picot question 2

rogertc
Document8-Copy.odt

PICOT QUESTION

Does an effective discharge plan (I) compared to routine care (C) influence Readmission rates (O) in patients, 65 years and older, who have been discharged after hospitalization with Congestive heart failure (P) over 30 days after discharge (T)?

Research Tool

Search Tips

Search Terms & Limits

Findings

Features

CINAHL CINAHL is a SU subscription resource database that offers nurses, allied health professionals, researchers, nurse educators and students a research base on subscription terms. With more than 6 million records, it indexes more than 5400 journals and 70 full text journals. Indexed journals do not provide access to full-text. Just because it is indexed in does not mean the library has full-text access to the journal. SU can always request articles for students via Interlibrary Loan, but the service is not instantaneous

Look at the Major Subject Heading in the Full Record Use the Limits Feature

Keyword search:

Congestive heart failure, Readmission rates,

Effective discharge plan,

Limits: peer reviewed less than 5 years old, journal article, clinical trial, full text

875

The databases are very easy to use.

The database makes it easy and user friendly by allowing additional keywords and search filters.

The database is a subscription service.

PubMed PubMed is a free health science citation & abstracts index from the National Center for Biotechnology Information at the U.S. National Library of Medicine

Look at the Major Subject Heading in the Full Record Use the Limits Feature

Keywords Congestive heart failure, Readmission rates in older patients, Effective discharge plan Limits: peer reviewed less than 5 years old, journal article, clinical trial, full text

1845

Not all the articles were exactly relevant to study. But it was very helpful to research many different treatment options. I found this database the best. It was the easiest to navigate and it has the most relevant articles related to my topic

Cochrane Library Cochrane Library provides access to the Cochrane

Use the Simple Search and the Advance Search Features from the Menu Allows you to search with MeSH Terms Browse reviews by topic

Keyword search: Congestive heart failure, Readmission rates, Effective discharge plan Limits: peer reviewed less than 5 years old, journal article, clinical trial, full text

30

Much harder to navigate and a lot less relevant articles. I only found 30 articles that were relevant. However, the 30 were more specific to the study. Not all the databases were that specific with the treatment options.

Dynamed

Use the Simple Search and the Advance Search Features Allows you to search with MeSH Terms Check out the New Reviews Browse reviews by topic

Keyword sear congestive heart failure, Readmission rates, Effective discharge plan:

3

When I typed in Congestive heart faiulre for my keyword it came up with multiple articles on different mental illnesses. I didn’t find this database very useful. It wasn’t as easy to navigate as some of the others.

TRIP Database TRIP is a clinical search engine to locate publicly available clinical evidence.

Limit to: Systematic Reviews

Guidelines-US

Keyword search: Congestive heart failure, Readmission

rates Limits: peer reviewed less than 5 years old, journal article, clinical trial, full text

156

I found it easy to navigate. It offered many articles that were relevant to my PICO question.

SU Library Search

Library Search is setup just like an EBSCO The Library even has a specialized PICOT search setup in Library Search— must go to Advance search to get to PICOT option

Keyword search: Congestive heart failure Limits: peer reviewed less than 5 years old, journal article, clinical trial, full text

1423

This includes multiple databases which are very helpful in researching more specific topics. I found it very easy to use

Other Databases:

ScienceDirect

Advance search to get to PICOT option

Congestive heart failure Limits: peer reviewed less than 5 years old, journal article, clinical trial, full text

205

I found it easy to navigate. It offered many articles that were relevant to my PICO question.

References

Ambrosy, A. P., Fonarow, G. C., Butler, J., Chioncel, O., Greene, S. J., Vaduganathan, M., & Nodari, S. (2014). The global health and economic burden of hospitalizations for heart failure: lessons learned from hospitalized heart failure registries. Journal of the American College of Cardiology 63, 1123-1133. Koelling, T. M., Johnson, M. L., Cody, R. J., & Aaronson, K. D. (2005). Discharge education improves clinical outcomes in patients with chronic heart failure. Circulation 111, 179-185. Ong, M. K., Romano, P. S., & Edgington, S. (2016). Effectiveness of Remote Patient Monitoring After Discharge of Hospitalized Patients With Heart Failure. JAMA Intern Med, 310-318.