NURS 6052 SEARCHING DATABASES
Walden University NURS 6052 SEARCHING DATABASES – Step-By-Step Guide
This guide will demonstrate how to complete the Walden University NURS 6052 SEARCHING DATABASES assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NURS 6052 SEARCHING DATABASES
Whether one passes or fails an academic assignment such as the Walden University NURS 6052 SEARCHING DATABASES depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NURS 6052 SEARCHING DATABASES
The introduction for the Walden University NURS 6052 SEARCHING DATABASES is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
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How to Write the Body for NURS 6052 SEARCHING DATABASES
After the introduction, move into the main part of the NURS 6052 SEARCHING DATABASES assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NURS 6052 SEARCHING DATABASES
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NURS 6052 SEARCHING DATABASES
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for NURS 6052 SEARCHING DATABASES
PICOT is an acronym for patient, intervention, comparison, outcome, and time, which are the constituents of clinical research questions. The PICOT procedure starts with a case study, and the question is formulated to elicit a response (Duquesne University School of Nursing Online, 2020). In evidence-based practice, nurses need to use a process and format to communicate a clinical question to clinicians. This process gives a clear understanding of the issue, which leads to an appropriate intervention and outcome. I work in skilled nursing facilities; our population is older adults. The average age group is 85 years old and above. In order for evidence-based practice (EBP) to gain momentum and flourish in the American healthcare system, nurses need to possess the following qualities: a strong conviction in the benefits of EBP, proficiency in EBP knowledge and skills, and a dedication to providing patients and their families with the best possible evidence-based care (Wolters Kluwer, n.d.).
An inability to focus and control impulsive behaviors (behaving without considering the consequences), or excessive activity are some of the characteristics of ADHD. While there is no known cure for ADHD, it can be effectively managed, and some symptoms may get better as the child gets older (CDC, 2022). My clinical issue of interest is to manage hypertension in children with attention deficit hyperactivity disorder (ADHD) using a dietary approach to stop hypertension (DASH) diet (Khoshbakht et al., 2021). P: children aged 6 to 12 years old with ADHD; I: using (DASH) diet; C: without DASH diet; O: improve the symptoms of ADHD.
First, I used Walden University library to do my search; under the library database, I used CINAHL Plus with Full Text. In the search box, I typed DASH diet, and it gave me 659 options; then, using Boolean/Phrase, I typed attention deficit hyperactivity disorder, which showed me 453 search results; then I checked the option of peer-reviewed scholarly journals, and the date range it showed me 42 results.
The secondary databased that I used was MEDLINE with Full Text to find my article, I used the Walden library database, I clicked on MEDLINE with full text, EBSCO host opened a search engine, I typed stop hypertension, it showed me 1,526 search results, using Boolean/Phrase I typed attention deficit hyperactivity disorder in the next box, checked only peer-reviewed scholarly journals and entered the date range starting the year 2023 and pressed the enter button, it showed me 3 peer-reviewed articles.
I was lost and confused when reading this week’s discussion description. Reviewing the weekly resources gave me an idea of how to use the search engine and the tabs to find the articles I am looking for. Walden Library has most of the resources that are needed, and a good search method will provide us with the relevant information.
Database Search
The selected issue of interest is burnout among nurses. According to evidence, burnout among nurses is a critical issue that threatens the safety, quality and efficiency of patient care. Burnout in nursing arises from the increasing demands of an individual and the job (Seo et al., 2020; Wan et al., 2020). The nature of the nursing profession is highly demanding due to the complex care needs of patients and their significant others. Burnout has been shown to be associated with adverse effects on the health and wellbeing of the nurses. It predisposes them to anxiety, depression, demotivation, and low satisfaction with their jobs (Kakemam et al., 2019; Wang et al., 2020). Burnout also increases the risk of safety concerns in healthcare. For example, it increases the risk of medication errors in nursing care, which can harm the patients. Nurses should therefore be assisted in developing effective coping skills with occupational stressors that cause burnout (Kagan et al., 2021). Health organizations should explore effective mechanisms that can be used to ensure that the mental health and wellbeing of nurses are promoted for safety, quality and efficiency in health care.
