Discussion: 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 materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.
• Review the Resources for guidance and develop a PICO(T) question of interest to you for further study.

By Day 3 of Week 4

Post your PICO(T) question, the search terms used, and the names of at least two databases used for your PICO(T) question. Then, 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.

Learning Resources

Note: To access this module’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
Chapter 2, “Asking Compelling Clinical Questions” (pp. 33–54)
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 frameworks for LIS professionals. Evidence Based Library and Information Practice, 6(2), 75–80. https://doi.org/10.18438/B8WS5N
Note: You will access this article from the Walden Library databases.

Library of Congress. (n.d.). Search/browse help – Boolean operators and nesting. 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. (2010a). 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. doi:10.1097/01.NAJ.0000368959.11129.79
Note: You will access this article from the Walden Library databases.

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(11), 49–52. doi:10.1097/01.NAJ.0000363354.53883.58
Note: You will access this article from the Walden Library databases.

Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010b). Evidence-based practice, step by step: Searching for the evidence. American Journal of Nursing, 110(5), 41–47. doi:10.1097/01.NAJ.0000372071.24134.7e
Note: You will access this article from the Walden Library databases.

Walden University Library. (n.d.-a). Databases A-Z: Nursing. 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 help. 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 help. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/jbisearchhelp

Walden University Library. (n.d.-e). Evidence-based practice research: MEDLINE search help. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/medlinesearchhelp

Walden University Library. (n.d.-h). Quick Answers: How do I find a systematic review article related to health, medicine, or nursing? Retrieved September 6, 2019, from https://academicanswers.waldenu.edu/faq/72670

Walden University Library. (n.d.-i). Systematic review. Retrieved January 22, 2020, from https://academicguides.waldenu.edu/library/healthevidence/types#s-lg-box-1520654

Required Media

Laureate Education (Producer). (2018). Searching the Evidence [Video file]. Baltimore, MD: Author.

3 sources for this discussion

REPLY 1

The health care profession can experience a difficulty and can become frustrated with the possible reservations of Sister Mary. There are other things to consider with the plan of care and possibility of introducing different care approaches with the results of diagnostic procedures performed on Sister Mary.

An example of a common religious practice discrepancy that you may encounter is that although most Catholics generally don’t support the use of birth control, many Catholics do use contraceptives. Because some Catholic patients use contraceptives, when providing discharge instructions after childbirth or during the first 6-week check-up, you may want to ask if the patient wishes to discuss birth control options.

When providing care for an observant Catholic patient, be aware that birthing techniques, the use of pain management drugs during child birth, breastfeeding, circumcision, and immunizations are all issues that the Catholic Church leaves to the discretion of the parents.

If a patient is N.P.O., get permission from the healthcare provider before the patient is offered communion. The patient may want to keep a crucifix or rosary beads with him or her during surgery or a medical procedure if possible.

Most Catholics believe that if patients perceive that they risk death during a medical procedure, they or their family may request sacraments, last rites, and blessings to be performed by a Catholic priest. Baptism may be requested, especially for an infant who may be dying,

No special preparation of the body is required after death. The Catholic Church endorses burial as opposed to cremation, but no longer forbids the practice. The church requires that cremated remains not be scattered, kept at home, or subdivided into other containers because this would be considered desecration. Burial at sea is permitted if the remains stay in a heavy, sealed container.

Reference:

Falvo, D. (2011) Effective Patient Education: A guide to Increased Adherence. Retrieved from https://viewer.gcu.edu/RQBKXW

REPLY2

Patients come from diverse backgrounds with different cultures, traditions, values, and religious practices. Healthcare professionals require cultural knowledge to meet the social, cultural, and spiritual needs of patients. In the given case scenario, the patient is a Roman Catholic nun. Thus, a healthcare professional working with Sister Mary can show uncertainty due to the religious beliefs and preferences of the patient and need the assistance of practicing Roman Catholic in handling Sister Mary.

The primary concern when working with Sister Mary is religious differences. Healthcare professionals must consider the religious beliefs of the patient and their impact on the care process (Balzer-Riley, 2020). Patients practicing the Roman Catholic religion keep sacred objects, such as a rosary, on them. Sister Mary will need to remove the items when undergoing tests. A healthcare professional with adequate Roman Catholic information will ensure the objects are kept near the patient during testing. One without awareness will keep the religious pieces away from the patient, which might influence the caring process.

Notably, Sister Mary must have a physical assessment. The process will require the inspection of various body parts of the patient. A healthcare professional might be reluctant to evaluate Sister Mary due to perceived barriers, such as modesty and gender differences, to physical testing (Potter, Perry, Stockert, & Hall, 2020). Thus, they will need to ask and receive confirmation from Sister Mary before proceeding with the examination.

