Discussion: Searching Databases

DATELINE:

FRIDAY

3/26/2021

Instructions:

Respon

d

to

your

colleague and

provide further suggestions on how their database search might be

improved

.

**

AT

LEAST

2

REFERENCES

**

Donique

McClint

on

Background

CLABSI

prevention

within

the

neonatal

population

is

my

clinical

issue

of

interest

I

have

chosen

and

will

base

on

developing

my

PICOT

question.

CLABSI,

a

central

line

-

associated

bloodstream

infect

ion,

should

be

considered

a

severe,

medical

-

induced

complication

(Stroever,

et

al.,

2020)

that

can

be

prevented

with

proper

education

and

management.

Within

my

six

years

of

my

registered

nurse

licensure,

I

have

encountered

CLABSIs

in

the

neonatal

intensive

care

unit

very

frequently.

Search

Terms

and

Databases

Utilized

for

Search

Attempting

to

research

my

topic

of

interest

in

the

Walden

University

Library

(n.d.a.),

using

the

terms

“CLABSI

prevention

in

the

NICU”,

nine

articles

resulted.

Although

ou

t

of

the

nine,

each

article

seems

to

be

fitting

for

my

clinical

issue

of

interest.

With

my

occupation

history,

I

know

there

is

many

more

articles

base

on

my

clinical

issue

of

interest.

Search

Results,

Articles

Returned,

and

Changes

from

use

of

Boolean

Ope

rators

According

to

Walden

University

Library

(n.d.b.),

commanding

a

database

to

search

for

multiple

terms

or

concepts

at

the

same

time,

narrowing

down

my

search,

and

possibly

entail

looking

for

alternative

terms

that

yield

more

results

r

eveal

from

utilizing

Boolean

operators.

After

altering

the

search

with

Boolean

terminology,

I

attempted

an

advanced

search

for

“CLABSI”

and

“infant

or

baby

or

newborn

or

neonate,”

which

resulted

in

349

articles.

Slightly

altering

my

Boolean

advanced

my

res

ulted

article

significantly,

therefore

benefiting

my

research.

Database

Strategies

to

Increase

Rigor

and

Effectiveness

There

are

several

plans

I

could

make

to

increase

the

consistency

and

effectiveness

when

searching

databases

to

answer

my

PICOT

question.

I

have

already

completed

the

first

step

of,

according

to

Melnyk

&

Fineout

-

Overholt

(2018),

convey

the

clinical

issue

into

a

searchable,

answerable

question;

in

the

NICU,

how

does

the

anti

-

septic

technique

compare

with

the

occurrence

of

CLABSI

aff

ect

the

patient’s

outcome

will

admitted.

This

type

of

question

would

be

considered

a

focused,

foreground

question.

Another

plan

I

could

use

to

increase

the

consistency

and

effectiveness

is

utilizing

my

“available

support

and

multiple

databases

or

sources,

and

well

-

practiced

techniques

to

ensure

that

reliable

evidence

is

found”

(Melnyk

&

Fineout

-

Overholt,

2018,

p.

87).

This

technique

will

gather

information

from

different

viewpoints

to

complete

my

researched

information.

Since

I

have

worked

at

seve

ral

NICU,

I

could

utilize

the

policy

and

procedure

handbook

of

the

other

units

to

compare

the

anti

-

septic

techniques.

PICOT

Question

Noted

within

the

above

foreground

question

are

the

population,

interest,

compassion

needs,

and

outcome;

a

ll

to

compose

a

PICOT

question.

In

the

NICU

(P),

how

does

the

anti

-

septic

technique

(I)

compared

with

the

occurrence

of

CLABSI

(C)

affect

the

patient’s

outcome

(O)

will

admitted

(T).

References

Melnyk,

B.

M.,

&

Fineout

-

Overholt,

E.

(2018).

Evidence

-

based

practice

in

nursing

&

healthcare:

A

guide

to

best

practice(4

th

ed.).

Philadelphia,

PA:

Wolters

Kluwer.

Stroever,

S.,

Boston,

K.,

Ellsworth,

M.,

Cuccaro,

P.,

&

McCurdy,

S.

