NURS 6003 Using the Walden Library

I’ve decided to pursue a career as a psychiatric/mental health nurse practitioner. After 28 years of working as a mental nurse, I made the decision to advance my career. The peer-reviewed article used is entitled. “How PMHNP Program Directors Facilitate Psychotherapeutic Skill Acquisition by the authors Wesemann, Convoy, Goldstein, and Melino. I looked for this article by typing “PMHNP” into the Walden library tab. Next, I selected the “peer-reviewed” link on the left and entered the keyword “psychotherapeutic,” I then restricted my search. A list of articles from the Thoreau/EBSCO search engine appeared, and I chose this particular one.

Finding this peer-reviewed article was not difficult for me. The library database at Walden University is quite trustworthy. Yes, I would recommend this database, because it is accessible, and the full articles are available for usage. “A good database should begin with valuable metadata and data”, (Siyavula. n.d.). Criteria used for selecting a good database is using one that is a reliable monitoring and alerting system, (Guo, 2022). This database will be very helpful to my colleagues for the reasons stated above. My search was able to be limited by a large number of alternatives. The Walden library’s EBSCO database has excellent themes and a big selection of articles, therefore I would definitely recommend it.

References

Guo, L. (2022). How to efficiently choose the right database for your applications. PingCAP. Retrieved from https://www.pingcap.com/blog/how-to-efficiently-choose-the-right-database-for-your-applications/

Siyavula. (n.d.). Characteristics of a good database. Retrieved from https://www.siyavula.com/read/it/grade-12-it/database-design-concepts/02-database-design-concepts

Wesemann, D., Convoy, S., Goldstein, D., & Melino, K. (2022). How PMHNP Program Directors Facilitate Psychotherapeutic Skill Acquisition. Journal of the American Psychiatric Nurses Association, 10783903221091980. https://doi.org/10.1177/10783903221091980

I am very excited for you to pursue a Psychiatric Mental Health Nurse Practitioner (PMHNP) career, and I wish you the very best of luck!

Your article references psychotherapy and how it is underutilized in PMHNP practice. The abstract talks about how the reduced use of this skill has potentially led to an under-emphasis in the PMHNP curriculum. This prompted me to search Walden’s curriculum and see whether it would be a skill we would acquire. Reviewing the course catalog, it appears that we will have opportunities to learn about this skill in psychotherapy with individuals and with groups and families (Walden University, n.d.).

I am thrilled to have the opportunity to learn and study psychotherapy in the future. I feel that one new area our learning may address is telepsychotherapy. Markowitz et al., report that as practitioners, the differences between treating patients with psychotherapy via video or phone rather than in person may be alarming. The researchers reported concerns that these forms of therapy can impede emotional engagement and lead to an under-display or underreporting of symptoms or behaviors by the client (Markowitz et al., 2020).

Regarding the article you found and coming from a place of wanting to learn more about suggestions or strategies for improving database searches, I have a question for you. I could not find access to the full text, which I feel happens often for me. Do you have any tips on how to do this when searching in a database? I have honestly encountered this issue a few times for articles I would like to read and utilize. I was able to find something called ResearchGate, and I was able to make an account. I requested permission to read the full text, but I do not know how long this will take. When I created my account with ResearchGate, it brought up a few prompts to verify my identity. There were many articles by several people who go by M. Ham, and I was asked to select myself as the author of the work in question or decline that I was the author. It was definitely something you could skip, but I got a kick out of seeing how many M. Ham’s that exist and wondered if I would ever have research published.

This inspired me to learn more about ResearchGate, an investor-funded start-up and global community to connect researchers who share and put forth science (ResearchGate, n.d.). One of their dreams is that world leaders look to scientific advisors before corporate donors, and I feel that my heart and professional goals resonate with that. Have you heard of ResearchGate?

Happy Week 4, Cheryl!

References

ResearchGate. (n.d.). About researchgate. https://www.researchgate.net/about

Markowitz, J. C., Milrod, B., Heckman, T. G., Bergman, M., Amsalem, D., Zalman, H., Ballas, T., & Neria, Y. (2020). Psychotherapy at a Distance. American Journal of Psychiatry, 178(3), appi.ajp.2020.2. https://doi.org/10.1176/appi.ajp.2020.20050557

Walden University. (n.d.). Catalog search – Walden University – Acalog ACMSTM. Catalog.waldenu.edu. https://catalog.waldenu.edu/search_advanced.php?cur_cat_oid=196&search_database=Search&search_db=Search&cpage=1&ecpage=1&ppage=1&spage=1&tpage=1&location=33&filter%5Bkeyword%5D=PMHNP

