Resources To Use By Melnyk B M And Fineout-Overholt E 095871

Resources To Usemelnyk B M Fineout Overholt E 2023evidence

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.

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.

Paper For Above instruction

Developing an effective evidence-based practice (EBP) involves a systematic process of identifying clinical issues, conducting comprehensive literature searches, and appraising the evidence to inform clinical decision-making. The critical first step is selecting a relevant clinical issue that warrants investigation. In my case, I am interested in exploring the impact of patient-centered education on diabetes management outcomes among adults with type 2 diabetes. This issue is pertinent given the rising prevalence of diabetes globally and the recognized need for self-management education to improve patient outcomes.

Using the guidance provided, I started my search by choosing broad keywords such as "diabetes education" and "self-management." I then narrowed my focus by including more specific terms like "patient-centered," "Type 2 diabetes," and "clinical outcomes." To identify peer-reviewed articles, I accessed two different databases in the Walden Library: CINAHL and MEDLINE. Initially, my broad search with "diabetes education" yielded over 200 articles. When I added the Boolean operator "AND" with "patient-centered," the number of articles decreased to approximately 50, indicating a more refined focus. Further limiting the search to "self-management" and "clinical outcomes" reduced the results to around 20 articles. These numbers suggest that adding specific keywords and Boolean operators effectively filters search results, making the search more manageable and focused.

Throughout this process, I found that using Boolean operators such as "AND," "OR," and "NOT" is essential for effective database searching. For example, combining "diabetes education" AND "patient-centered" helps to narrow down the results to studies relevant to my clinical question, whereas using "OR" between synonyms like "self-management" OR "self-care" broadens the search to include related concepts. Additionally, nesting commands with parentheses allows for complex searches, such as ("diabetes education" AND "patient-centered") OR ("self-management" AND "clinical outcomes").

To increase the rigor and effectiveness of my database searches, I would employ several strategies. First, I would utilize Medical Subject Headings (MeSH) terms in MEDLINE to improve retrieval efficiency, as these controlled vocabulary terms ensure consistency in indexing articles. For example, using the MeSH term "Diabetes Mellitus, Type 2" can yield more precise results than free-text keywords alone. Second, I would set filters for peer-reviewed articles, publication date ranges, and study design to ensure high-quality evidence. Third, conducting citation tracking of identified key articles can reveal additional relevant studies. Lastly, I would consider consulting systematic reviews or meta-analyses as comprehensive sources that synthesize evidence from multiple original research articles, enhancing the depth and reliability of the evidence base.

By methodically refining search strategies, employing appropriate keywords and Boolean operators, and leveraging database-specific tools like MeSH terms, I can optimize the search process to find the most relevant, high-quality evidence to support clinical practices involving diabetes education and management.

References

  • Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Wolters Kluwer.
  • 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.
  • 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(2), 49–52. https://doi.org/10.1097/01.NAJ.0000358371.26156.35
  • Walden University Library. (n.d.-a). Databases A-Z: Nursing. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/databases/nursing
  • Walden University Library. (n.d.-c). Evidence-based practice research: CINAHL search help. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/databases/cinah
  • 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/databases/jbibr
  • Walden University Library. (n.d.-e). Evidence-based practice research: MEDLINE search help. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/databases/medline
  • Searching the Evidence [Video File]. (2018). Walden University, LLC.
  • 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.

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