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NURS 6052 Discussion: Searching Databases

NURS 6052 Discussion: Searching Databases

Walden University NURS 6052 Discussion: Searching Databases– Step-By-Step Guide

 

This guide will demonstrate how to complete the Walden University  NURS 6052 Discussion: Searching Databases  assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

 

How to Research and Prepare for NURS 6052 Discussion: Searching Databases  

 

Whether one passes or fails an academic assignment such as the Walden University  NURS 6052 Discussion: Searching Databases depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

 

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

 

How to Write the Introduction for  NURS 6052 Discussion: Searching Databases   

 

The introduction for the Walden University  NURS 6052 Discussion: Searching Databases is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

 

How to Write the Body for  NURS 6052 Discussion: Searching Databases   

 

After the introduction, move into the main part of the  NURS 6052 Discussion: Searching Databases  assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

 

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

 

How to Write the Conclusion for  NURS 6052 Discussion: Searching Databases   

 

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

 

How to Format the References List for  NURS 6052 Discussion: Searching Databases  

 

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NURS 6052 Discussion: Searching Databases

Nurses know that staffing ratios are an important piece of a puzzle that is needed to deliver quality patient care with the best possible outcome.  Staffing shortages could be a huge concern for facilities regarding patient safety.  The number of nurses available for patient care has shown to have a substantial effect on patient outcomes and safety (Dong et al., 2020).  It only seems logical that hospitals and care centers who do not have enough staff for the number of patients would struggle greatly.

When searching for “staffing ratios” under the Walden Library Database, “Nursing” was chosen from the drop-down menu and a list of databases related to nursing came up.  After selecting chosen database, the main topic of staffing ratios was entered the search bar along with “nursing” as the Boolean phrase.  Boolean operators help the researcher look for keywords in a specific order that can include terms or filter them out (Library of Congress, n.d.).  For example, when searching for just the term “staffing shortages,” 98 results were available.  When searching for  “staffing shortages” and “nursing,” narrowed down results indicated there were 118 available peer-reviewed articles in the correct date range.

Evidence-based practice lays the groundwork for nurses when it comes to providing sufficient care.  Evidence-based practice starts with curiosity or a question that asks what the best possible way is to complete a task (Fineout-Overholt, 2009).  The framework of a question used for evidence-based practice is PICO.  This clinical question guideline helps breakdown clinical questions (Davies, 2011). “P” aims to identify the patient problem or the primary problem.  In this case it would be inadequate nursing staff in healthcare facilities.  The “I” is the intervention.  For staffing ratios, the intervention would be adequate staffing ratios or lower nurse to patient ratios.  “C” is for comparison.  What is the main comparison?  Inadequate staffing ratios and higher nurse to patient ratios.  The “O” is for outcome.  What is the anticipated outcome?  This would be patient safety and quality of care.

NURS 6052 Discussion: Searching DatabasesSome strategies that might increase effectiveness of a PICO question search would be using the Boolean search terms and, or, and not to assist in ruling out unwanted key phrases or including more content in the search (Library of Congress, n.d.).  Researchers know that searching for topics results in numerous results and using the Boolean phrase search can help narrow down the search to one’s specific topic of choice.

References

Davies, K. S. (2011). Formulating the evidence based practice question: A review of the frameworks [Required Readings]. Walden University Blackboard. https://class.walden.edu

Library of Congress. (n.d.). Boolean operators and nesting [Required Readings]. Walden University Blackboard. https://class.walden.edu

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

Wang, L., Lu, H., Dong, X., Huang, X., Li, B., Wan, Q., & Shang, S. (2020). The effect of nurse staffing on patient‐safety outcomes: A cross‐sectional survey. Journal of Nursing Management, 28(7), 1758–1766. https://doi.org/10.1111/jonm.13138

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Sample Answer 2 for NURS 6052 Discussion: Searching Databases

The ability to efficiently research databases is a useful tool for both students and professionals. In order for a nurse to do credible

Discussion Searching Databases
Discussion Searching Databases

research on a clinical topic he or she first needs to recognize the area of interest, then identify a PICO(T) question, which is Patient/Population, Intervention, Compare/Control, Outcome and Time/Type of study or question (Stillwell, et al 2010). The clinical issue of interest I have chosen to focus on is mental health nursing in rural settings. Research has shown that there may be a discrepancy in patient care for those suffering from mental illness in rural environments compared to those in a more urban setting Jensen, E. J., Wieling, & Mendenhall, 2020).