(2020).

Qualitative

process

evaluation

of

a

central

line

-

associated

bloodstream

infection

(CLABSI)

prevention

team

in

the

neonatal

intensive

care

unit.

American

Journal

of

Infection

Control,

48(9),

987

–

992.

https://doi

-

org.ezp.waldenulibrary.org/10.1016/j.ajic.2019.12.020

Walden

University

Library.

(n.d.a.)

Databases

A

-

Z:

Nursing.

Retrieved

from

http

s://academicguides.waldenu.edu/az.php?s=19981

Walden

University

Library.

(n.d.b.)

Keyword

searching:

Finding

articles

on

your

topic:

Boolean

terms.

Retrieved

from

https://academicgu

ides.waldenu.edu/library/keyword/boolean

DATELINE: FRIDAY 3/26/2021

Instructions: Respond to your colleague and provide further suggestions on how their database search might be

improved.

** AT LEAST 2 REFERENCES**

Donique McClinton

Background

CLABSI prevention within the neonatal population is my clinical issue of interest I have chosen and will base on

developing my PICOT question. CLABSI, a central line-associated bloodstream infection, should be considered a severe,

medical-induced complication (Stroever, et al., 2020) that can be prevented with proper education and management. Within

my six years of my registered nurse licensure, I have encountered CLABSIs in the neonatal intensive care unit very frequently.

Search Terms and Databases Utilized for Search

Attempting to research my topic of interest in the Walden University Library (n.d.a.), using the terms “CLABSI prevention

in the NICU”, nine articles resulted. Although out of the nine, each article seems to be fitting for my clinical issue of interest.

With my occupation history, I know there is many more articles base on my clinical issue of interest.

Search Results, Articles Returned, and Changes from use of Boolean Operators

According to Walden University Library (n.d.b.), commanding a database to search for multiple terms or concepts at the

same time, narrowing down my search, and possibly entail looking for alternative terms that yield more results reveal from

utilizing Boolean operators. After altering the search with Boolean terminology, I attempted an advanced search for “CLABSI”

and “infant or baby or newborn or neonate,” which resulted in 349 articles. Slightly altering my Boolean advanced my resulted

article significantly, therefore benefiting my research.

Database Strategies to Increase Rigor and Effectiveness

There are several plans I could make to increase the consistency and effectiveness when searching databases to answer

my PICOT question. I have already completed the first step of, according to Melnyk & Fineout-Overholt (2018), convey the

clinical issue into a searchable, answerable question; in the NICU, how does the anti-septic technique compare with the

occurrence of CLABSI affect the patient’s outcome will admitted. This type of question would be considered a focused,

foreground question.

Another plan I could use to increase the consistency and effectiveness is utilizing my “available support and multiple

databases or sources, and well-practiced techniques to ensure that reliable evidence is found” (Melnyk & Fineout-Overholt,

2018, p. 87). This technique will gather information from different viewpoints to complete my researched information. Since I

have worked at several NICU, I could utilize the policy and procedure handbook of the other units to compare the anti-septic

techniques.

PICOT Question

Noted within the above foreground question are the population, interest, compassion needs, and outcome; all to compose

a PICOT question. In the NICU (P), how does the anti-septic technique (I) compared with the occurrence of CLABSI (C) affect

the patient’s outcome (O) will admitted (T).

References

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

th

ed.).

Philadelphia, PA: Wolters Kluwer.

Stroever, S., Boston, K., Ellsworth, M., Cuccaro, P., & McCurdy, S. (2020). Qualitative process evaluation of a central line-

associated bloodstream infection (CLABSI) prevention team in the neonatal intensive care unit. American Journal of Infection

Control, 48(9), 987–992. https://doi-org.ezp.waldenulibrary.org/10.1016/j.ajic.2019.12.020

Walden University Library. (n.d.a.) Databases A-Z: Nursing. Retrieved

from https://academicguides.waldenu.edu/az.php?s=19981

Walden University Library. (n.d.b.) Keyword searching: Finding articles on your topic: Boolean terms. Retrieved

from https://academicguides.waldenu.edu/library/keyword/boolean