The search for relevant articles on burnout among nurses was done in Embase and CINAHL databases. The search was done using search terms that included burnout, burnout in nursing, safety, efficiency, quality, and effects of nursing burnout. The number of articles that were achieved from the above search was 36. The articles were further reduced to 10 when aspects such as target population, year of publication, and interventions were explored. The use of Boolean operators was effective in refining the accuracy of the articles that were obtained for the assignment. The strategies that I will use to increase the rigor and effectiveness of the database search for my PICOT question include ensuring relevance of the search keywords, refining search based on Boolean operators, and using the reference list of the selected articles to identify further articles.
Also Read:
EVIDENCE-BASED PROJECT, PART 2: ADVANCED LEVELS OF CLINICAL INQUIRY AND SYSTEMATIC REVIEWS
EVIDENCE-BASED PROJECT, PART 3: CRITICAL APPRAISAL OF RESEARCH
DEVELOPING A CULTURE OF EVIDENCE-BASED PRACTICE
DISCUSSION: PATIENT PREFERENCES AND DECISION MAKING
EVIDENCE-BASED PROJECT, PART 4: RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE
References
Kagan, I., Hendel, T., & Savitsky, B. (2021). Personal initiative and work environment as predictors of job satisfaction among nurses: Cross-sectional study. BMC Nursing, 20(1), 87. https://doi.org/10.1186/s12912-021-00615-1
Kakemam, E., Raeissi, P., Raoofi, S., Soltani, A., Sokhanvar, M., Visentin, D. C., & Cleary, M. (2019). Occupational stress and associated risk factors among nurses: A cross-sectional study. Contemporary Nurse, 55(2–3), 237–249. https://doi.org/10.1080/10376178.2019.1647791
Seo, Y. E., Kim, H. C., Yoo, S. Y., Lee, K. U., Lee, H. W., & Lee, S. H. (2020). Factors Associated with Burnout among Healthcare Workers during an Outbreak of MERS. Psychiatry Investigation, 17(7), 674–680. https://doi.org/10.30773/pi.2020.0056
Wan, Z., Lian, M., Ma, H., Cai, Z., & Xianyu, Y. (2020). Factors Associated with Burnout among Chinese Nurses during COVID-19 Epidemic: A cross-sectional study [Preprint]. In Review. https://doi.org/10.21203/rs.3.rs-31486/v1
Wang, J., Okoli, C. T. C., He, H., Feng, F., Li, J., Zhuang, L., & Lin, M. (2020). Factors associated with compassion satisfaction, burnout, and secondary traumatic stress among Chinese nurses in tertiary hospitals: A cross-sectional study. International Journal of Nursing Studies, 102, 103472. https://doi.org/10.1016/j.ijnurstu.2019.103472
Sample Answer 2 for 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 Psychiatry, 21(8), e1–e2. https://doi.org/10.12788/cp.0275
Sample Answer 3 for NURS 6052 SEARCHING DATABASES
I enjoyed reading your post. This topic of interest is near to my heart since I have three children of my own and I 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…%20Links 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 Links to an external site..
Sample Answer 4 for NURS 6052 SEARCHING DATABASES
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 Adolescence, 50(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 Psychiatry, 31(6), 879-889.
Sample Answer 5 for NURS 6052 SEARCHING DATABASES
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 nurses. Evidence-Based Nursing, 24(4), 141–141. https://doi.org/10.1136/ebnurs-2020-103321Links 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 Studies, 52(1), 240–249. https://doi.org/10.1016/j.ijnurstu.2014.07.001Links 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 Nursing, 25(3), 99–99. https://doi.org/10.1136/ebnurs-2021-103437Links to an external site.
