NURS 6052 Discussion: Searching Databases Sample -

Sample Answer for NURS 6052 Discussion: Searching Databases Sample Included After Question

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.

Nursing Research PageLinks to an external site.– databases and resources specifically for Nursing
Evidence-Based Practice guide: Evidence TypesLinks to an external site.
Nursing and Health research videosLinks to an external site., including a 15-minute introduction
Get HelpLinks to an external site.page, including Ask a LibrarianLinks to an external site. service

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.

A Sample Answer For the Assignment: NURS 6052 Discussion: Searching Databases Sample

Title: NURS 6052 Discussion: Searching Databases Sample

Evidence-based practice, also known as EBP, can be discovered in many different places, including journals, textbooks, databases, and so on. When conducting research, one must make certain that the information that they are looking for and evaluating comes from a reputable source. If credible resources are utilized, the evidence and study will have a greater potential to be held to a higher level. It is possible to acquire resources on your own or through places of employment or educational institutions. Unfortunately, policymakers continuously signal that dependable resources are required to ensure that patients are receiving the greatest patient care that is available from their healthcare providers; however, resources are not always available without constraints as required (Melnyk & Fineout-Overholt, 2018).

What is PICO(T)?

The population of interest (P), intervention or issue of interest (I), comparison of interest (C), the outcome expected (O), and

NURS 6052 Discussion Searching Databases Sample

time for an intervention to achieve the outcome (T) is PICOT (Melnyk & Fineout-Overholt, 2018). PICOT questioning is a method of research that is utilized to identify the clinical evidence that is of the highest quality for use in practice. This is accomplished by conducting investigations in a manner that is both objective and productive (Ford & Melnyk, 2019). The researcher has the ability to employ a form of research known as PICOT questioning in order to reduce the outcomes of the evidential investigation to a more manageable level. The use of opioids in patients who are suffering from severe shortness of breath is an area of clinical interest that is both exciting and interesting.

In patients that are suffering from severe dyspnea during end-of-life (P), can the use of opioids (I) be a beneficial intervention, compared to those not near end-of-life (C), to reduce the feeling of breathlessness (O), within a period of 2 weeks or less (T)?

Research With and Without The Boolean process is a method that is utilized that inserts a variety of phrases (such as OR, AND, etc.) between the primary terms that helps to limit down the search results by processing them in a given order. This method is called the Boolean method (Library of Congress, n.d.). Within the Walden Nursing Library, a search for publications using the key phrases “opioids for dyspnea” resulted in the retrieval of 486 different articles. When searching for “opioids for dyspnea AND end-of-life AND morphine,” only nine articles were retrieved. This was the result of employing the Boolean approach. When the primary search terms were altered to read “opiates for dyspnea AND morphine sulfate,” only one result was discovered. 313 articles were found when searching for “dyspnea OR breathlessness AND opioid use.” There were twenty publications discovered when the search terms “dyspnea OR breathlessness, AND opioid use, AND efficacy” were used. Last but not least, using the search terms “dyspnea OR breathlessness, AND opioid usage, AND end-of-life care,” 62 articles that are linked to this topic were found.ut the Boolean Process

Strategies for an Effective Database Search

When looking at the differences in the numbers that resulted from the searches that were carried out, it is obvious to see that the utilization of various words and the combination of these phrases can provide a variety of different results. When looking for particular publications, it is essential to be certain that the researcher is use the appropriate terminology in their search. When looking for particular articles that are associated with the administration of opioids during end-of-life care, there are quite a number distinct word combinations that can be searched for. Some of these combinations include: The researcher ought to make use of combos that will bring about the most specific materials, for as employing “dyspnea OR breathlessness, AND opioid use,” in conjunction with “AND effectiveness” or “AND end-of-life care.” These two searches appeared to turn up a number of articles that would be useful in compiling information on the topic at hand. The researcher’s inability to obtain sufficient information, in addition to the aggravation that comes from having to read a large number of articles in order to amass a relatively small quantity of new information, can undermine the thoroughness of the investigation. The level of rigor can be maintained so long as the researcher makes it a point to keep in mind the vast number of papers that have been written on each and every subject. The researcher merely needs to keep up the pace and keep seeking until all of the relevant material is located and validated. 

