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

This is the last Capstone and I want you to sell yourself. Take your Resume you created to make a presentation on why you are the best candidate for the JOB  we FAKE applied for in week two. 

Here is an example of the assignment:  How to Do A PowerPoint.pptx

Requirements:

10 slides

1 Picture of Yourself

4 Animations

4 Transition effects

1 image from online each slide

1 creative design

* Suggestion: Do this assignment in the PowerPoint Office 365 app as it is up to date and has the best side- suggestions to make your presentation beautiful* 

chronic decease  

• Go to the website using this link: Outbreak at Watersedge
• http://www.mclph.umn.edu/watersedge/
• Click the Play button to start the game.
• Follow the instructions. They will lead you on a search for an infected organism.
• Once you have found the infected organism, write a three-pages review of the process you went through and the results you obtained. You must identify the disease found and define the epidemiological process you used. Make sure to describe how you used it. This paper must be written in APA format, typed in Times New Roman with 12-point font, and double-spaced with 1” margins. Use at least two references that support your findings.

discuss the article

REPLY1

The patterns regarding the use of complementary and alternative medicine among the general population have been established in which the 2002 data depicts the number of persons who use CAM with prayer and those who do not. In the investigation, it was found that CAM therapy represented one of the highly common form of prayer that was being used by well over 60 percent of the individuals involved in the survey. On this issue, it has also been pointed out that the use of complementary and alternative medicine has increased in a dramatic fashion over the past few years. It is also observed that “Several studies of CAM utilization reveal that reported use increases dramatically and may even double when prayer is included in the definition of CAM” (Ernst, 2015). Among the 60 percent of people who use the complementary and alternative medicine with prayer, the prayer has been categorized based on such aspects like yoga as well as the spiritual healing. In a different direction, it has also been indicated that application of the term prayer during the use of CAM is presented with the need for providing a distinction among the various forms of spiritual healing linked to CAM.

The percentage of people using CAM without prayer includes many of the adult population representing 36 percent of CAM users in the United States alone. The foregoing percentage encompasses the persons who have been reported to use variable therapies of CAM in a period of the past twelve months. While 10 different therapies did not include prayer, three out of the 10 CAM therapies were used with prayer (Ernst, 2015).

Reference

Ernst, E. (2015). Complementary medicine: Common misconceptions. Journal of the Royal Society of Medicine, 244-247.

REPLY2

Americans are using complementary and alternative medicine (CAM). The most comprehensive and reliable findings to date on Americans’ use of CAM were released in May 2004 by the National Center for Complementary and Alternative Medicine (NCCAM) and the National Center for Health Statistics (NCHS, part of the Centers for Disease Control and Prevention). They came from the 2002 edition of the NCHS’s National Health Interview Survey (NHIS), an annual study in which tens of thousands of Americans are interviewed about their health- and illness-related experiences. Approximately one- third of adults use complementary and alternative medicine (CAM). (NAACM, 2012) CAM is used with or without the use of conventional medicine. According to this nationwide survey, almost two- thirds (62 percent) of US adults used prayer. (NAACM, 2012) By incorporating prayer, Americans use CAM in hopes that treatment and prevention of disease have better odds and overall, the quality of life is enhanced. The survey did indicate that CAM was used greater by women, individuals of higher education, individuals recently hospitalized and former smokers compared to other groups. Spiritual practices (use of prayer) are one way of being involved in the health and healing of oneself. It is said that forty-three percent of individuals pray for their health, while twenty-four percent have others that pray for them. (NAACM, 2012)

NAACM.(Ed.). (2012 ). More Than One-Third of U.S. Adults Use Complementary and Alternative Medicine, According to New Government Survey. Retrieved from https://nccih.nih.gov/news/2004/052704.htm

 Instructions

This week we are focusing on global communication. I would like you to write a 3-5 page paper with global communication as your topic. I am going to leave the details of this paper up to you…it just needs to involve global communications in some way. You could choose to cover the topic in a broad way, or you could choose to focus on a particular company and explain their methods of communicating globally. As long as your paper is well written and researched, you can decide!

Paper must include:

Cover Page

3-5 pages content

Reference Page

Wikepedia is not an acceptable source for this paper should you choose to use additional sources.

APA formatting

Think about your own life. Do you act to prevent a disease or accident when you perceive that you are not susceptible to the disease or at risk for the accident?

INSTRUCTIONS

Follow the 3 x 3 rule: minimum three paragraphs, with a minimum of three sentences each paragraph.

·      All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009 ISBN: 978-1-4338-0561-5

·      Minimum of two references, not older than 2015.

Assignment: Analysis of a Pertinent Healthcare Issue

The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system.

Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.

In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected.

To Prepare:

• Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.
• Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected.
• Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.

The Assignment (3-4 Pages):

Analysis of a Pertinent Healthcare Issue

Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:

• Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
• Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
• Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.

The practice of health care providers at all levels brings you into contact with people from a variety of faiths. This calls for knowledge and understanding of a diversity of faith expressions; for the purpose of this course, the focus will be on the Christian worldview.

Based on “Case Study: End of Life Decisions,” the Christian worldview, and the worldview questions presented in the required topic study materials you will complete an ethical analysis of George’s situation and his decision from the perspective of the Christian worldview.

Provide a 1,500-2,000-word ethical analysis while answering the following questions:

1. How would George interpret his suffering in light of the Christian narrative, with an emphasis on the fallenness of the world?
2. How would George interpret his suffering in light of the Christian narrative, with an emphasis on the hope of resurrection?
3. As George contemplates life with amyotrophic lateral sclerosis (ALS), how would the Christian worldview inform his view about the value of his life as a person?
4. What sorts of values and considerations would the Christian worldview focus on in deliberating about whether or not George should opt for euthanasia?
5. Given the above, what options would be morally justified in the Christian worldview for George and why?
6. Based on your worldview, what decision would you make if you were in George’s situation?

Remember to support your responses with the topic study materials.

Prepare this assignment according to the guidelines found in the APA Style Guide, 

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

 The study material:

https://www.gcumedia.com/digital-resources/grand-canyon-university/2020/practicing-dignity_an-introduction-to-christian-values-and-decision-making-in-health-care_1e.php 

 https://lopes.idm.oclc.org/login?url=https://search.credoreference.com/content/entry/galegnaah/euthanasia/0?institutionId=5865