Sample Response 6 for NURS 6052 SEARCHING DATABASES
Thank you for your post. Nurse burnout in correlation to poor patient outcomes is getting worse. Nurses are not able to sustain the quality of nursing care with patient overload. At some point throughout the shift, one patient’s care or deterioration, will take away that assigned nurse and their other patients will be neglected and receive the bare minimum of care, so the nurse ends her shift on time. Having a 3:1 ratio in ICU or 5- 6:1 on a med-surg unit is unsafe and below the standard of care. (Bourgault, 2022) But because so many nurses have left their unit, hospital or nursing all together, the nurses that remain, suffer the consequences.
Nurses cannot engage in self-care because they feel guilty about saying no to working when their colleagues are short staffed and overworked, so they too, will pick up an extra shift to help. This turns into nurses working 5 or 6 days in a row, 12–16 hour shifts. If the numbers are met or somewhat balances out, leadership turns a blind eye. Occasionally, you will have a nurse manager that can and will do the job of their staff, they are willing to run the floor or take an assignment, but that is far and few between. (Seymour, 2022).
I found the Walden University Library to be helpful with finding relevant research articles. The information is clear and easy to follow. The webinar with the librarians is great! They showed a lot of helpful tips and tools to narrow down research articles among other things. (Walden University Library, (n.d.). Watching the videos enlightened and inspired me to use the library more.
References
Bourgault A. (2022). The Nursing Shortage and Work Expectations Are in Critical Condition: Is Anyone Listening? Critical Care Nurse, Apr 01, Vol. 42 Issue 2, p8. https://web.p.ebscohost.com/ehost/detail/detail?vid=6&sid=1c69768f-4ef3-48cc-9137-f283e860b309%40redis&bdata=JkF1dGhUeXBlPXNoaWImc2l0ZT1laG9zdC1saXZlJnNjb3BlPXNpdGU%3d#AN=35362075&db=mnhLinks to an external site.
Seymour, N. (2022). Nurse leader pleads for funding as staffing shortage forces closure of 900 aged-cared beds. KaiTiaki Nursing, New Zealand. https://content.ebscohost.com/ContentServer.asp?T=P&P=AN&K=158542866&S=R&D=rzh&EbscoContent=dGJyMNLr40SeprQ4wtvhOLCmsEqep7NSr6i4TLOWxWXS&ContentCustomer=dGJyMPGss0q1qK5IuePfgeyx5n3f4vKA8dnnLinks to an external site.
Walden University Library. (n.d.). Keyword searching: Finding articles on your topic: Introduction to keyword searching http://academicguides.waldenu.edu/library/keyword/searching-basicsLinks to an external site.
Sample Answer 7 for NURS 6052 SEARCHING DATABASES
The clinical issue of interest I have selected is healthcare-associated infections. These infections develop while receiving health care in a hospital or healthcare facility. Per the CDC,1.7 million hospitalized patients annually develop healthcare-associated infections while being treated for other health-related issues, and more than 98,000 of these patients die due to HCAIs. (Haque et al., 2018). There are multiple types of HCAIs include catheter-associated UTIS, central line-associated bloodstream infections, ventilator-associated pneumonia, and post-surgical site infections. HCAIs are a significant concern for both patients and healthcare professionals. Anyone caring for patients being treated anywhere within a healthcare facility must do their part in preventing these infections through personal hygiene and best practices in infection control. Healthcare professionals and facilities must continue to manage and control such diseases through strategic, policy, and education initiatives (Haque et al., 2018).
The search engine databases I used for my article research were MEDLINE and CINAHL. My main search was healthcare-associated infections, which returned 14,208 articles in CINAHL and 22,815 articles in MEDLINE databases. Simplifying the search bars by selecting the date range, full text, and peer reviewing helped narrow the articles even more. In addition, I used the Boolean operator AND and included the critical word surgical site infections. I got a return of 599 reports in the CINAHL database and 957 in the MEDLINE database. Reading into the Boolean terms gave me great insight into future research articles. When using Boolean terms, the AND will always automatically be there, but for best results, using only the OR in that search box will help the database find different ways authors have phrased an issue or concept (Walden University Library, n.d.).