References

Gallagher Ford, L., & Melnyk, B. M. (2019). The Underappreciated and Misunderstood PICOT Question: A Critical Step in the EBP Process. Worldviews on Evidence-Based Nursing, 16(6), 422–423. https://doi.org/10.1111/wvn.12408

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

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

A Sample Answer 2 For the Assignment: NURS 6052 Discussion: Searching Databases Sample

Title: NURS 6052 Discussion: Searching Databases Sample

Do children with mental illness exhibit improved behaviors after a year in a residential care facility compared to time at home? Children make up the majority of the patient population. Residential treatment is the intervention. The outcome is a comparison of residential vs. at-home care and improved behaviors. Finally, the time frame is one year for behavioral improvements. Melnyk & Fineout-Overholt, 2019, Melnyk & Fineout-Overholt, 2019.

To begin, I conducted a SAGE journal search for my PICOT question. The initial attempt to obtain information about the subject was unsuccessful. I had typed “Residential care facility for children with mental illness vs. home.” This resulted in the display of several articles that were irrelevant to my PICOT query. For more precise results, the approach and wording were entered differently. I then used the phrase “children with mental illness AND residential treatment AND outcomes.” The database returned 11998 results for the key words entered. I was able to narrow the search to 16 results by experimenting with the wording. I typed in “children with mental illness AND is residential treatment the best course of action AND behavioral changes.” The search was whittled down to sixteen candidates. Within the information I gathered, I discovered an article discussing trauma histories and their extensive treatment (Epstein, Cullinan, Quinn, & Cumblad, 1994). The information was out of date, and the additional articles were irrelevant to my subject.

I then used EBSCO discovery services to conduct additional research on my chosen topic. I am more familiar with EBCSO, which expedited the search. I typed “institution, AND assisting behavior, AND children or adolescents or youth, or child or adolescent, AND “mental illness.” I was able to locate one article that was relevant to my subject. The article discussed facilities that treat adolescents who self-injure (Law, Rostill-Brookes, & Goodman, 2009).

Lastly, I attempted “asd or autism spectrum disorder or autism, AND residential treatment for children & youth”. This brought up a study that addresses challenging behavior among hospitalized children (Holmes, Stokes, & Gathright, 2014). This article offered great information about my chosen topic. I feel that becoming more familiar with a variety of databases would increase the effectiveness of my research. As I continued to rearrange my words on SAGE journals, I found myself growing frustrated before I resorted to EBSCO. NURS 6052 Discussion: Searching Databases Sample

References

Epstein, M. H., Cullinan, D., Quinn, K. P., & Cumblad, C. (1994). Characteristics of Children with Emotional and Behavioral Disorders in

Community-based Programs Designed to Prevent Placement in Residential Facilities. Journal of Emotional and Behavioral Disorders, 2(1), 51-57. doi:10.1177/106342669400200107

Holmes, K. J., Stokes, L. D., & Gathright, M. M. (2014). The Use of Collaborative Problem Solving to Address Challenging Behavior

Among Hospitalized Children With Complex Trauma: A Case Series. Residential Treatment for Children & Youth, 31(1), 41-62. doi:10.1080/0886571x.2014.878581

Law, G. U., Rostill-Brookes, H., & Goodman, D. (2009). Public stigma in health and non-healthcare students: Attributions, emotions and willingness to help with adolescent self-harm. International Journal of Nursing Studies, 46(1), 108-119. doi:10.1016/j.ijnurstu.2008.08.014

Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

A Sample Answer 3 For the Assignment: NURS 6052 Discussion: Searching Databases Sample

Title: NURS 6052 Discussion: Searching Databases Sample

I love the topic you choose and would love to hear more as you find relevant articles. I currently work at an acute pediatric inpatient psych facility. We admit children from ages 4 to 18 for a variety of psych behaviors including children with ASD who are struggling with aggression and property destruction. We have many kids that bounce back and forth between our facility and a long-term care facility. This has caused me to really wonder if long-term faculties are actually beneficial or if these children would to better in a home environment. NURS 6052 Discussion: Searching Databases Sample

I am also interested in caring for children with ASD and mental health disorders. I feel like research is limited in the pediatric population thus making it hard to find research studies. Getting the wording of the search terms seems to be critical. It is interesting to me that “pediatric mental illness” seems to produce less relevant articles than “children with mental illness” or “mental illness in children”.