Healthcare professionals working with Sister Mary can receive assistance from Roman Catholic colleagues, Sister Mary’s family, and fellow nuns. The team helps the healthcare team understand the religious beliefs and needs of the patient, which is essential in providing patient-focused and culturally competent care (Kersey-Matusiak, 2013). Moreover, they will offer emotional and psychological support to promote the wellbeing of the patient. Therefore, psychosocial support helps the patient feel more comfortable, lessens anxiety, and improves care quality and outcomes.

Balzer-Riley, J. (2020). Communication in nursing (9th ed.). St. Louis, MO: Elsevier.

Kersey-Matusiak, G. (2013). Delivering Culturally Competent Nursing Care, Second Edition. New York, NY: Springer.

Potter, P., Perry, A., Stockert, P., & Hall, A. (2020). Fundamentals of nursing (10th ed.). St. Louis, MO: Elsevier.

Please provide proper APA citation of your references. DO NOT COPY WORD FOR WORD (this includes both text book and all other forms of media- paraphrase and cite your reference). Remember to include a reference sheet with you references list IN ALPHABETICAL ORDER.

1. In your own words explain the purpose for using theory to develop community based health interventions. (This is not a one or two sentence answer. I am looking for a solid explanation, utilizing references, of why we use theory).

2. In your own words, describe the relationship between theoretical constructs and intervention activities. (This is not a one or two sentence answer. I am looking for a complete discussion of the interactions of theoretical constructs and intervention activities).

3. In your own words discuss the difference between primary and secondary data. (This is not a one or two sentence answer. Your response should demonstrate a complete understanding of the terms and must include examples… DO NOT USE EXAMPLES FROM THE TEXT BOOK!!!).

4. State and describe a specific priority population for whom an internet-based survey would be appropriate (notice I said describe not simply list). Why do you think it would work with this group (be complete in your response)? What research and/or statistics support your claim (this can be addressed with a simple web search. Do not forget to reference)? I am looking for a logical response to this question. Do not simply put something down without having firm evidence to support.

Each answer must contain 150 word answer minimum.

due in 8 hours

 Using this template, complete one SOAP note from a patient in your current NSG6440 clinical experience. The completed note should be submitted to the Submissions Area.  

 TOPIC: CHILD ABUSE AS A HEALTH ISSUE

In week 4 you will prepare for your ethical and cultural inquiry paper. I have created an outline to follow that requires you to specifically reflect on the evolution of the injustice in a comprehensive way. In the Origin of Injustice section, you will be including a background and discussing several causes of your injustice. In the Money Power and Control section you need to find an organization that benefits from maintain policies that contribute to the injustice. In the cultural section you need to focus on one societal norm that prevents changes. You will also need to find a specific bill or law that impacts your population. Finally, in the ethics section you will need to include concrete evidence that the profession of nursing has an obligation to be active patient advocate in protecting your population from the injustice that goes beyond bedside care. In this discussion board I would like you to come up with an outline that includes the specific topic you will discuss for each section.  

• Origin of Injustice
  • Background: what you will focus on here
  • Causes: list out the causes you will discuss (you may have more than 1)
• Money power and control: what organization are you going to focus on and how do they maintain power?
• Legislation: what bill will you discuss?
• Culture: what social norm will you discuss?
• Ethical Obligation: what is concrete evidence you will use to support the claim nurses have an obligation to help your population related to this injustice  

Work #1:

Actual work where 2 students given their post on this:

Propose and defend a topic for your final project.  Write  500 words or more explaining why this topic is important for your peers to understand. Be focused and specific. Look into the general topic provided in the list in this folder to find something new and interesting to write about. You should do a deep dive into a topic. Do not do a survey. Use the Research Databases available from the Danforth Library not Google. 

You MUST make a statement saying exactly what your topic is. 

Use at least five sources. Include at least 3 quotes from your sources enclosed in quotation marks and cited in-line by reference to your reference list.  Example: “words you copied” (citation) These quotes should be one full sentence not altered or paraphrased. Cite your sources.

Copying without attribution or the use of spinbot or other word substitution software will result in a grade of 0. 

Write in essay format not in bulleted, numbered or other list format. 

Respond helpfully to two classmates’ posting in a paragraph of at least five sentences by asking questions, reflecting on your own experience, challenging assumptions, pointing out something new you learned, offering suggestions. Write to help them focus and say something that you think would help them say something that would be valuable.    

It is important that you use your own words, that you cite your sources, that you comply with the instructions regarding length of your post and that you reply to two classmates in a substantive way (not ‘nice post’ or the like).  Your goal is to help your colleagues write better. Do not use spinbot or other word replacement software. It usually results in nonsense and is not a good way to learn anything.