The PICO(T) question I would like to use for this issue is, “In patients suffering from mental illness, how does a rural facility, compared to an urban facility, affect patient care outcomes during the initial encounter?”

The primary databases I searched that produced the most relevant results were, APA PsycInfo, and Medline using the Walden University Library, each producing over 40 results when searching for keywords or phrases without Boolean operators. Quotation made a significant reduction in the number of results, for example, the phrase “barriers to rural mental health” only produced five total results with the Peer-Reviewed Scholarly Journals only filter on.

According to the Library of Congress, Boolean operators and Nesting help find keywords in a specific order. The use of Boolean operators dramatically reduced the overall number of results, greatly improving the relevance of the information found in the databases. I will continue to use this strategy to improve my search results, however using overly specific phrases, such as “urban vs rural mental health” produced zero results. The use of synonyms for previously used keywords also helped refine search results, such as substituting the word urban with city, or facility with hospital. I will continue to refine my research skills, testing various keywords and phrases related to my clinical issue of interest.

References

Jensen, E. J., Wieling, E., & Mendenhall, T. (2020). A phenomenological study of clinicians’

perspectives on barriers to rural mental health care. Journal of Rural Mental Health, 44(1),

51–61. https://doi.org/10.1037/rmh0000125

Library of Congress. (n.d.). Search/browse help – Boolean operators and nesting. Retrieved

December 21, 2021, from

https://catalog.loc.gov/vwebv/ui/en_US/htdocs/help/searchBoolean.html

Stillwell, Susan, DNP, RN, Fineout-Overholt, Ellen, PhD, RN, FNAP, FAAN, Melnyk, Bernadette, et

al. (2010). Evidence-Based Practice, Step by Step: Asking the Clinical Question: A Key Step

in Evidence-Based Practice. AJN, American Journal of Nursing, 110, 58-61.

https://doi.org/10.1097/01.NAJ.0000368959.11129.79

Sample Answer 3 for NURS 6052 Discussion: Searching Databases

 As Intensive Care Nurse, more often, we use urinary catheters for our convenience. I have seen my fellow nurses keeping a patient’s indwelling catheters until the Charge Nurse starts asking why the patient still has the catheter. Last month, one of the travel nurses hooked the indwelling Foley catheter to suction. I chose this topic on CAUTI’s to create awareness and educate my fellow nurses on using the foley for shorter periods and how to use them. My PICOT question is,  ‘How can members of the healthcare team prevent CAUTI from occurring inpatient?’

I am using three different nursing databases using Boolean terms; my first search word is ‘Catheter-Associated Urinary Tract Infection.’ My second search word, ‘Catheter-Associated Urinary Tract Infection’ or ‘CAUTI,’ to find different ways to frame a concept, expand my search and increase results (Elson, 2020). My third search word, ‘Catheter-Associated Urinary Tract Infection prevention and ‘Evidence-based Practice’ to find different ways to frame a concept, expand my search, and increase results. ‘Catheter-Associated Urinary Tract Infections’ and ‘Evidence-Based Practice’ connect different concepts and limit my results. These terms will increase the rigor of my research and provide an accurate representation of the inpatient population studied in my research (Elson, 2020) .’I will be using CINAHL plus with full text, Medline with full text, and ProQuest nursing databases to conduct my research. My researched articles have been published in the last five years to remain updated on changing evidence.

According to CINAHL plus with full text, there are 403 researched articles using my first search word, 419 using my second search word, and 7articles using my third search word. My second research database is Medline with complete text; there were 512 researched articles using my first search term, 555 using my second search term, and two articles on my third. The third database I used was ProQuest; there were 288 articles using my first search term, 302 on my second, and ten on my third search term.  In conclusion, each time I was specific on my research terms using ‘Catheter-associated Urinary tract Infection prevention’ and ‘Evidence-Based Practice,’ the research articles were fewer.