As a fellow future PMHNP, your article is very relevant and frightening to me. From what I gathered from reading it, it seems like if PMHNP’s want to have control over what type of work they do/how they practice they need to develop their skills independently. “However, PMHNP programs frequently rely on other professions (psychology and social work being the top two) to provide psychotherapy practicum experiences” (Wesemann et al., 2022). To me, that seems like nurses are going to have to prove their value in order to maintain their place in the future of mental health as the practice evolves. Another thing that scared me is how difficult it was for me to find the article that you cited. You cited it perfectly, but it took me longer than it should have to find the full thing. The reason for this is kind of embarrassing considering I just did this earlier this week. Once I reoriented myself to the Library’s resources I was quickly able to find what I needed.

I also found reading your post very helpful. The way you broke down how you can limit your results in several ways is super helpful and intriguing to me. I mentioned in my post the need for any nurse’s using this program to know how to tell the difference between good and bad articles quickly. Using these alternatives could help a nurse search for specific topics and exclude what they do not want. I will look at it more later today, but I wonder if you can search by topic AND type of research/study performed. That could be very useful.

References

Compassion fatigue is currently a significant concern among mental health professionals (Peters, 2018). Turgoose and Maddox (2017), in the article “Predictors of Compassion Fatigue in Mental Health Professionals: A Narrative Review,” explores studies on common predictors and correlations of compassion fatigue among professionals working in mental health. After establishing an area of interest for my research, I narrowed down the research using the keywords “compassion fatigue” and “mental health.” Consequently, I obtained this source from the Walden Library in the APA PsycArticles database.

While the search provided several suggestions relevant to my area of interest, I had some challenges when completing the task. The main challenge was finding recent publications on the database. Most of the articles addressing the outlined topic were outdated and could not accurately inform the current situation in mental health. Additionally, some of the contemporary sources were based in other parts of the world, with limited research conducted in the United States and Europe. A significant number of the recommended sources are based in developing countries. Second, the requirement to fill in specific details to refine the search results was challenging. The platform requires information on the publication date and publication type. Failure to select either of the two options can provide misleading information. For instance, failure to choose a specific type of public means a researcher can unknowingly select a non-peer-reviewed article.

While the database was helpful to me, the challenges highlighted above suggest it may not be suitable for my colleagues, especially those with limited experience in the virtual library. In addition to the difficulties I encountered, the database is not user-friendly and will require significant experience before using it to conduct research. I would not recommend this database to researchers without prior experience at the library. Other free platforms, such as Google Scholar, can provide more recent and broader range of credible sources to support mental health research (Zientek et al., 2018).

References

Peters, E. (2018). Compassion fatigue in nursing: A concept analysis. In Nursing forum (Vol. 53, No. 4, pp. 466-480).

Turgoose, D., & Maddox, L. (2017). Predictors of compassion fatigue in mental health professionals: A narrative review. Traumatology, 23(2), 172.

Zientek, L. R., Werner, J. M., Campuzano, M. V., & Nimon, K. (2018). The use of Google Scholar for research and research dissemination. New Horizons in Adult Education and Human Resource Development, 30(1), 39-46.

I like the topic you chose to research. I personally feel that compassion fatigue is at an all time high and that its contributing to nurse burnout. I have never worked in a mental heatlh unit but I am and ER nurse and know that mental health patient care can definitley become overwhelming and stressful at times. I am surprised that you were not able to find more up to date research articles related to the subject. I am sorry you had such difficulty in finding your topic on the database your chose. I would recommend trying a nursing database. Walden University (n.d) recommends the nursing databases for a lot of research. The library discusses nursing databases as being great resources for peer reviewed journals and articles. I used the CINAHL database to search you topic and was able to find a great article written in 2022. The article is called “Compassion fatigue in mental health nurses: A Systematic Review” and it discusses the need of future research for mental health nurses regarding their compassion fatigue. It reviews other articles related to the topic. I like to use systematic reviews to discover other articles related to my topic of interest. This is a great article to find other relevant and related articles to your topic. Hope this helps! Good luck with you future research!

