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 database
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.
QUESTION
TOPIC: Fall Prevention
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.
GRADING RUBRIC
Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources. … Supported by at least three current, credible sources. … Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. PEER-REVIEWED ARTICLES, SELECT ORIGINAL RESEARCH ARTICLES
REQUIRED READING FOR REFRERNCING
· Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
o Chapter 2, “Asking Compelling Clinical Questions” (pp. 33–54)
o Chapter 3, “Finding Relevant Evidence to Answer Clinical Questions” (pp. 55–92)
· Davies, K. S. (2011). Formulating the evidence based practice question: A review of the frameworksLinks to an external site. for LIS professionals. Evidence Based Library and Information Practice, 6(2), 75–80.
· Library of Congress. (n.d.). Search/browse help – Boolean operators and nestingLinks to an external site.. Retrieved September 19, 2018, from https://catalog.loc.gov/vwebv/ui/en_US/htdocs/help/searchBoolean.html
· 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.Links to an external site. 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 inquiryLinks to an external site..Links to an external site. American Journal of Nursing, 109(11), 49–52. doi:10.1097/01.NAJ.0000363354.53883.58
· Stillwell, S.B., Fineout-Overhold, E., Melnyk, B.M., & Williamson, K.M. (2010). Evidence-based practice step-by-step: Searching for evidence.Links to an external site. American Journal of Nursing, 110(5), 41-47.
· Walden University Library. (n.d.-a). Databases A-Z: NursingLinks to an external site.. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981
· Walden University Library. (n.d.-c).Evidence-based practice research: CINAHL search helpLinks to an external site.. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/cinahlsearchhelp
· Walden University Library. (n.d.-d). Evidence-based practice research: Joanna Briggs Institute search helpLinks to an external site.. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/jbisearchhelp
· Walden University Library. (n.d.-e). Evidence-based practice research: MEDLINE search helpLinks to an external site.. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/medlinesearchhelp
· Walden University Library. (n.d.-f). Keyword searching: Finding articles on your topic: Boolean termsLinks to an external site.. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/boolean
· Walden University Library. (n.d.-g). Keyword searching: Finding articles on your topic: Introduction to keyword searchingLinks to an external site.. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/searching-basics
· Walden University Library. (n.d.-h). Quick Answers: How do I find a systematic review article related to health, medicine, or nursing?Links to an external site. Retrieved September 6, 2019, from https://academicanswers.waldenu.edu/faq/72670
· Walden University Library. (n.d.-i). Systematic review.Links to an external site. Retrieved January 22, 2020, from https://academicguides.waldenu.edu/library/healthevidence/types#s-lg-box-1520654.
Running Head: SEARCHING DATABASES 2
WEEK 4 DISCUSSION: SEARCHING DATABASES
NAME:
INSTITUTION:
INSTRUCTOR’S NAME:
DATE:
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SEARCHING DATABASES 2
The PICO(T): Should the use of exercise programs be used as a preventative strategy in reducing
falls for the elderly?
The databases I searched for my information were the CINAHL, PubMed, and the
Walden library. I first searched for unfiltered information in the CINAHL database with Full
Text of peer reviewed articles from 2015-2020, which gave me a huge figures over twenty
thousand, most of which were related to falls and effects of falls. On PubMed, I used the
advanced search filters to narrow my search. Filters are useful in thinning down the search
Badenoch & Heneghan (2002). I clicked to view articles which studied falls in the elderly
published within 5 years. In my search modes and expanders I chose the Boolean phrases with
full text peer-reviewed scholarly articles, ranging from 2015-2020. Boolean phrases help refine
and narrows search results (Skelly & Ecker, (2010),. The special limiters used for Elderly Falls
Info were Peer-Review Journals from 2015-2020, and for CINAHL Plus I re-entered Evidence-
Based Practice with Falls/Elderly. My results got much less 1,259, which is still quite a
substantial amount to search through. From there, I added in PubMed utilizing a feature called
Clinical Inquiries. Clinical Inquiries is designed to improve search results by “linking the type of
question (therapy, diagnosis, etiology, and prognosis) to a stored search strategy that retrieves the
appropriate research methodology” (Schardt, 2007). With added filters i searched the terms
“Elderly Falls and prevention ” in the Walden Library, I got 257 results. Walden Library
(2020),also recommends use of Boolean terms to create a more precise search with more relevant
results (para. 1).After adding the Boolean terms to my next search I got 55,734 results. A study
by (Ho et al., 2016) concluded that it is essential to search at least three different databases to
achieve approximately 90% of the most pertinent information on the subject. A strategy to
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SEARCHING DATABASES 2
increase the rigor and effectiveness of a database search is to use alternative terms (Ho et al.,
2016).
To increase the rigor and effectiveness of searching for the PICO(T) in the databases, I
used other strategies such as; using the database filters. According to Badenoch & Heneghan
(2002), one should use the database filters to filter the evidence obtained. In the Walden Library
database, I used the advanced searching such as 'reducing elderly falls' and configured it to
produce search results under the 'health information' tab, which shows results from MedPub.
This, significantly reduced number of articles that came up to 109 which was more easier to
manage. On the same site, I was able to click on search widgets that are located on the right side
and display different widgets based on the key concepts. Search widgets, enabled me to further
filter the articles to the most relevant and also the recent articles in the CINHAL and PubMed
databases.
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SEARCHING DATABASES 2
References
Badenoch, D. & Heneghan, C. (2002). Evidence-based medicine toolkit. Second Edition.
London: BMJ Books
Skelly, A. & Ecker, E. (2010). Conducting a winning literature search. Evidence-based spine-
care journal, 1(1), 9–14. https://doi.org/10.1055/s-0028-1100887 References
Ho, G. J., Liew, S. M., Ng, C. J., Hisham Shunmugam, R., & Glasziou, P. (2016). Development
of a Search Strategy for an Evidence Based Retrieval Service. PloS one, 11(12),
e0167170. doi:10.1371/journal.pone.0167170
Schardt, C., Adams, M., Owens, T., Keitz, S., & Fontelo, P., (2007). Utilization of the pico
framework to improve searching pubmed for clinical questions. Retrieved from
https://bmcmedinformdecismak.biomedcentral.com/articles/10.1186/1472-6947-7-16
Walden University Library. (2020). Keyword searching: Finding articles on your topic: Boolean
terms. Retrieved from http://academicguides.waldenu.edu/library/keyword/boolean
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