References

CINAHL  Plus with full text, (2021)

https://web.s.ebscohost.com/ehost/search/advanced?vid=0&sid=57b1227c-937d-4bfc-9689-36f0af8bc211%40redis

Echevarria, Ilia, MS, MSN, RN, CCRN, CHES, NEA-BC, Walker, Susan & DrNP, RN-BC. (2014). To make your case, start with a PICOT question. Nursing, 44, 18-19. https://doi.org/10.1097/01.NURSE.0000442594.00242.f9

Elston, D. M. (2020). Getting the most out of online literature searches-More on Boolean logic. Journal of the American Academy of Dermatology, 82(2), 299–300. https://doi.org/10.1016/j.jaad.2017.11.005

MEDLINE with full text, (2021) https://web.s.ebscohost.com/ehost/search/advanced?vid=2&sid=57b1227c-937d-4bfc-9689-36f0af8bc211%40redis

PROQUEST, (2021)

https://www.proquest.com/nahs/results/F76D4A0500504442PQ/1?accountid=14872

Vicki Parker, Michelle Giles, Laura Graham, Belinda Suthers, Wendy Watts, Tony O’Brien, & Andrew Searles. (2017). Avoiding inappropriate urinary catheter use and catheter-associated urinary tract infection (CAUTI): a pre-post control intervention study. BMC Health Services Research, 17(1), 1–9. https://doi.org/10.1186/s12913-017-2268-2

Sample Answer 4 for NURS 6052 Discussion: Searching Databases

. For years I have worked in the involuntary sector of mental health treatment and have struggled with the idea of forced medication administration. On one hand, as a health care provider, I understand that if medication is not being taken on a routine basis no improvement will be made which may lead to an escalation of mental health symptoms. On the other hand, I feel it is a traumatic experience to have medication forced on you by essentially a stranger and may lead to long-lasting effects such as post-traumatic stress disorder. Over the years I have witnessed miracles and complete turn arounds in patients who presented severely psychotic and met state hospitalization criteria, as a result of court-ordered forced medication treatment. If we logically think about it, a person in psychosis cannot make a coherent, informed decision to take medications thus by initiating forced injections for at least a few doses they may be able to clear up enough to understand the need for them to take oral medications.

I went to the Walden Library research databases, selected the Database A-Z, chose nursing as the subject, then chose the PsychINFO database.  In the search fields I used “psychiatric AND forced medication”, this returned with approximately 51 sources. Most of the sources were referencing forced medication as being a type of coercive technique often used in the psychiatric setting. In my opinion in order to get more specific sources you may have to revise your PICOT question to identify a more measurable outcome as quality of care can be vague. Clarification of “quality of care” such as “patient satisfaction”, “symptom management/improvement”, “successful medication compliance”, these are all more specific outcomes. Maybe by searching these outcome keywords more sources will be available; just a theory.

Please let me know what great information you find as to outcomes, I am very interested.

 

Walden University Library. (n.d.-a). Databases A-Z: Nursing. Retrieved June 27, 2020, from http://academicguides.waldenu.edu/az/php?s=19981

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.

Resources

 

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

WEEKLY RESOURCES

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.

Links to an external site. page, including Ask a Librarian

Quick Answers:

By Day 3 of Week 4

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.

By Day 6 of Week 4

Respond to at least two of your colleagues on two different days and provide further suggestions on how their database search might be improved

Sample Answer 5 for NURS 6052 Discussion: Searching Databases

Thank you for your insightful article on anxiety disorder. In addition to that, Anxiety disorders are a highly prevalent and widespread mental illness worldwide. (ADAA, 2022) Forty million adults 18 and older in the United States suffer from anxiety. Although depression is one of the main causes of inability on a global scale, it may not be a generally prevalent mental health condition. In light of the rising incidence of anxiety disorders and the improper consumption of benzodiazepines, it is worthwhile to investigate unconventional or additional treatments for anxiety disorders. Improper Benzodiazepine prescription may result in severe adverse reactions, injury, hospitalization, and even mortality. If the conceivable dangers associated with benzodiazepines exceed their advantages, it would be beneficial and required to discover a substitute remedy with similar or higher efficiency that is not as addicting.