Work #2:

Actual work where 2 students given their post on this:

Discuss  500 words or more discuss why Security as a Service is a good investment.

Use at least three sources.  Use the Research Databases available from the Danforth Library not Google. Include at least 3 quotes from your sources enclosed in quotation marks and cited in-line by reference to your reference list.  Example: “words you copied” (citation) These quotes should be one full sentence not altered or paraphrased. Cite your sources using APA format. Use the quotes in your paragaphs.  Stand alone quotes will not count toward the 3 required quotes.

Copying without attribution or the use of spinbot or other word substitution software will result in a grade of 0. 

Write in essay format not in bulleted, numbered or other list format. 

Reply to two classmates’ posting in a paragraph of at least five sentences by asking questions, reflecting on your own experience, challenging assumptions, pointing out something new you learned, offering suggestions. These peer responses are not ‘attaboys’. 

It is important that you use your own words, that you cite your sources, that you comply with the instructions regarding length of your post and that you reply to two classmates in a substantive way (not ‘nice post’ or the like).  Your goal is to help your colleagues write better. Do not use spinbot or other word replacement software. It usually results in nonsense and is not a good way to learn anything. I will not spend a lot of my time trying to decipher nonsense. Proof read your work or have it edited. Find something interesting and/or relevant to your work to write about.  

Work #3:

Actual work where 2 students given their post on this:

1) Describe the purpose of the balance sheet and how this information is useful to the stakeholders of the corporation.  

2) Please describe the information presented on the statement of cash flows.  Why is this information important for the stakeholders of a corporation? 

Please find the three attachments. 

Zero Plagiarism

5 references 

Although structural therapy and strategic therapy are both used in family therapy, these therapeutic approaches have many differences in theory and application. As you assess families and develop treatment plans, you must consider these differences and their potential impact on clients. For this Assignment, as you compare structural and strategic family therapy, consider which therapeutic approach you might use with your own client families.

Learning Objectives

Students will:

• Compare structural family therapy to strategic family therapy
• Create structural family maps
• Justify recommendations for family therapy

In a 2- to 3-page paper, address the following:

• Summarize the key points of both structural family therapy and strategic family therapy.
• Compare structural family therapy to strategic family therapy, noting the strengths and weaknesses of each.
• Provide an example of a family in your practicum using a structural family map. Note: Be sure to maintain HIPAA regulations.
• Recommend a specific therapy for the family, and justify your choice using the Learning Resources.

Review the Institute of Medicine’s 2010 report “The Future of Nursing: Leading Change, Advancing Health.” Write a 750‐1,000 word paper discussing the influence of the IOM report on nursing practice. Include the following:

1. Summarize the four messages outlined in the IOM report and explain why these are significant to nursing practice.
2. Discuss the direct influence the IOM report has on nursing education and nursing leadership. Describe the benefits and opportunities for BSN‐prepared nurses.
3. Explain why it is important that a nurse’s role and education evolve to meet the needs of an aging and increasingly diverse population.
4. Discuss the significance of professional development, or lifelong learning, and its relevance in caring for diverse populations across the life span and within the health‐illness continuum.
5. Discuss how nurses can assist in effectively managing patient care within an evolving health care system.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

Font: Arial size 12, double spaced NO HEADER AND FOOTER

****20 paragraphs total****

Link to access the Ebook below:

http://library.lol/main/85B4FA22F988376D9F5DA30583736714 

NOTE: HIT GET AT THE TOP OF THE PAGE & THE BOOK WILL DOWNLOAD

Chapter Exercises:

On Page 1:

• 14.1—Please write 4 paragraphs with each paragraph containing 45-55 words.

On Page 2:

• 14.2—Please write 4 paragraphs with each paragraph containing 45-55 words.

On Page 3:

• 14.3—Please write 4 paragraphs with each paragraph containing 45-55 words.

On Page 4:

• 14.4:  1st question in the problem—Please write 4 paragraphs with each paragraph containing 45-55 words.

On Page 5:

• 14.4:  2nd question in the problem—Please write 4 paragraphs with each paragraph containing 45-55 words.

Responses 1 JITop of Form

The top five strengths theme results of my StrenghtsFinder assessment are as follows (CliftonStrengths for Students, 2020): 

Achiever: Hard worker with the stamina to keep working. They like to keep themselves busy and make their time useful (Schubring, 2017). 

Learner: Like learning new things and continuously want to improve things. They get satisfaction in learning new things.

Futuristic: Dreamers, perceivers, and inspired by what could be in the future. They have a clear vision of what they would like in the future and go towards that goal.

Focus: They prioritize their tasks before acting on it. Make corrections as needed but stay on track.  

