NURS 6052 Searching Databases

NURS 6052 Searching Databases

Sample Answer for NURS 6052 Searching Databases Included After Question

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. 

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. 

RESOURCES 

 

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.  

WEEKLY RESOURCES 

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. 

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. 

A Sample Answer For the Assignment: NURS 6052 Searching Databases

Title: NURS 6052 Searching Databases

The clinical issue of interest to me is mental health issues among adolescents due to the COVID-19 pandemic.  This subject interested me because having worked as a Psych/behavioral health nurse for over 2 years, I witnessed firsthand how the number of adolescent patients increased at our hospital.  I worked at a 20-bed inpatient behavioral health/psych facility and within a matter of months after COVID, we were getting twice as many adolescent admission packets than adult admissions.  In six months, the hospital went from 20 adolescents to a 50-adolescent inpatient facility.

I started my search using the Walden library resource.  I started with the broad subject of mental health.  I narrowed my search result to adding adolescents to the search criteria.  I selected “peer-reviewed articles” and changed the years to include searches between 2016 and 2022.  I also included COVID-19 in the search criteria as well.  This narrowed the search result down to 495 articles which is a lot more manageable to go through rather than going through thousands of articles.

I found a great article on this topic titled “The impact of COVID-19 on adolescents’ mental health.”  In this article, the author discusses that several studies show that emergency department visits for peds patients increased after the first lockdown.  The author also talks about the underlying causes of pandemic-induced distress, with social isolation and loneliness due to social distancing being the main culprit in increased anxiety, depression, self-harm, and suicidal ideation among this population.

I will continue to read through the list of articles on this subject matter and the COVID-19 timeframe of the last year will develop my PICOT question.  I will also research how this pandemic over the last year has increased substance abuse among adolescents.

 

References

Malik, A. (2022). The impact of COVID-19 on adolescents’ mental health. Current Psychiatry21(8), e1–e2. https://doi.org/10.12788/cp.0275

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I enjoyed reading your post. This topic of interest is near to my heart since I have three children of my own and I

NURS 6052 Searching Databases
NURS 6052 Searching Databases

know first-hand how the pandemic affected them. My oldest is now 16 but 13 at the time of COVID-19 and I would say that was her hardest years of adolescence. According to the world health organization, social withdrawal can exacerbate isolation and loneliness and this can lead to depression (2021). The whole school year, of the pandemic, my school-aged children were isolated in our own home away from family and friends. The following year my oldest daughter was clinically diagnosed with anxiety and depression. We have endured an inpatient stay, outpatient therapy, and lots of prescription medications, but have finally turned the corner to a brighter future. Overall, the pandemic undoubtedly affected the mental health of everyone and especially children. On another note, I do think that utilizing the Boolean terms properly will help your research efforts. According to the clinical information access portal depending on what you want to research that will determine which term to utilize, AND is for narrowing your search, OR is for broadening, and NOT is for excluding certain items (1996). This website also had infographics that helped me understand how to utilize Boolean terms properly. I hope you find it as resourceful as I did.

References:

Clinical Information Access Portal. (1996). Combining terms with Boolean Operators (AND, OR, NOT). Combining terms with Boolean Operators (AND, OR, NOT) – CIAP Clinical Information Access Portal. Retrieved December 20, 2022, from https://www.ciap.health.nsw.gov.au/training/ebp-learning-modules/module2/combining-terms-with-boolean-operators-and-or-not.html#:~:text=Combining%20terms%20with%20Boolean%20Operators%20%28AND%2C%20OR%2C%20NOT%29,search%20result%20will%20contain%20both%20the%20…%20

Links to an external site.

World Health Organization. (2021, November 17). Adolescent mental health. World Health Organization. Retrieved December 20, 2022, from https://www.who.int/news-room/fact-sheets/detail/adolescent-mental-health#:~:text=Depression%20is%20estimated%20to%20occur%20among%201.1%25%20of,disorders%20can%20profoundly%20affect%20school%20attendance%20and%20schoolwork

I agree with you that most adolescents experienced mental breakdown and psychological distress during the COVID-19 pandemic. Healthcare facilities received many teenagers with mental health complications. The restrictive measures such as closure of social and public amenities compelled these youngsters to stay lonely at their homes (Magson et al., 2021). However, to obtain credible and accurate materials to explain mental health issues among adolescents, locating the right platforms is important. The Walden library resource is a genuine source of academic materials. However, navigating to the right reading materials is a process guided by the keywords. Walden library has many materials. Therefore, choosing wrong keywords may mislead someone to other sources (Ravens-Sieberer et al., 2022). Peer-reviewed articles are considered to be the best. Besides, using latest materials provide relevant and current information. Different results are obtained when searching for information about COVID-19. Hence, becoming more specific increases the accuracy of the process. Reading more articles on mental health issues among adolescents due to the COVID-19 pandemic increases clarity on the problem.

