ASSIGNMENT HELP | Advanced Clinical Inquiry and PICO Questions M-3

Learning Resources
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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

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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
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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
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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
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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 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 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.

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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.

Rubric

• Grid View
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Excellent Good Fair Poor
Main Posting 45 (45%) – 50 (50%)
Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.

Supported by at least three current, credible sources.

Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. 40 (40%) – 44 (44%)
Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.

MODEL ANSWER

Brief Description of The Clinical Issue of Interest (Patient Falls)

The clinical issue of interest is drawn to the increasing number of falls among elderly | PLACE YOUR ORDER NOW AT writtask.com | show that the current hospital setup is experiencing a high number of falls among the elderly hospitalized patients that have dire impacts on the patient since it increases complication and reduces patient | PLACE YOUR ORDER NOW AT writtask.com | mostly associated with poor balance and reduced functional mobility that reduces with the increased aging of the | PLACE YOUR ORDER NOW AT writtask.com | that in the hospitalized environment, falls represent a third of the most frequent adverse events reported with the help of the Notivisa System of the National Health Surveillance Agency. Similarly, it has been established that nearly 12 thousand falls reported from the year 2014 to 2017 are associated with lack of balancing and poor functional | PLACE YOUR ORDER NOW AT writtask.com | the elderly is extended due to the intensifying hospitalization rate among the patients with the aggregated health | PLACE YOUR ORDER NOW AT writtask.com | question will assess how the increasing rate of falls among the elderly hospitalized patients can be addressed using the exercise rehabilitative program compared to using non-rehabilitative intervention to reduce falls through increasing the patient functional mobility and balance in six weeks.

The Number of Articles Returned On Original Research and How This Changed as You Added Search Terms Using Your Boolean Operators

During the original research, there were about 41 research results/articles that | PLACE YOUR ORDER NOW AT writtask.com | throughout the research since the research narrowed down to include articles published in the last five years. The research also narrowed down to include only the journal peer-reviewed article published in a | PLACE YOUR ORDER NOW AT writtask.com | the search terms using the Boolean operators, the research returned specific yet relevant research articles to the PICOT research | PLACE YOUR ORDER NOW AT writtask.com | such as “if” “and” helps to narrow the research to the specific part of the PICOT question and capture all parts of the question in the returned results.  

Strategies You Might Make to Increase the Rigor and Effectiveness of a Database Search On Your PICO(T) Question

I narrowed down the research using important keywords such as “falls among the hospitalized elderly patients,” “rehabilitative exercise program,” “functional mobility,” and “improved body | PLACE YOUR ORDER NOW AT writtask.com | ensure that the targeted article was specific to the PICOT research question (Davies, 2011). Also, I included keywords such as systematic review to capture systematic review articles. This way, I narrowed down the research article to the useful one that relates to the PICOT research question. 

References

Cho, M-Y., & Jang, S.J. (2020). Nurses’ knowledge, attitude, and fall prevention practices at South Korean hospitals: A cross-sectional survey. B.M.C. Nursing, 19(108), 1-19. https://doi.org/10.21203/rs.3.rs-20233/v1.

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

Mazur, K., Wilczyński, K., & Szewieczek, J. (2016). Geriatric falls in the context of a hospital fall prevention program: delirium, low body mass index, and other risk factors. Clinical interventions in aging, 11, 1253–1261. https://doi.org/10.2147/CIA.S115755

Najafpour, Z., Godarzi, Z., Arab, M., & Yaseri, M. (2019). Risk factors for falls in hospital in-patients: A prospective nested case control study. International Journal of Health Policy and Management, 8(5), 300–306. https://doi.org/10.15171/ijhpm.2019.11