Boolean logic defines logical relationships between terms in a search. The Boolean search operators are and, or and not (EBSCO, 2022). You combined terms or keywords with Boolean operators (AND, OR, NOT) and you can also applied filters, including publication year, article type, peer-reviewed only, and complete text only, to limit your search results. Your search has been enhanced by the use of Boolean operators, resulting in additional specific and successful outcomes. Selecting and employing the appropriate methodology for databases is also essential. I also used multiple databases for my research, I discovered the majority of my chosen articles were peer-reviewed on PubMed. Since 1996, PubMed has been recognized as the greatest and most comprehensive reference provided (NLM, 2006).

 

References:

Anxiety and Depression Association of America (ADAA),  2022. Integrative Behavioral Health.

https://adaa.org/find-help/treatment-help/integrative-behavioral-healthLinks to an external site.

EBSCO, 2022. Searching with Boolean Operators.

https://connect.ebsco.com/s/article/Searching-with-Boolean-Operators?language=en_USLinks to an external site.

National Library of Medicine, 2006. PubMed® Celebrates its 10th Anniversary! https://www.nlm.nih.gov/pubs/techbull/so06/so06_pm_10.htmlLinks to an external site.

Sample Answer 6 for NURS 6052 Discussion: Searching Databases

The Clinical issue of interest is CLABSI. A central line is a catheter inserted through an internal jugular, subclavian, femoral, or peripheral vein that terminates near the heart in the superior or inferior vena cava (Khalid et al., 2013). A central line-associated bloodstream infection (CLABSI) is a severe infection that occurs when germs (usually bacteria or viruses) enter the bloodstream through the central line (CDC, n. d.). CLABSIs are preventable infections, resulting in thousands of deaths yearly and billions of added costs to the U.S. healthcare system. Central venous catheters (CVC) are often essential in the care of the critically ill patient. They allow the safe administration of intravenous medications that cannot be given peripherally, aid in the administration of intravenous fluid resuscitation, and help in monitoring hemodynamic parameters in the management of patients with syndromes such as septic shock, cardiogenic shock, decompensated heart failure, and pulmonary hypertension (O’Grady, 2017).

Literature search

The primary databases I searched for information were CINAHL Plus with full text, MEDLINE with full text, and the Walden Library. The initial term I used for the PICO(T) question was CLABSI. I used the exact term because CLABSI is the central concept and a known severe issue in our hospitals. With CINAHL Plus full text, the search result was about 512 and 455 for peer-reviewed. With MEDLINE with full text, the result was 599. These results were considerable numbers of articles and data to work. My filter search by narrowing down the years between 2013-2020, and the results came almost the same. Skelly Ecker (2010) finds that using Boolean terms such as AND, OR AND when researching can narrow down information. So, to narrow down the information, I used AND. For instance, to search for ‘prevention AND intervention’ to reduce CLABSI in hospitalized patients, the results were 52 peer-reviewed articles.

Strategies to increase the rigor and effectiveness of the PICO(T) question

To increase the rigor and effectiveness of my PICO(T) question, first, I was specific by using CLABSI. It produced needed results, being that the keyword was precise. Next, I used the database filters. UAMS (2020) agrees that to get evidence-based information, researchers should filter results using database filters. To filter the results in the CINAHL database by using advanced search with the Boolean term, limiters like full text, peer-reviewed, and between 2010-2020. The result was about 63, which would be reasonable to work. I also searched for articles by clicking on the search widgets on the right side for quick access to CINAHL Plus full text and MEDLINE Plus full text.

References

Khalid, I., Al Salmi, H., Qushmaq, I., Al Hroub, M., Kadri, M., & Qabajah, M. R. (2013). Itemizing the bundle: Achieving and maintaining “zero” central line-associated bloodstream infection for over a year in a tertiary care hospital in Saudi Arabia. AJIC: American Journal of Infection Control, 41(12), 1209–1213. https://doi-org.ezp.waldenulibrary.org/10.1016/j.ajic.2013.05.028Links to an external site.