 

References

Magson, N. R., Freeman, J. Y., Rapee, R. M., Richardson, C. E., Oar, E. L., & Fardouly, J. (2021). Risk and protective factors for prospective changes in adolescent mental health during the COVID-19 pandemic. Journal of Youth and Adolescence50(1), 44-57.

Ravens-Sieberer, U., Kaman, A., Erhart, M., Devine, J., Schlack, R., & Otto, C. (2022). Impact of the COVID-19 pandemic on quality of life and mental health in children and adolescents in Germany. European Child & Adolescent Psychiatry31(6), 879-889.

Module 3 Discussion Response Post 2

I did not realize to what extent the Covid pandemic had on adolescents in the sense of the increase in inpatient admits for mental health reasons. I do have two kids of my own, with the youngest being in first grade during the time Covid was rampant. I remember when we found out about a Covid exposure in his class, we had to do virtual schooling from home, which was NOT easy holding the attention of a first grader for hours behind the computer screen. Besides that, my oldest almost didn’t get to have a “normal” graduation this past year, which would have been devastating to her for sure!

One article I found surveyed 2,111 patients less than 25 years old that had been diagnosed with psychiatric conditions. The survey revealed that 83% of these individuals admitted to a worsening in their condition during the pandemic, and 26% of them were unable to access the support they needed (Listernick & Badawy, 2021).

Another article I found explored solutions to combat this increase in mental health disturbance. It discussed the importance of adolescents being socially connected, getting the recommended hours of sleep at night, and promoting physical activity (Kiss et al., 2022).

 

References

Kiss, O., Alzueta, E., Yuksel, D., Pohl, K. M., de Zambotti, M., Műller-Oehring, E. M., Prouty, D., Durley, I., Pelham, W. E., III, McCabe, C. J., Gonzalez, M. R., Brown, S. A., Wade, N. E., Marshall, A. T., Sowell, E. R., Breslin, F. J., Lisdahl, K. M., Dick, A. S., Sheth, C. S., … Baker, F. C. (2022). The pandemic’s toll on young adolescents: Prevention and intervention targets to preserve their mental health. Journal of Adolescent Health70(3), 387–395. https://doi.org/10.1016/j.jadohealth.2021.11.023

Patient Outcomes Effected by Nursing Burnout

Patient outcomes are at the forefront of all healthcare organizations. We want the best for our patients and their families. As healthcare workers, this can be a challenge. With staffing shortages, and constantly changing work requirements, burnout is becoming more and more prominent. Exacerbated by the COVID-19 pandemic nursing burnout is a challenge we must overcome. Decreased work-related stressors such as workload, and time pressures, and increasing communication, and interpersonal relationships by having a more conducive work environment can minimize burnout in nursing (Afriyie, 2020).   This clinical issue must be addressed to prevent further deterioration of staff and patient outcomes (Canadas-DelaFuente et al., 2015). Overall, nursing burnout has negative implications for patient outcomes and healthcare organizations (Peirson, 2021).

Research Strategies

I first had to develop a strategy for researching to find articles that did not include systematic reviews, this week’s resource section provided excellent explanations of the different types of research and where to go to find them. I did find that while searching different databases having fewer words helped with the search results. My original search term Nursing Burnout resulted in 45 articles to choose from, alternatively when using the term Patient Outcomes over 1600 articles populated. This made searching for my specific topic more challenging since there were only a few articles that had both specifications addressed. Some way to overcome these challenges is to speak the research engine’s “language” so to speak. I researched the topic of interest and utilized the word AND in addition to the second word in my topic of interest which narrowed down the amount articles to 40, which resulted in the best articles that addressed the complete topic in its entirety.

References:

Afriyie, D. (2020). Reducing work-related stress to minimize emotional labour and burn-out syndrome in nursesEvidence-Based Nursing24(4), 141–141. https://doi.org/10.1136/ebnurs-2020-103321

Links to an external site.

Cañadas-De la Fuente, G. A., Vargas, C., San Luis, C., García, I., Cañadas, G. R., & De la Fuente, E. I. (2015). Risk factors and prevalence of burnout syndrome in the nursing profession. International Journal of Nursing Studies52(1), 240–249. https://doi.org/10.1016/j.ijnurstu.2014.07.001

Links to an external site.

Peirson, J. (2021). Staff burn-out has implications for organizational and patient outcomes: Would an open culture of support with structures in place prevent burn-out? Evidence-Based Nursing25(3), 99–99. https://doi.org/10.1136/ebnurs-2021-103437