EVIDENCED BASED PRACTICE
tonny4u
WK.5.ASSIGM-EBP.pptxADVANCE CLINICAL INQUIRY & SYSTEMATIC REVIEWS
Name
Walden University
Essentials Of Evedenced-based Practice
Instructor
date
S
Clinical Issue of Interest
Depression with Bipolar is the clinical issue of concern
The application of the correct medication is the main point of concern in this case
Having the correct choice towards the medical practice is the critical point.
Precise medical practices offer the long term solution.
Enneking et al., (2020) Analyzed the effect of electroconvulsive therapy in adult psychiatric mental health patient with Major Depressive Disorder using metal analysis and quantitative study. The variance range that proofs the efficacy is relatively low, my main concern is the question “ If the rate of response and efficacy of ECT ranges from 0.397 to 0.286 living the difference of 0.1 margin.
2
ELEMENTS TO CONSIDER FOR OF PICOT QUESTION
The clinical issues arouses a concern that lead to set of questions such as :-
What is the concerns or issues?
Who are the patients that are directly affected by the clinical concerns?
What are the designated set of intervention or suggested solutions?
Are the interventions testable, and
How soon could the interventions be tested ?
These set of Questions will then be put together systematically using the acronyms PICOT
PICOT Question
In adults ( >18yr, Male and female) with diagnosis of major depression with bipolar disorder (P) should Psychiatrist use (I ) anti-depressant medications more often as treatment of choice or Electroconvulsive treatment (ECT) (C) To stimulate the brain and improve mental acuity (O) Within 6 months period? (T)
The development of the question came in terms of the preferred medical choice towards the case.
The complication that came with appropriate decision making seemed to be the point of concern
Factors such as the medical outcomes that came with the activities is the critical point of concern.
The question was develop based on the real health issue affecting the society at the time which is a critical matter of concern in this respective case.
4
Sources of Database
The selection of data was done through the following data bases
Psch-Info data-base (2020)
CINAHL with Med-
Proquest
Pub-Med
Peer-reviewed sources
Phillips, J. L., Jaworska, N., Kamler, E., Bhat, V., Blier, J., Foster, J. A., Hassel, S., Ho, K., McMurray, L., Milev, R., Moazamigoudarzi, Z., Placenza, F. M., Richard-Devantoy, S., Rotzinger, S., Turecki, G., Vazquez, G. H., Kennedy, S. H., & Blier, P. (2020). A randomized, crossover comparison of ketamine and electroconvulsive therapy for treatment of major depressive episodes: A Canadian biomarker integration network in depression (CAN-BIND) study protocol. BMC Psychiatry, 20. https://doi-org.ezp.waldenulibrary.org/10.1186/s12888-020-02672-3
Peer-reviewed sources
Enneking, V., Dzvonyar, F., Dück, K., Dohm, K., Grotegerd, D., Förster, K., Meinert, S., Lemke, H., Klug, M., Waltemate, L., Goltermann, J., Hülsmann, C., Borgers, T., Böhnlein, J., Sindermann, L., Richter, M., Leehr, E. J., Repple, J., Opel, N., … Redlich, R. (2020). Brain functional effects of electroconvulsive therapy during emotional processing in major depressive disorder. Brain Stimulation, 13(4), 1051–1058. https://doi-org.ezp.waldenulibrary.org/10.1016/j.brs. 2020.03.018
The journal applied the use of experimentation to ensure that realistic data is collected. It is a detailed practice that led to the collection of factual information only which is necessary to observe and apply for the entire research.
Systematic review sources
Feng, T., & Youssef, N. A. (2020). Can epigenetic biomarkers lead us to precision medicine in predicting treatment response and remission for patients being considered for ECT? Psychiatry Research, 284, 112659. https://doi-org.ezp.waldenulibrary.org/10.1016/j.psychres.2019.112659
Davies, K. S. (2011). Formulating the evidence based practice question: A review of the frameworks for LIS professionals. Evidence Based Library and Information Practice, 6(2), 75–80. https://doi.org/10.18438/B8WS5N
Luccarelli, J., McCoy, T. H., Jr., Seiner, S. J., & Henry, M. E. (2020). Maintenance ECT is associated with sustained improvement in depression symptoms without adverse cognitive effects in a retrospective cohort of 100 patients each receiving 50 or more ECT treatments. Journal of Affective Disorders, 271, 109–114. https://doi-org.ezp.waldenulibrary.org/10.1016/j.jad.2020.03.152
Levels of Evidence
Feng, T., & Youssef, N. A. (2020). Can epigenetic biomarkers lead us to precision medicine in predicting treatment response and remission for patients being considered for ECT? Psychiatry Research, 284, 112659. https:// doi-org.ezp.waldenulibrary.org/10.1016/j.psychres.2019.112659
The use of primary data collection was applied in the research. The practice entailed the use of surveys to collect detailed information concerning the type of medication to be used and its influence. It ensured that only the realistic set of information was applied in the analysis process
Davies, K. S. (2011). Formulating the evidence based practice question: A review of the frameworks for LIS professionals. Evidence Based Library and Information Practice, 6(2), 75–80. https:// doi.org/10.18438/B8WS5N
The journal provides evidence based research that is based on the interviews done on various experts in the field. It provides a realistic overview of the case that presents evidence that would be applied to conduct a detailed study.
Levels of Evidence
Luccarelli, J., McCoy, T. H., Jr., Seiner, S. J., & Henry, M. E. (2020). Maintenance ECT is associated with sustained improvement in depression symptoms without adverse cognitive effects in a retrospective cohort of 100 patients each receiving 50 or more ECT treatments. Journal of Affective Disorders, 271, 109–114. https:// doi-org.ezp.waldenulibrary.org/10.1016/j.jad.2020
The use of quantitative research in the collection of data is a key factor that was applied in the journal. It led to the use of questionnaires that facilitate the collection of validated information that is realistic and could be applied.
S