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In an article by Yasmine Shaheem & Tim Ormsby (2017), finding the best database for your search is critical. They suggest ProQuest as a good database when searching for medical topics and social science topics. I had never searched directly from ProQuest so I decided

to check it out. I was blown away! I will be using ProQuest to complete my next assignment because I was able to find a large number of articles about the treatment of childhood depression. I searched “childhood depression inpatient treatment vs home care” and found a study that took place in Germany where the effectiveness of inpatient care and day time care for patients with depression. While this study is not of pediatric patients, it does do a nice job of summarizing the positive and negative aspects of inpatient care for depression.

As you mentioned, wording search terms and the database in which you are using are important when looking for specific research articles. I am looking forward to improving my ability to locate relevant research and finding the best database for researching my topics of interest. I hope to read more about what you learn as you continue your research.

References

Shaheem, Y., & Ormsby, T. (2017, March). Top tips for finding high quality scholarly resources. Retrieved June 25, 2020, from https://flinders.libguides.com/ld.php?content_id=30289254

Zeeck, A., Wietersheim, J. v., Weiss, H., Beutel, M., & Hartmann, A. (2013). The INDDEP study: Inpatient and day hospital treatment for depression – symptom course and predictors of change. BMC Psychiatry, 13, 100. doi:http://dx.doi.org.ezp.waldenulibrary.org/10.1186/1471-244X-13-100

A Sample Answer 4 For the Assignment: NURS 6052 Discussion: Searching Databases Sample

Title: NURS 6052 Discussion: Searching Databases Sample

The PICOT topic you have chosen is very thought-provoking. I worked on a child psychiatric unit for one year and often wondered if residential treatment is beneficial to children. Personally, I would want to keep my child home, but I realize that some behaviors children exhibit would be unsafe in homes. The results of a study by (Lou et al., 2018) revealed young people raised in residential care settings are more vulnerable to poor mental health than peers in the general population. In researching this topic further, an important point came up concerning the child’s home environment and if family conditions had risk factors such as abuse and neglect. The issue of the home environment plays a role in residential treatment facilities being beneficial for children. The article by (Barnett et al., 2018) highlights using the best available science to maximize the physical and psychological safety of children in residential treatment and facilitate child and family support for their ability to thrive. This topic will yield a vast amount of information, and I look forward to reading your research!

References

Barnett, E. R., Yackley, C. R., & Licht, E. S. (2018). Developing, implementing, and evaluating a trauma-informed care program within a youth residential treatment center and special needs school. Residential Treatment for Children & Youth, 35(2), 95–113. Retrieved June 26, 2020, from https://doi.org/10.1080/0886571x.2018.1455559

Lou, Y., Taylor, E. P., & Di Folco, S. (2018). Resilience and resilience factors in children in residential care: A systematic review. Children and Youth Services Review, 89, 83–92. Retrieved June 26, 2020, from https://doi.org/10.1016/j.childyouth.2018.04.010

A Sample Answer 5 For the Assignment: NURS 6052 Discussion: Searching Databases Sample

Title: NURS 6052 Discussion: Searching Databases Sample

The PICO (T) question I have chosen is “How does antidepressant therapy and psychotherapy are comparable for depression in people?”

For this question, the three databases I searched were CINAHL, PubMed, and Walden library. To come across a lesser number of articles and to be specific, I narrowed the research articles by choosing the peer-reviewed articles filter. In addition to that, I also changed the year range in which the articles were published. I chose the most recent duration from 2015 to 2020 to make sure that evidence-based practice is followed. While searching on PubMed, I made use of the advanced search filters so that the research articles can be reduced. I chose those articles in which studies were done on humans and were published in the last five years. One more tactic I applied was using the feature named Clinical Inquiries, which is intended to enhance the search results through “linking the type of question to a stored search strategy that retrieves the appropriate research methodology” (Schardt, 2007).

Making use of these strategies, my search results were improved, and I was able to find the most recent and relevant research articles. After adding the filters and typing the terms “psychotherapy anti-depressants depression” in the search field of Walden Library, the number of results I got was 152. The library allows making use of Boolean terms to do accurate research with appropriate results. Afterward, I added. Boolean terms and the results I got were 75,734. It is stated in research that one should search a minimum of three dissimilar databases so that 90% of relevant articles are assessed on the topic (Ho et al., 2016). Other terms that I can use are “treatment of depression,” depression medicines,” or “depression therapy.” These will enhance my results.

