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
. 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
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.
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.
