Clinical Health Discussion

Respond to at TO BOTH DISCUSSION SEPARATELY provide further suggestions on how their database search might be improved. 3 REFFRENCES SEPARATELY

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DISCUSSION 1

COLLAPSE

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Main Post

My clinical interest is mental health and addiction, but more specifically Opioid Use Disorder (OUD) treatments. As a nurse who works in a mental health and detox hospital, this has become an interest. For my discussion post, I will be focusing on the medication-assisted treatment program (MAT) for OUD. I will be using a PICO(T) question to assist in this research. PICO(T) stands for, P is for a population of interest, I is for intervention, C is the comparison of interest, O is outcome expected, and T is for the time given for the intervention (Melnyk & Fineout-Overhold, 2018 p.34). Getting the proper information quickly with a large amount of information available is important (Melnyk & Fineout-Overholt, 2018 p.37). Using a PICO(T) question helps in the search for quick information. My PICO question is, in adults with OUD in primary care, how does being enrolled in MAT compare to not being enrolled in MAT affect substance use in 3 months?

When using search engines on the topic above, I first used Psychinfo. I added opioid use disorder for my main search. My initial results got me 1500 articles. After selecting peer review and the dates 2015-2020, the search turned out 1,386 articles. Next, I tried the Boolean operators, for example, adding “or” changed my results. Boolean is a way to advance your search results by adding a combination of words and phrases in a specific way to produce better search results (. The operators produced 92 articles for my topic. The next search engine I used was CINAHL Plus with Full Text. This search engine is unfiltered, has over 750 journals, and houses another 5,000. It also has allows you to narrow the search to systematic reviews, randomized controlled trials, and cohort studies just to name a few (Walden University Library, n.d.). The initial search resulted in 2,025 articles. After adjusting the date and the peer review, this resulted in 1,654 articles. Next, I used Boolean operators. This time I used “and” and 106 articles were produced. Using Boolean operators provides help in researching articles by using specific words to help narrow down the search results.

The strategies I might use to increase the rigor and effectiveness of a database search for my PICO(T) question would require mindfulness when selecting words to add to the search subject. Using keywords from the PICO(T) question helps narrow down the article options. Being specific and utilizing the Boolean operators would be beneficial when searching for peer review articles. Lastly, trying different databases for research information. Using multiple databases provides different resources when seeking valuable information. By using the search engines and the Boolean operators, it allows students to become proficient in researching information for writing assignments.

References

Library of Congress. (n.d.). Search/browse help- Boolean operators and nesting. Retrieved December 22, 2018, 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.

Walden University Library. (n.d.). Evidence-based research: CINAHL search help. Retrieved December 22, 2020, from https://academicguides.waldenu.edu/library/healthevidence/cinahlsearchhelp

Patience Okpala

RE: Discussion – 2

COLLAPSE

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Before I start my research paper, PICO is a mnemonic used to describe an excellent clinical question’s four components. It stands for:

P–Patient/Problem

I–Intervention

C–Comparison

O–Outcome

P – How does psychotherapy connect with an antidepressant remedy for the therapy of depression in people diagnosed with depression? The databases searched were Pubmed as well as CINAHL, Walden Library. I narrowed the research to peer-reviewed studies and changed the times, ranging from 2015 to 2020, to show the most recent evidence-based study news. On PubMed, I utilized the high-level search filters to narrow my search. I clicked to view items that only studied humans and published within five years. A different approach is to use a feature on PubMed called Clinical Inquiries. Clinical Inquiries design to improve search results by “linking the type of question (therapy, diagnosis, etiology, and prognosis) to a collected research approach that reclaims the proper analysis methodology. Using all of those methods will help develop research outcomes to find the various related peer-reviewed articles. If I continue my filters and seek the terms “depression psychotherapy antidepressant” in the Walden Library, I get 152 outcomes.

View full document Walden Library (2020) suggests using Boolean articles to generate numerous specific research with other significant results (para. 1). I attached the Boolean items to my subsequent exploration and produced 75,000 results. Analysis resolved that it is essential to search at least three different databases to achieve approximately 90% of all relevant literature on the subject. A strategy to increase the rigor and effectiveness of a database search is to use alternative terms (Ho et al., 2016). I can try seeking alternative concepts like cognitive behavior therapy,” “depression treatment,” or “depression medication” to improve my results.

References

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

JavaScript required. Sign In. https://web-a-ebscohost-com.ezp.waldenulibrary.org/ehost/detail/detail?vid=5.

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

Bottom of Form

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Respond

to at

TO BOTH DISCUSSION SEPARATELY

provide further suggestions on

how their database search might be improved.

3 REFFRENCES SEPARATELY

Click on the

Reply

button below to reveal the textbox for entering your message. Then

click on the

Submit

button to post you

r message.

DISCUSSION 1

COLLAPSE

Main Post

My clinical interest is mental health and addiction, but more specifically Opioid Use Disorder (OUD) treatments. As

a nurse who works in a mental health and detox hospital, this has become an interest. For my discussion post, I will

be focusing on the medi

cation

assisted treatment program (MAT) for OUD. I will be using a PICO(T) question to

assist in this research. PICO(T) stands for, P is for a population of interest, I is for intervention, C is the comparison

of interest, O is outcome expected, and T is f

or the time given for the intervention (Melnyk & Fineout

Overhold,

2018 p.34). Getting the proper information quickly with a large amount of information available is important

(Melnyk & Fineout

Overholt, 2018 p.37). Using a PICO(T) question helps in the se

arch for quick information. My

PICO question is, in adults with OUD in primary care, how does being enrolled in MAT compare to not being

enrolled in MAT affect substance use in 3 months?

When using search engines on the topic above, I first used Psychinfo.

I added opioid use disorder for my main

search. My initial results got me 1500 articles. After selecting peer review and the dates 2015

2020, the search

turned out 1,386 articles. Next, I tried the Boolean operators, for example, adding “or” changed my re

sults. Boolean

is a way to advance your search results by adding a combination of words and phrases in a specific way to produce

better search results (. The operators produced 92 articles for my topic. The next search engine I used was CINAHL

Plus with Fu

ll Text. This search engine is unfiltered, has over 750 journals, and houses another 5,000. It also has

allows you to narrow the search to systematic reviews, randomized controlled trials, and cohort studies just to name

a few (Walden University Library, n

.d.). The initial search resulted in 2,025 articles. After adjusting the date and the

peer review, this resulted in 1,654 articles. Next, I used Boolean operators. This time I used “and” and 106 articles

were produced. Using Boolean operators provides help

in researching articles by using specific words to help

narrow down the search results.

The strategies I might use to increase the rigor and effectiveness of a database search for my PICO(T) question

would require mindfulness when selecting words to add t

o the search subject. Using keywords from the PICO(T)

question helps narrow down the article options. Being specific and utilizing the Boolean operators would be

beneficial when searching for peer review articles.

Lastly, trying different databases for re

search information. Using

multiple databases provides different resources when seeking valuable information. By using the search engines and

the Boolean operators, it allows students to become proficient in researching information for writing assignments.

References

Library of Congress. (n.d.).

Search/browse help

Boolean operators and nesting.

Retrieved December 22,

2018, 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.

Walden University Library. (n.d.).

Evidence

based research: CINAHL

search help.

Retrieved December 22,

2020, from

https://academicguides.waldenu.edu/library/healthevidence/cinahlsearchhelp

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