The PICO(T) format or acronym (patient/population, intervention, comparison, outcomes, and time) helps summarize a research question that allows exploring the effect of a therapy (Riva et al., 2012). One strategy to increase the effectiveness of my database search for my PICO(T) question is to ensure I use key terms accurately, such as healthcare-associated infections, and then add surgical sites in the following search box. Other strategies would be ensuring my Boolean operator is switched to OR and my search limiters are appropriately selected. Lastly, utilizing the Walden Librarian for additional support and advise when needed.
References:
Haque, M., Sartelli, M., McKimm, J., & Abu Bakar, M. (2018). Health care-associated infections – an overview. Infection and drug resistance, 11, 2321–2333. https://doi.org/10.2147/IDR.S177247
Riva, J. J., Malik, K. M., Burnie, S. J., Endicott, A. R., & Busse, J. W. (2012). What is your research question? An introduction to the PICOT format for clinicians. The Journal of the Canadian Chiropractic Association, 56(3), 167–171.
Walden University Library. (n.d.-f). Keyword searching: Finding articles on your topic: Boolean termsLinks to an external site.Links to an external site.. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/boolean
Sample Answer 8 for NURS 6052 SEARCHING DATABASES
My clinical issue of interest was related to falls in the elderly and in long-term care. Working in long-term care, resident falls have always been an issue due to debility, dementia, age, medications, and other health factors. Falls in nursing homes happen all the time and in every nursing home in the United States. “There are 1.6 million residents in the U.S nursing facilities, with 1 in every 10 residents who fall have a serious related injury and 65,000 residents suffer a hip fracture each year” (Chapter 1. Introduction and Program Overview, n.d.). Injuries related to falls not only hinder the health of the elderly but impacts the nursing home too. Every injury-related fall has to be reported to the state or CMS (Centers for Medicare and Medicaid) and based on the severity of the injury, CMS could make a surprise visit and investigate further, which could lead to the nursing home being fined. Injuries can affect the resident’s health and alter their quality of life, epically if there was a need for surgery as most residents do not recover fully after surgery. There is also the concern for lawsuits after an injury-related fall as well. As you see, there are many issues that can occur just from one resident’s fall.
Working as a floor nurse and some in management I had the mindset of what the floor nurses thought the main issue on falls were and then from a management perspective, I can see the data from the incident reports through our EMR system. We had noticed that most of our falls were during dinner time, it appeared that there was minimum staff on the floor during this time as our nursing staff and CNA staff were in the dining room assisting with feeding residents, which left minimum staff on the floor to assist in answering call lights and resulting in residents trying to use the bathroom on their own leading to a fall. We also noticed that the interventions in place could be more of a problem. “assessing a resident risk for falls, implanting fall interventions can reduce the number of falls in the elderly in long-term care facilities” (RN, 2012). Yes, interventions are important, but we were finding that the nurses were quick to add a bed or chair alarm instead of an intervention for the resident’s needs as not every resident is the same. We started to question if our fall intervention in place was causing more harm than good. For a PICOT question, it’s important to ask the right questions to get the most validated information. The PICOT process is based on a clinical question, “phased in a manner that will retrieve the most relevant information from research” (Melnyk & Fineout-Overholt, 2019, pg. 758). The acronym stands for Patient/Population, Intervention, Comparison, outcome, and time frame.
Question: An elderly patient who resides in a long-term care facility, will implementing a fall intervention be more effective compared to interventions that are patient-centered, reduce residents falls over a 30-day time frame from last month’s falls.
P: Elderly patient in a long-term care facility.
Intervention: implanting fall is intervention vs
Comparison: patient-centered fall interventions
Outcome: reduce resident’s falls
Time: 30-day time frame compared to last month’s falls.
I initially searched the Walden Library A-Z search and could not find any articles on falls in the elderly or falls in long-term care. However, when searching the Boolean operators I was able to locate 1,193 peer review articles related to falls in long-term care or in the elderly. I then searched patient-centered interventions for falls through Boolean and found 10 peer-reviewed articles. Boolean was a better option as there were tabs to the side to select for peer review, this will be beneficial for the class to filter out the articles that are not peer-reviewed related. The Boolean will be the most effective database search for my PICOT question.
