6052N_WK10_PART4_ Assigment5

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CAUTI_PICOT.docx

Main Post Discussion 2- 

The clinical question of interest on this assignment is how to prevent hospital-acquired infections among hospitalized adults. Hospital-acquired infections, also known as healthcare-associated infections (HAI), are nosocomially acquired infections that are typically not present or might be incubating at the time of admission (Monegro, 2020). Nosocomial infections are acquired after admission to the hospital, manifest within 48 hours after hospitalization and include: catheter-associated urinary tract infections, central line-associated bloodstream infections, surgical site infections, ventilator-associated pneumonia, hospital-acquired pneumonia, and Clostridium difficile infections (Monegro, 2020).

The next step in the EBP process, searching for the evidence, search for literature reveals body of evidence that can show best practices we can use to solve clinical problems (Laureate, 2018).

For my search I choose CINAHL Plus and TRIP Database with Full-Text databases to answer my PICOT question. I searched keywords “hospitalization or inpatient”. From the search options, I selected the following limiters: Boolean/Phrase, also searched within the full text of the articles, Full text, Peer reviewed Journals, English Language, Evidence-Based Practice, All adult, Inpatients. The result was 1,593 articles, which was not related to my topic of interest. I then searched key word “CAUTI Prevention”, which narrowed down the result to 42 articles. This time the articles were more related to what I was looking for but not heading to answering my PICOT question yet. I then tried the combining approach and searched “CAUTI Prevention” AND “Inpatient”, resulting in 19 articles that were more relevant to my clinical question.

To find significant information about my clinical question I choose keywords related to my PICOT question, searched combined keywords, and set limits to further narrow the result.

It is good to note that using “or” instead of “and” is helpful for it does not limit the results to items that have both keywords used (Walden University Library, n.d.-a). While trying to use specific keywords is important, using judgment and relationship words should be avoided since they may exclude relevant articles to the topics (Walden University Library, n.d.-b).

In my opinion exploring relevant articles to resolve clinical issues is a skill that improves with practice.

I also noticed that combining the searches can generate narrowed down number of articles more specific to the clinical issue.

Reference

Laureate Education (Producer). (2018). The Value of Clinical Inquiry [Video file]. Baltimore,

MD: Author.

Monegro, A. F. (2020, September 3). Hospital Acquired Infections – Stat Pearls - NCBI

Bookshelf. Https://Www.Ncbi.Nlm.Nih.Gov/Books/NBK441857/.

Walden University Library. (n.d.-a). Keyword Searching: Finding articles on your topic: Boolean terms. Retrieved June 17, 2019, from http://academicguides.waldenu.edu/library/keyword/boolean

Walden University Library. (n.d.-b). Keyword Searching: Finding articles on your topic: Select keywords. Retrieved June 17, 2019, from http://academicguides.waldenu.edu/library/keyword/search-strategy

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Response Posts: 

Hi Josephine,

I found your work fascinating. Depression is one of the most frequent mental illnesses affecting more than 350 million individuals worldwide (Guo, Sun, Hu, Nicholas, & Wang, 2019). I have a lot of faith in cognitive behavioral therapy and natural medicine as first line of treatment for Depression and other Psychiatric conditions. I had been researching a lot lately about adverse effects of psychiatrist medications. Studies suggest that SSRIs may elicit or aggravate symptoms such as anxiety and agitation during the first days or weeks of treatment (Näslund, Hieronymus, Emilsson, Lisinski, Nilsson, & Eriksson, 2017). After I read your work, I felt curious about trying this topic search on the school database. I found Psychology Databases Combined Search and it works with other 4 databases related to Psych: PsycARTICLES, PsycBOOKS, PsycEXTRA, and PsycINFO Databases. I searched Depression Treatment. My results from this search were 32,197 which is a considerable amount to search through.

References

Guo, Y., Sun, J., Hu, S., Nicholas, S., & Wang, J. (2019). Hospitalization Costs and Financial Burden on Families with Children with Depression: A Cross-Section Study in Shandong Province, China. International Journal Of Environmental Research And Public

Health, 16(19). https://doi-org.ezp.waldenulibrary.org/10.3390/ijerph16193526

Näslund, J., Hieronymus, F., Emilsson, J. F., Lisinski, A., Nilsson, S., & Eriksson, E. (2017). Incidence of early anxiety aggravation in trials of selective serotonin reuptake inhibitors in depression. Acta Psychiatrica Scandinavica, 136(4), 343–351. https://doi- org.ezp.waldenulibrary.org/10.1111/acps.12784

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Response Posts#2: 

Hi Karena,

Exceptional your PICOT Post. Diabetes is a crucial issue in the modern times. A PICOT method is outfitted for giving proof-based solutions for such a problem and is normally intended to identify precise search targets and points.

The PICOT approach will help distinguish Diabetes research articles for research, talk about different outcomes, and show the significance of articles in decision making.

Filters are a key to find and recognize an exceptional source for creating proof-based rules fundamental in clinical. Finding accurate data is dependent on the source of information (Boswell and Cannon, 2018).

I also applied Boolean operators to narrow down my results. The benefit of Boolean operators improves the findings of searches, which in turn helps millions who surf the Web every day (Papiewski, 2015).

References

Boswell, C., & Cannon, S. (2018). Introduction to nursing research. Jones & Bartlett Learning.

Papiewski, J. (2017, April 25). Advantages & disadvantages of boolean logic. Sciencing. Retrieved June 26, 2020, from https://sciencing.com/advantages-disadvantages- boolean-logic-12115642.html