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

Discuss in 500 words or more the differences between and advantages of MAC, DAC, and RBAC.

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. 

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. 

  Gastrointestinal and Hepatobiliary Systems
  

Write a 1-page paper that addresses the following:

· Explain your diagnosis for the patient, including your rationale for the diagnosis.

· Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

· Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.

CASE:
Patient HL comes into the clinic with the following symptoms: nausea, vomiting, and diarrhea. The patient has a history of drug abuse and possible Hepatitis C. HL is currently taking the following prescription drugs:
    •    Synthroid 100 mcg daily
    •    Nifedipine 30 mg daily
    •    Prednisone 10 mg daily

INSTRUCTIONS:

1. Go to https://health.gov/healthypeople/objectives-and-data/browse-objectives. “Healthy People 2030 objectives are organized into intuitive topics so you can easily find the information and data you’re looking for. Pick a topic you’re interested in and explore the relevant objectives.” (Healthy People 2020).

2. From any of the health conditions, health behaviors, populations, settings and systems and social determinants of health, choose three conditions or problems that are affecting our community and present a PowerPoint presentation. The presentation must include the following.

a. Mention and discuss “The Healthy People 2030” goals for the conditions, objectives to control or eradicate the conditions, the emergency preparedness and the role of our health care system in the prevention,  control and/or eradication of the conditions chosen. 

3. Identify the epidemiologic principles that were applied based on what you  studied on the lecture.

4. The application of the three levels of prevention to each one of the conditions identified. 

5. Mention and discuss how the three conditions affect your community.

The presentation must be in APA PowerPoint format with a minimum of 15 slides (excluding first and references page). A minimum of 4 evidence-based references including the “Healthy People 2030” must be used. You must use the required APA font. 

 Respond  by providing at least two contributions for  improving or including  in their Parent Guide and at least two things  that you like about their  guide. 

NOTE: Positive comment

(Parent Guide attached bellow)

H/O Attendance Questions

Due: by the start of class

Please answer the 5 questions below for attendance credit. Submit your answers to the proper assignment folder. Please do not share work.

1. What are the components of a CBC lab and what does each component tell us about a child’s hematologic function?
2. Explain the pathophysiology of Iron Deficiency Anemia?  How is Iron Deficiency Anemia diagnosed in the pediatric patient? 
3. Discuss why a child admitted with sickle cell disease would require hydration, pain management and antibiotics as part of their treatment management. 
4. What are the nursing considerations in preventing myelosupression in a pediatric patient with leukemia? 
5. What would you want to include in parent/patient education for a child with hemophilia?

List and explain the legal and ethical requirements that might apply in the organizational or individual practice. If necessary conduct independent research. Total of 400 words

Choose 1 of the following questions to answer by day 3 (Wednesday) and include 2 references (in APA format). Your post should be at least 250 words. Please remember to answer to 2 of your classmates’ discussions (on 2 separate days) by Saturday.  The reply to your classmates should be at least 100 words each.  The references are not included in the word count!

DQ 2, 

Distinguish among sporadic, endemic, epidemic, and pandemic diseases.

Evidence-based practice (EBP

 $5 for anyone who good in nursing paper can do this discussion post due by 11/10/2020 @12pm on eastern time. Exmple is provided.