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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 searched SAGE journals for my PICOT question. The first attempt to learn more about the subject was a failure. “Residential care facility for children with mental illness vs. home,” I had typed. As a result, several articles that were unrelated to my PICOT query were displayed. The approach and wording were entered differently for more precise results. The phrase “children with mental illness AND residential treatment AND outcomes” was then used. For the key words entered, the database returned 11998 results. By experimenting with the wording, I was able to reduce the search to 16 results. “Children with mental illness AND is residential treatment the best course of action AND behavioral changes,” I typed. The field was narrowed down to sixteen candidates. NURS 6052 Discussion: Searching Databases Sample – (nursingassignmentcrackers.com)I discovered an article discussing trauma histories and their extensive treatment among the information I gathered (Epstein, Cullinan, Quinn, & Cumblad, 1994). The information was out of date, and the additional articles had nothing to do with my topic.

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.

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 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.

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.

RE: Discussion – Week 4

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”.

Also Read: PHI 413 Week 5 Patient’s Spiritual Needs: Case Analysis

NURS 6052 Discussion Searching Databases Sample

NURS 6052 Discussion Searching Databases Sample

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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

RE: Discussion – Week 4

M…,

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

RE: Discussion – Week 4

              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 Technology66(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

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