Melnyk, B.M., Fineout-Overholt, E., Stillwell, S.B., & Willamsom, K. M. (2023).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. Retrieved from https://journals.iww.com/ajnonline/fulltext/2009/11000/Evidence_Based_Practice_Step_By_Step_Igniting_a.28.aspxLinks to an external site.

Bell, T., & O’Grady, N. P. (2017). Prevention of Central Line-Associated Bloodstream Infections. Infectious disease Clinics of North America, 31(3), 551–559. https://doi.org/10.1016/j.idc.2017.05.007

University of Arkansas for Medical Science (2020). Developing a search strategy for primary literature. Retrieved from https://www.//libguides.uams.edu/evidence_based_medicine/acquiringLinks to an external site.

What are some things healthcare providers are doing to prevent CLABSI? Retrieved from https://www.cdc.gov/hai/bsi/clabsi-resources.htmlLinks to an external site.

Sample Answer 7 for NURS 6052 Discussion: Searching Databases

The selected issue of interest is burnout among nurses. According to evidence, burnout among nurses is a critical issue that threatens the safety, quality and efficiency of patient care. Burnout in nursing arises from the increasing demands of an individual and the job (Seo et al., 2020; Wan et al., 2020). The nature of the nursing profession is highly demanding due to the complex care needs of patients and their significant others. Burnout has been shown to be associated with adverse effects on the health and wellbeing of the nurses. It predisposes them to anxiety, depression, demotivation, and low satisfaction with their jobs (Kakemam et al., 2019; Wang et al., 2020). Burnout also increases the risk of safety concerns in healthcare. For example, it increases the risk of medication errors in nursing care, which can harm the patients. Nurses should therefore be assisted in developing effective coping skills with occupational stressors that cause burnout (Kagan et al., 2021). Health organizations should explore effective mechanisms that can be used to ensure that the mental health and wellbeing of nurses are promoted for safety, quality and efficiency in health care.

The search for relevant articles on burnout among nurses was done in Embase and CINAHL databases. The search was done using search terms that included burnout, burnout in nursing, safety, efficiency, quality, and effects of nursing burnout. The number of articles that were achieved from the above search was 36. The articles were further reduced to 10 when aspects such as target population, year of publication, and interventions were explored. The use of Boolean operators was effective in refining the accuracy of the articles that were obtained for the assignment. The strategies that I will use to increase the rigor and effectiveness of the database search for my PICOT question include ensuring relevance of the search keywords, refining search based on Boolean operators, and using the reference list of the selected articles to identify further articles.

References

Kagan, I., Hendel, T., & Savitsky, B. (2021). Personal initiative and work environment as predictors of job satisfaction among nurses: Cross-sectional study. BMC Nursing, 20(1), 87. https://doi.org/10.1186/s12912-021-00615-1

Kakemam, E., Raeissi, P., Raoofi, S., Soltani, A., Sokhanvar, M., Visentin, D. C., & Cleary, M. (2019). Occupational stress and associated risk factors among nurses: A cross-sectional study. Contemporary Nurse, 55(2–3), 237–249. https://doi.org/10.1080/10376178.2019.1647791

Seo, Y. E., Kim, H. C., Yoo, S. Y., Lee, K. U., Lee, H. W., & Lee, S. H. (2020). Factors Associated with Burnout among Healthcare Workers during an Outbreak of MERS. Psychiatry Investigation, 17(7), 674–680. https://doi.org/10.30773/pi.2020.0056

Wan, Z., Lian, M., Ma, H., Cai, Z., & Xianyu, Y. (2020). Factors Associated with Burnout among Chinese Nurses during COVID-19 Epidemic: A cross-sectional study [Preprint]. In Review. https://doi.org/10.21203/rs.3.rs-31486/v1

Wang, J., Okoli, C. T. C., He, H., Feng, F., Li, J., Zhuang, L., & Lin, M. (2020). Factors associated with compassion satisfaction, burnout, and secondary traumatic stress among Chinese nurses in tertiary hospitals: A cross-sectional study. International Journal of Nursing Studies, 102, 103472. https://doi.org/10.1016/j.ijnurstu.2019.103472