References

Hjørland, B. (2015). Classical databases and knowledge organization: A case for boolean retrieval and human decision‐making during searches. Journal of the Association for Information Science and Technology, 66(8), 1559-1575.

Ho, G. J., Liew, S. M., Ng, C. J., Hisham Shunmugam, R., & Glasziou, P. (2016). Development of a Search Strategy for an Evidence Based Retrieval Service. PloS one, 11(12), e0167170. doi:10.1371/journal.pone.0167170

Schardt, C., Adams, M., Owens, T., Keitz, S., & Fontelo, P., (2007). Utilization of the pico framework to improve searching pubmed for clinical questions. Retrieved from https://bmcmedinformdecismak.biomedcentral.com/articles/10.1186/1472-6947-7-16

Walden University Library. (2020). Keyword searching: Finding articles on your topic: Boolean terms. Retrieved from http://academicguides.waldenu.edu/library/keyword/boolean

A Sample Answer 6 For the Assignment: NURS 6052 Discussion: Searching Databases Sample

Title: NURS 6052 Discussion: Searching Databases Sample

This is a great topic that is near and dear to my heart. Thank you for your information.

Among typical elementary, middle, and high school students, mental health is often overlooked. In urban and black communities, mental illness is perceived as behavioral, and the educators, who are predominately white, are not equipped, do not know how to deal with students of color and their mental issues, are burned out, and or just do not care. Eighty percent of alternative schools are made up of African Americans. (CDC, 2022)

Alternative schools are where children go due to behavioral issues and learning disabilities. These schools are not the typical educational facility, and the educational experience is overshadowed by mental issues and learning disabilities. But alternative schools are required to have the providers, counselors, resources, and behavioral health workforce needed to aid these children. If you asked children or young adults what an alternative school is, most of the time the response will be “this is where the bad kids go.”

As these children become young adults, one of two things will happen. They change for the better and learn to cope and maintain their issues and become a better student, or they don’t change, and they are accustomed to the feelings they have, think it is normal and most times, ignore the thoughts.

Since the pandemic, these children now realize these are not normal feelings, and that it is okay to have a mental health issue. Now more than ever, counselors, providers, and school-based programs are needed in a typical school setting because these young children do not know how to express or cope with these feelings, the issues surrounding them, and their everyday life. (The Hunt Institute, 2021)

According to the national healthy minds study, an astronomical amount of college students suffer from some type of mental illness. They do not get the help they need because of the fear of being judged.

The breakdown of your PICOT question was very informative, the format is a helpful approach for summarizing research questions that explore the effect of therapy or outcomes. Turning an idea into a good research question requires it to be possible, peak an interest, be ethical and relevant. (Davies, 2011). Generating new knowledge in existing gaps of healthcare provides the opportunity to help patients who previously may have had poor clinical outcomes get better ones. .

Clinical interest description

The area of clinical interest that I chose is nurse burnout. Nurse burnout is more common now than ever. Covid-19, along with many other factors, has affected nurse retention. Many left the field of nursing and continue to do so. Nurses report feeling overwhelmed, underappreciated, stressed, and overworked. “Burnout is a common psychological phenomenon among nurses. It is characterized by a decline in physical, emotional, and psychological energy resulting from work-related stress 33-35, leading to cynicism toward clients and colleagues and low self-efficacy.” (Mudallal,2017)

Search Result

Upon searching in the Walden U library “nurse burnout,” 27,375 results were yielded. They range from comparing nurse burnout since covid 19 to even Spanish studies. I did an advanced search when trying to narrow my results down to nurse burnout. In the advanced search, I could select the English language only and complete test peer-reviewed scholarly journals only. I also only used the years 2017-2022 so that the results were within five years and were more recent. After doing this, the result was 11,970. There is only so much you can do to narrow the topic down when it is so broad. Nurse burnout is prevalent in nursing today. When I searched nurse and burnout using a Boolean operator, the results were 8,953, which is significantly less and helped to achieve an even more narrow search.

PICOT Question

Some strategies that I would use are Boolean operators to narrow the results. I would also take the components required to formulate a PICOT, such as patient population and age groups, and use those specific terms to help my search. It would help to find the most relevant journals on nurse burnout. So, for instance, my population would be specific, like “night shift nurses under 30”. This would provide a particular search for the PICOT. That concludes how I would increase the effectiveness of my database search.