References

Marshman, C., Hansen, A., & Munro, I. (2022). Compassion fatigue in mental health nurses: A systematic review. Journal of Psychiatric & Mental Health

Nursing (John Wiley & Sons, Inc.), 29(4), 529–543. https://doi.org/10.1111/jpm.12812

Walden University Library. (n.d.). Evaluating resources: Journals. Retrieved September 20,

2022, from https://academicguides.waldenu.edu/library/evaluating/resource-types/journals

The medical spa I work at has recently started offering platelet-rich plasma (PRP) treatments. Vendors state that PRP is a natural means of rejuvenating the skin. I wanted to see if I could find studies that support this claim. Du and Lei (2020) conducted a study assessing the molecular action of PRP on the skin. The study proved that PRP improves skin condition by increasing skin thickness and collagen and reducing hyperpigmentation, proving it is an effective antiaging treatment (Du & Lei, 2020). Everts et al. (2019) conducted a study testing the effectiveness of PRP on facial rejuvenation. The study revealed that PRP injections yield significant skin rejuvenation, proving to be a highly effective treatment for facial rejuvenation (Everts et al., 2019). I can now confidently suggest PRP injections for those seeking facial rejuvenation.

I searched by subject from the library homepage and picked nursing as the subject type. I then searched for articles using the keywords of platelet-rich plasma and rejuvenation. I filtered the search by limiting it to the last five years and peer-reviewed scholarly journals. Most scholarly journals are peer-reviewed (Walden University, n.d.). Databases most appropriate for a search in nursing include CINAHL, Embase, MEDLINE, Proquest, and PubMed (Walden University, n.d.). CINAHL and MEDLINE have many nursing-related peer-reviewed articles, evidence-based practice reports, case studies, and systematic reviews (Walden University, n.d.). Embase is a robust database for drug and pharmacology information (Walden University, n.d.). I filtered my search further to include all the above databases and Academic Search Complete. I included the Academic Search Complete database because it consists of peer-reviewed journals, conference papers, newspapers, and magazines on various subject matters (Walden University, n.d.).

A difficulty I experienced while searching for the article was that it is not always clear whether a source is primary or secondary. I had to read through some articles to determine if they were primary or secondary sources. A primary source is any material that documents original research, theory, ideas, or experiences (Walden University, 2022). Secondary sources typically review primary sources (Walden University, 2022). I would highly recommend the above databases as they would be helpful to other graduate nursing students or nurse researchers because they are focused on journals in the medical field.

References

Du, R., & Lei, T. (2020). Effects of autologous platelet-rich plasma injections on facial skin rejuvenation. Experimental & Therapeutic Medicine, 19(4), 3024–3030. https://doi.org/10.3892/etm.2020.8531

Everts, P. A., Pinto, P. C., & Girão, L. (2019). Autologous pure platelet-rich plasma injections for facial skin rejuvenation: Biometric instrumental evaluations and patient-reported outcomes to support antiaging effects. Journal of Cosmetic Dermatology, 18(4), 985–995. https://doi.org/10.1111/jocd.12802

Walden University Library. (n.d.). Databases A-Z: Nursing. Retrieved September 17, 2022, from https://academicguides.waldenu.edu/az.php?s=1998

Walden University Library. (n.d.). Evaluating resources: Journals. Retrieved September 17, 2022, from https://academicguides.waldenu.edu/library/evaluating/resource-types/journals

Walden University. (2022). What are primary and secondary sources? Retrieved September 17, 2022, from https://academicanswers.waldenu.edu/faq/72620

Thank you for the information you provided through your search for evidence-based research. I have heard of treatments involving platelet-rich plasma (PRP) and was very curious to look into your selected article’s findings and to see it well supported by the literature. Thank you for bringing light to an excellent treatment option. Have you heard of these therapies utilized in biological dentistry, reproductive medicine, or orthopedics? What cool stuff! I am six months out from a surgical tendon and ligament repair and considering such a treatment to help my healing process. In briefly reviewing some of the research, I found an abstract that reported the following: there are tendons in the body that respond well to PRP and tendons that do not show a beneficial improvement with PRP (Filardo et al., 2018).

Additionally, thank you for giving a review of primary and secondary sources. Were you able to find if this was an area you could specify filter-wise while working on any of the databases you utilized? I would imagine that what could be done is to find a database that allows you to filter results so that only primary sources are retrieved, like journal articles. One could also filter by type of study, specifically those that are published by those persons doing the research.

Embase is not a database that I have utilized before. In learning more about it, I found that it is the second most popular database after MEDLINE and, because of its features, is a potential “one-stop” search engine for medical research (Oliveira, 2021).

Additionally, you described searching with Boolean techniques when explaining how you found your research, and also as a response to my initial post. Thank you for a reminder and re-education on this important step to search information set-up. The following is what I was able to review. Utilizing Boolean operators while searching a database can be crucial to focusing on a topic and retrieving more accurate search topics (Adams, n.d.). There are ways to utilize parenthesis or nesting and operators such as: and, or, not, to help define a search. Using truncation (an asterisk) helps extend a database search and discover additional retrievals if your word may have different endings. I plan to become more familiar with these techniques as a strategy to improve my database searches.

