SEARCHING DATABASES

SEARCHING DATABASES

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.

 
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 PageLinks to an external site. – databases and resources specifically for Nursing

· Evidence-Based Practice guide: 
Evidence TypesLinks to an external site.

·
Nursing and Health research videosLinks to an external site., including a 15-minute introduction

·
Get HelpLinks to an external site. page, including 
Ask a LibrarianLinks to an external site. service

Quick Answers:

·
How do I find an article that reports on research that uses a specific methodology?Links to an external site.

·
How do I find original or primary research that analyzes empirical data?Links to an external site.

·
What is the Find at Walden button?Links to an external site.

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.

DIscussion asignment

 Mixed methods research designs combine quantitative and qualitative research methods to answer research questions requiring both perspectives. Describe the pros and cons of a mixed method research design. Please include 400 words in your initial post with two scholarly references 

help

Reports have described the acute onset of rhabdomyolysis in athletes performing intense exercise under conditions of excess heat and dehydration. What happens to the muscle cell membrane during rhabdomyolysis, and what proteins are elevated in the blood as a consequence of this cell damage?

1 page

Only 2 scholarly references no later than 2019.

APA format

Theoretical and Scientific Foundations of Nursing

  

OBSERVATION OF EVIDENCE-BASED PRACTICE

Theoretical and Scientific Foundations of Nursing

  

INVESTIGATING A CRITICAL PRACTICE QUESTION THROUGH A LITERATURE REVIEW

nursing

 How often do you engage with or witness death in your work? How has this experience or the lack of it shaped your view of death? Has it gotten easier or harder for you to accept the fact of death? As you explain, include your clinical specialty. 

discussion

Part 1

Choose a drug that is used for the GI system. Write a legal prescription for the drug for a fictitious patient. You are the provider. Be sure your prescription includes all legally correct patient information, provider information, medication information as well as any special instructions to the pharmacist. Your writing Assignment should include all the legal elements of a prescription.

Part 2

Write a 250-300 word paper to describe the pharmacokinetics and pharmacodynamics of the drug as well as specific patient education about the chosen drug. Reference your work using correct APA formatting. Utilize correct professional writing including grammar, punctuation, and mechanics.Directions

Before finalizing your work, you should:

· be sure to read the Assignment description carefully (as displayed above);

· consult the Grading Rubric (under Course Resources) to make sure you have included everything necessary; and

· adhere to correct grammar and spelling

Rubric Title: MN553 Unit 3 Assignment Rubric

Assignment Criteria

Level III

Level II

Level I

Not Present

Criteria 1

Level III Max Points

Points:10

Level II Max Points

Points: 8

Level I Max Points

Points: 6

Not Present

0 Points

Part 1 –Patient/provider information

· All legally required patient and provider information is provided

· More than 50% of patient or provider information is provided

· Less than 50% of provider or patient information is provided

· Does not meet the criteria

Criteria 2

Level III Max Points

Points:10

Level II Max Points

Points: 8

Level I Max Points

Points: 6

Not Present

0 Points

Part 1 – Legal attributes of a written prescription for medication

· All required information to prescribe a drug is present

· More than 50% of the information necessary to prescribe a drug is present

· Less than 50% of the information necessary to prescribe a drug is present

· Does not meet the criteria

Criteria 3

Level III Max Points

Points: 10

Level II Max Points

Points: 8

Level I Max Points

Points: 6

Not Present

0 Points

Part 2 –drug kinetics, dynamics and education for a chosen medication

· Displays complete understanding of the kinetics, dynamics and education of the chosen drug

· More than 50% of the kinetic, dynamics and education information is present

· Less than 50% of the kinetic, dynamics and education information is provided

· Does not meet the criteria

Criteria 4

Level III Max Points

Points: 5

Level II Max Points

Points: 4

Level I Max Points

Points: 3

Not Present

0 Points

College-level academic writing

· Professional, peer-reviewed, advanced practice references are used

· Grammar and mechanics of writing demonstrate graduate level work

· The majority of references used are professional, peer-reviewed and advanced practice focused

· Errors in grammar or mechanics of writing are present but do not interfere with readability

· The minority of references are peer-reviewed or advanced practice focused

· Errors in grammar or mechanics of writing interfere with readability.

· Does not meet the criteria

SOAP note HTA

Hypertension

TTB peers response

Please add reference and send it as soon as possible 

Response to wk 4 discussion cultural

PLEASE READ THE FOLLOWING POST AND RESPOND IN 50 WORDS OR MORE:

Low socioeconomic status is an obstacle to obtaining adequate medical care for low-income populations. Braveman and Gottlieb report that some patients lack transportation and miss their outpatient appointments (2014). Another problem is inadequate or low-quality food consumption. Insufficient space for exercise can lead to a passive lifestyle, since several generations can live in one household. Lack or inadequate health insurance can prevent people from managing their chronic diseases.

Healthy People 2030 offers prevention as one of the strategies to reduce health care disparities and promote disease prevention for all. Community RNs can offer assistance with colorectal, breast, cervical and other screenings. To eliminate food insecurity nurses can assist local communities with participation in National School Lunch Program, Supplemental Nutrition Assistance Program, and Women, and Infants and Children Program.