Analytical: Are thinkers, they like to think of possible causes and reasons that might be causing a problem in the situation. 

Your personal values are things that are important to you. It is what guides us to make our decisions (What Are Your Values?, 2020). My two core values that guide my decisions are being persistent and being dependable. Being dependable comes with being honest and reliable. If I am given a task, I have been known to work hard and long hours to get it done. I believe in this, whether I am doing something at home or at the workplace. My previous manager once said, she likes putting me in the team lead position because she knows I will make sure everything will get done even if my shift is over. Working hard leads to me having perseverance. I will not give up until I have figured out or completed what I am working on. I do not like leaving work I have started for others. 

My two strengths of being an achiever and focus go hand in hand with being dependable and persistent. I am able to work hard and long hours on something is because I am able to stay focused on not get sidetracked. I do like making a list of things to do as it states in behavioral examples of the StrengthsFinder Theme of Achiever (Schubring, 2017). I am task-oriented and will keep going down on the list of things to do until it is completed. 

This is actually also my weakness. I am so focused on getting things done, that I forget to ask for help and delegate tasks to others. I have a hard time delegating because I feel like I will get things done faster if I just do it myself. This causes me to work harder and end up doing a lot more work than others in the same position as I am. 

References

CliftonStrengths for Students. (2020). Gallup.com. Retrieved September 27, 2020, from https://walden.gallup.com/application/strengthsquest

Schubring, L. (2017). Exploring the StrengthsFinder Theme of Achiever. Leadership Vision. Retrieved September 28, 2020, from https://www.leadershipvisionconsulting.com/exploring-the-strengthsfinder-theme-of-achiever/

What are your values? (2020). MindTools. Retrieved September 28, 2020, from https://www.mindtools.com/pages/article/newTED_85.htm

Responses 2 Al

Top of Form

According to Rath (2007), a person is six times less likely to be engaged in their job when they are not in the “strengths zone,” and that person is quite different than they usually are. (p. 12). I find this to be true. If a person has a purpose and knows their strengths, they are more likely to try to achieve things using them and attempt harder to succeed. When I took my StrengthsFinder assessment, it found my top 5 strengths to be as follows: 

Achiever- “You relish on the feeling of being busy, but you also need to know when you are done.” (Rath, 2017, p. 38). This is true for me. On my days off, I am thinking about what in the heck I am going to do today. I cannot ever sit and be still.  

Communication- I did not think this would be a strength for me, although I am ok with communication. What I have done in the past, if I need to present something, is practice alone first, which the book guides us to do.

Input- “Schedule a time to read books or articles that stimulate you.” (Rath, 2017, p. 127).

Command-This is the one that fits me the best. “Your take-charge attitude steadies and reassures others in times of crisis.” (Rath, 2017, p. 63). There have been many codes on the unit where this has happened with my team.  My family would agree with this one also. Our book said a “command” is to partner with a “woo”.

Woo- “You are drawn to strangers.” (Rath, 2017, p. 169). A course of action here is finding a job where I interact with many different people, and I do this in psych, which I love.

“Although people certainly do change over time and our personalities adapt, scientists have discovered that core personalities adapt, scientists have discovered that core personality traits are relatively stable throughout adulthood, as are our passions and interests.” (Rath, 2007, p. 18).

I have always had core values of compassion and advocacy. Compassion for all the different situations people are in and where they have come from, along with their current situation. At times, my advocacy has gotten me into trouble. I try just to dive right in and solve problems.  I would like to strengthen here by getting all the facts and understanding all the history before trying to solve any problems for patients I may have ideas for. Working in psych, all kinds of issues come into the hospital frequently and my mind seems to be always going to give these people ideas on how to solve this when they get out.  I need to sit back with the patient and not just be the problem solver on my own. I do this with friends too. If there is an issue, I will not rest until its solved. I would like to work on handing the reins over and trusting the job will get done. At times I take on too much and do nothing but stress out. This would be part of the achiever piece; learning to let some go.

A strength I have is always being a team player. We, as nurses, take care of people. This is a huge job and it takes different members to produce the best outcome for these people, especially in psych when there is so much follow up to be done to ensure success. When it comes to being a leader, it is important to know your strengths, so your drive of the mission continues and you know your worth. “You have to have a lot of energy, a lot of direction, and be focused on the mission.” (Laureate Education, Producer, 2014, 2:04).

                                                                    References                         

Laureate Education (Producer). (2014). Leadership [Video file]. Baltimore, MD: Author.

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert   

    clinician to influential leader (2nd ed.). New York, NY: Springer.

Rath, T. (2007). Strengths Finder 2.0

REPLY QUOTE EMAIL AUTHOR

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