References

Mudallal, R. H., Othman, W. M., & Al Hassan, N. F. (2017, January 1). Nurses’ burnout: The influence of leader empowering behaviors, work conditions, and demographic traits. Inquiry : a journal of medical care organization, provision and financing. Retrieved December 21, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5798741/

EBSCO discovery service. (n.d.). Retrieved December 21, 2022

Grading Rubric Guidelines DQ

Performance Category	10	9	8	4	0
Scholarliness Demonstrates achievement of scholarly inquiry for professional and academic decisions.	Provides relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisions Evaluates literature resources to develop a comprehensive analysis or synthesis. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion	Provides relevant evidence of scholarly inquiry but does not clearly state how the evidence informed or changed professional or academic decisions. Evaluates information from source(s) to develop a coherent analysis or synthesis. Uses some valid, relevant, reliable outside sources to contribute to the threaded discussion.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions. Information is taken from source(s) with some interpretation/evaluation, but not enough to develop a coherent analysis or synthesis. Little valid, relevant, or reliable outside sources are used to contribute to the threaded discussion. Demonstrates little or no understanding of the topic.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions. Information is taken from source(s) without any interpretation/evaluation. The posting uses information that is not valid, relevant, or reliable	No evidence of the use of scholarly inquiry to inform or change professional or academic decisions. Information is not valid, relevant, or reliable
Performance Category	10	9	8	4	0
Application of Course Knowledge – Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources; Applies concepts to personal experience in the professional setting and or relevant application to real life.	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources. Applies concepts to personal experience in their professional setting and or relevant application to real life Interactions with classmates are relevant to the discussion topic but do not make direct reference to lesson content	Posts are generally on topic but do not build knowledge by incorporating concepts and principles from the lesson. Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life Does not demonstrate a solid understanding of the principles and concepts presented in the lesson	Posts do not adequately address the question posed either by the discussion prompt or the instructor’s launch post. Posts are superficial and do not reflect an understanding of the lesson content Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life	Posts are not related to the topics provided by the discussion prompt or by the instructor; attempts by the instructor to redirect the student are ignored No discussion of lesson concepts to personal experience in the professional setting and or relevant application to real life
Performance Category	5	4	3	2	0
Interactive Dialogue Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days. *(5 points possible per graded thread)*	Exceeds minimum post requirements Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts three or more times in each graded thread, over three separate days. Replies to a post posed by faculty and to a peer Summarizes what was learned from the lesson, readings, and other student posts for the week.	Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days Replies to a question posed by a peer Summarizes what was learned from the lesson, readings, and other student posts for the week.	Meets expectations of 2 posts on 2 different days. The main post is not made by the Wednesday deadline Does not reply to a question posed by a peer or faculty	Has only one post for the week Discussion posts contain few, if any, new ideas or applications; often are a rehashing or summary of other students’ comments	Does not post to the thread No connections are made to the topic
	Minus 1 Point	Minus 2 Point	Minus 3 Point	Minus 4 Point	Minus 5 Point
Grammar, Syntax, APA Note: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted. Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition	2-3 errors in APA format. Written responses have 2-3 grammatical, spelling, and punctuation errors. Writing style is generally clear, focused, and facilitates communication.	4-5 errors in APA format. Writing responses have 4-5 grammatical, spelling and punctuation errors. Writing style is somewhat focused.	6-7 errors in APA format. Writing responses have 6-7 grammatical, spelling and punctuation errors. Writing style is slightly focused making discussion difficult to understand.	8-10 errors in APA format. Writing responses have 8-10 grammatical, spelling and punctuation errors. Writing style is not focused, making discussion difficult to understand.	Post contains greater than 10 errors in APA format. Written responses have more than 10 grammatical, spelling and punctuation errors. Writing style does not facilitate communication. The student continues to make repeated mistakes in any of the above areas after written correction by the instructor
	0 points lost				-5 points lost
Total Participation Requirements *per discussion thread*	The student answers the threaded discussion question or topic on one day and posts a second response on another day.				The student does not meet the minimum requirement of two postings on two different days
Early Participation Requirement *per discussion thread*	The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week.				The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT.

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.