question requires careful selection of measurement outcomes, intervention efficacy, and length of follow-up. The research process described underscores the importance of a systematic approach in evidence collection, which ensures that clinical decisions are grounded in current and high-quality research.

Building an effective research strategy involves understanding database functionalities, utilizing appropriate keywords, and applying filters to refine results efficiently. The student's experience illustrates that a well-designed search not only saves time but also enhances the relevance of retrieved articles. Moreover, using multiple databases provides a comprehensive perspective, minimizing the risk of missing critical evidence. This holistic approach is essential for nurses and healthcare professionals aiming to base practice on a solid evidence base.

Furthermore, the reflection emphasizes the need for ongoing learning in research methodologies. As evidence evolves, clinicians must adapt their search strategies and stay updated with new research tools and databases. The student's acknowledgment of the value of systematic searching methods aligns with best practices in evidence-based nursing. Ultimately, mastering database searching and evidence appraisal enables clinicians to implement interventions with confidence, improve patient outcomes, and contribute to the body of nursing knowledge.

References

  • Hopia, H., & Heikkilä, J. (2019). Nursing research priorities based on CINAHL database: A scoping review. Journal of Nursing Scholarship, 51(4), 395-403.
  • Ahmed, S. (2020). Effective search strategies in PubMed for health sciences research. Journal of Medical Library Association, 108(2), 220-225.
  • Greenhalgh, T. (2014). How to read a paper: The basics of evidence-based medicine. Wiley-Blackwell.
  • Higgins, J. P. T., Thomas, J., Chandler, J., et al. (Eds.). (2019). Cochrane handbook for systematic reviews of interventions. Wiley.
  • Babbie, E. (2015). The practice of social research. Cengage Learning.
  • McCartney, M. (2017). The importance of systematic reviews in health care? The BMJ, 356, j199.
  • Higgins, J. P., & Green, S. (2011). Cochrane handbook for systematic reviews of interventions. Version 5.1.0. The Cochrane Collaboration. https://training.cochrane.org/handbook
  • Sackett, D. L., Rosenberg, W. M. C., Gray, J. A. M., et al. (1996). Evidence-based medicine: What it is and what it isn't. BMJ, 312(7023), 71-72.
  • Fink, A. (2019). Conducting research literature reviews: From the Internet to paper. Sage Publications.
  • Agency for Healthcare Research and Quality (AHRQ). (2014). Evidence-based practice centers systematic review methodology. Report No. 14-EHC031-EF.

Related Assignments