Reference:
Melnyk, B., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Wolters Kluwer.
Chapter 1. Introduction and Program Overview. (n.d.). Www.ahrq.gov. https://www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man1.html#:~:text=Falls%20are%20common%20in%20nursingLinks to an external site.
RN, R. M., MSN, RN-BC, CDONA and Catherine W. Adedokun, MSN, RN and Roseanne Moody Fairchild, PhD. (2012, November 19). Preventing Falls in the Elderly Long Term Care Facilities. RN Journal. https://rn-journal.com/journal-of-nursing/preventing-falls-in-the-elderly-long-term-care-facilities#:~:text=The%20implementation%20of%20a%20fall
Sample Answer for NURS 6052 SEARCHING DATABASES
Access to mental health resources and services remains critical to addressing the mental health issue that affects a significant number of individuals in the United States. The COVID-19 pandemic demonstrated that providers can leverage health technologies like telehealth to improve access to mental health services (Talarico, 2021). The pandemic disrupted accessibility to mental health services for millions who were on treatment modules and interventions, especially those in rural areas and those with mobility challenges. Telehealth became a critical part of expanding access to mental health care services at the time (Lee et al., 2023). Today, more facilities are leveraging telehealth to enhance access to mental health services.
PICOT
Evidence-based practice (EBP) entails processes to determine the implementation of a recommended intervention through the PICOT framework by exploring the population, the suggested intervention compared to what providers currently use, the outcomes, and the time frame for the implementation (Melnyk et al., 2023). In this case, the PICOT question on the clinical issue of interest, access to mental health is:
Among mental health patients in rural areas and with mobility challenges (P), does telehealth (I) compared to physical visits (C) improve accessibility to services by 40% (O) within six months (T)?
Search Terms and Databases
Based on this PICOT question, I initiated a search using selected databases in the Walden University Library. The search terms I used included telehealth in mental health, access to mental health in rural areas, health technologies to improve mental health, and accessibility issues in mental health. The two databases I searched for articles included PubMed and Cumulative Index to Nursing and Allied Health Literature (CINAHL Plus with Full Text). Using the search terms, the initial search returned 10,241 results, 4,318 results, 7,241 results, and 2,534 results, respectively for each search term. The results for each search term drastically reduced after applying limiters or filters that included full text, peer-reviewed articles, range date from 2020 to 2024, and original studies or no systematic reviews. PubMed returned twenty searches while CINAHL returned 10 results or articles. Searching for prevalent and critical topics like mental health requires more techniques, such as Boolean operators. Therefore, after applying the Boolean operator “AND” the search refined appropriate articles on the impact of telehealth to increase access to mental health services.
Increasing Rigor and Effectiveness
Increasing the rigor and effectiveness of a database search based on the PICOT question implores one to implement additional strategies. The core strategies that could enhance the rigor and effectiveness of database search outcomes include using specific terms and periods, employing appropriate filters, and formulating a practical PICOT question to guide the important terms and direction of the activity (McBain et al., 2023). The implication is that enhancing access to mental health through health technologies like telehealth is essential to improve outcomes and reduce associated costs.
References
Lee, H., Palmer, J., Mullick, P., & Kiely, C. (2023). Patient experience with telehealth service in
a mental health setting. Archives of Psychiatric Nursing, 43: 150-152.
DOI: 10.1016/j.apnu.2023.03.001
McBain, R. K., Schuler, M. S., Qureshi, N., Matthews, S., Kofner, A., Breslau, J., & Cantor, J.
- (2023). Expansion of telehealth availability for mental health care after state-level policy changes from 2019 to 2022. JAMA Network Open, 6(6), e2318045-e2318045.
Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in nursing and
Healthcare: A guide to best practice (4th ed.). Wolters Kluwer.
Talarico, I. (2021). The use of telehealth to increase mental health services access and promote
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