Evidence Based Practice Assignment

Week 5 assignment- EBP

The Assignment (Evidence-Based Project)
Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews
Create a 6- to 7-slide PowerPoint presentation in which you do the following:
• Identify and briefly describe your chosen clinical issue of interest.
• Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.
• Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
• Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.
• Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.

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Here is my completed PICOT assignment:
Violence Prevention Program PICOT Question
Emergency room settings are always faced with critical healthcare issues that health providers have to contend with. One of the challenging issues is such settings is having a family that is overanxious especially when their family member is admitted. Violence is thus a common phenomenon, especially from caregivers or family members because they tend to be impatient and in need of seeing their family members being attended to immediately (Weiland, Ivory & Hutton, 2017). Some emergency settings opt to have violence prevention programs as remedies for such situations. On the contrary, however, other healthcare facilities opt not to have such programs but rather handle situations as they come. The outcomes and implications of these two options will be evaluated through a PICOT question discussion in this essay.
The PICOT Question
In a healthcare emergency setting that has abusive or vicious families/caregivers, staff mates or patients, does the use of a program for violence prevention, compared to no such program lead to a reduction of instances/rates of violence or physical harm to other patients and hospital staff at the time of admission.
PICOT Format
P – In an emergency care setting that has families, patients or workmates that are violent
I – Use of programs for violence prevention
C – No use of programs for preventing violence
O – Reduction in violence rates/instances
T – At the time of admission

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Search terms used
Violence in emergency care settings
Violence prevention program in emergency care settings
Reduction of violence instances in emergency settings
Databases used
CIHANEL
MEDLINE
PubMed
Description of the Search Results
The use of the search terms highlighted above in the original search provided many articles in all the databases used. The number of records obtained for all the databases was many with others providing articles beyond the 10-year publication range. Most articles obtained failed to provide clear violence prevention programs especially in emergency settings and hence could not find relevance in the PICOT question under study (Han et al, 2017). The use of the Boolean operators proved to be important as the records obtained reduced. The conjunctions used in the search were \”And\” \”or\” and \”and not\”. These operators made it possible to narrow down to a few articles that were relevant to the area of study and reflected the search terms identified above. Furthermore, it was possible to find records that were within recent years of publication.
Strategies that can be used to increase the rigor and effectiveness of database search
Many strategies can be used to make database searches more vibrant and hence produce records that can better explain the question under study. For my PICOT question above, besides the use of Boolean operators, use more than one database and appropriate vocabulary, the most basic strategy is to conceptualize the search. This implies forming an idea that revolves around the PICOT question. For instance, it will be important to put oneself in the picture of an emergency care setting and presume an act of violence has happened (Majid et al, 2017). How does the management of such a setting solve such an act of violence? In the search engine, therefore, a question such as \”how to solve violence instances in emergency care settings\” will be necessary. Another strategy is to learn the database search rules and peculiarities. Every database has its unique rules used when one is searching for research articles. Understanding such rules makes it easy to retrieve research articles. For example, it may be appropriate to understand if it is possible to input a publication year to the search engine to limit publications made recently (McGowan et al, 2016).

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References
Han, C. Y., Lin, C. C., Barnard, A., Hsiao, Y. C., Goopy, S., & Chen, L. C. (2017). Workplace violence against emergency nurses in Taiwan: A phenomenographic study. Nursing Outlook, 65(4), 428-435. https://doi.org/10.1016/j.outlook.2017.04.003
Majid, S., Foo, S., Zhang, X., Mokhtar, I. A., Luyt, B., Chang, Y. K., & Theng, Y. L. (2017). Nurses’ information use and literature searching skills for evidence based practices. Malaysian Journal of Library & Information Science, 18(1).
McGowan, J., Sampson, M., Salzwedel, D. M., Cogo, E., Foerster, V., & Lefebvre, C. (2016). PRESS peer review of electronic search strategies: 2015 guideline statement. Journal of Clinical Epidemiology, 75, 40-46.
Nelson, M., Zimmerman, S., Hoying, J., & Prior, R. (2019). Emergency Department Violence Education: Detection and Prevention. Undergraduate Scholarly Showcase Program (Spring 2019).
Ramacciati, N., Ceccagnoli, A., Addey, B., Lumini, E., & Rasero, L. (2016). Interventions to reduce the risk of violence toward emergency department staff: current approaches. Open Access Emergency Medicine: OAEM, 8, 17. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4886301/
Weiland, T. J., Ivory, S., & Hutton, J. (2017). Managing acute behavioral disturbances in the emergency department using the environment, policies and practices: a systematic review. Western Journal of Emergency Medicine, 18(4), 647. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5468071/

SAMPLE SOLUTION