Before starting this course, I reviewed several papers I wrote during my Bachelor’s program regarding evidence-based research. I feel that I have forgotten much of what I learned regarding research analysis. I was very grateful to be focusing on research analysis this week, as I feel that this understanding is essential when reviewing research and evaluating literature to be used as a resource.

References

Adams, D. (n.d.). LibGuides: Literature Searching: Searching techniques: using Boolean. Libguides.dundee.ac.uk. https://libguides.dundee.ac.uk/literaturesearching/searchtechniquesboolean

Filardo, G., Di Matteo, B., Kon, E., Merli, G., & Marcacci, M. (2018). Platelet-rich plasma in tendon-related disorders: results and indications. Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 26(7), 1984–1999. https://doi.org/10.1007/s00167-016-4261-4

Oliveira, I. de. (2021). Literature searches: What databases are available? Students 4 Best Evidence. https://s4be.cochrane.org/blog/2021/04/06/main-databases-for-literature-search/

In reviewing the objectives and learning resources provided, the Walden University library database function is helpful in the search for peer-reviewed research. Databases such as EBSCOhost, PubMed, and the Cochrane Library appropriately source literature regarding evidence-based practices to help shape the words and ideas used for scholarly writing. The article I have chosen relates to a future practice area as a Psychiatric Mental Health Nurse Practitioner, a specialty of health care I am incredibly passionate about. In reviewing the learning resources for this week, one of the videos outlined that scholarly writing uncovers and presents evidence that reveals a truth (Walden University, LLC, 2018). The video also states that while extensive personal experience can inform a viewpoint, in scholarly writing, one must always remain unbiased (Walden University, LLC, 2018). As someone whose passion is inspired by personal experience with the limitations of diagnosis and treatment within the current medical system, one difficulty I acknowledge is the potential for bias. The potential for bias is mediated in scholarly writing by presenting evidence, not assumptions.

Database and Article

The article I present was found within EBSCOhost via the APA PsycInfo database. The piece, originally published in the peer-reviewed Journal of Neuroimaging, is titled “Neuroimaging in Psychiatric Disorders: A Bibliometric Analysis of the 100 Most Highly Cited Articles.” This article was the first to focus exclusively on this topic and indicated high research activity in this area. This article aimed to navigate the current body of research and identify trends in the 100 most highly cited papers referencing neuroimaging in primary psychiatric disorders (Gong et al., 2019). This citation-based bibliometric analysis was implemented to highlight areas of clinical significance and impact by involving qualitative and quantitative research analysis. This narrowing helps highlight historical, emerging, and utility trends and guides future research, development, and commercialization of these unique diagnostic tools.

Article and Practice Area

This article pertains to my practice area of interest in that it highlights an area of much-needed further research and investigation into the assessment, diagnosis, and treatment of primary psychiatric disorders so that receiving an accurate diagnosis and optimal treatments can be the norm in this field of medicine. In mainstream medicine’s approach, evaluation of symptoms and behaviors are placed against the rubric of the DSM, must then meet criteria, and then will receive a diagnosis. Additionally, treatments are trial and error, with most individuals trying multiple medications. Of those that receive treatment, “60%–70% of patients with depression respond to antidepressant therapy” (Al-Harbi, 2012). The statistics regarding medication adherence leave additionally room for improvement within this area of care (Sansone & Sansone, 2012). Often, the root causes that can contribute to primary psychiatric disorders are not considered. Gong et al. (2019) propose that a multivariable analysis, including neuroimaging, biomarkers, and even artificial intelligence, would identify etiology-based treatments, identifying persons at risk and which medications could be most valuable structurally and genetically in treatment.

Difficulties Experienced and Database Recommendation

I experienced additional difficulty while looking for this article due to the limited volume of peer-reviewed options available for this topic. For example, via the APA PsychInfo database, 110 results populated with a search field query of “Neuroimaging in Psychiatric Disorders.” Whereas “medications and treatment in psychiatric disorders” populated 2,769, showing this available research to still be in a very early stage. Regarding my recommendation of the database, I appreciate its options for narrowing down a research topic. The database allows one to filter by utilizing basic and advanced search options through many databases of peer-reviewed content and select up to three lines of additional search field options. This database also provides citation assistance. Overall, I believe that I can recommend this database and that it would be helpful to my colleagues in their pursuit of evidence-based literature and in compiling original scholarly work.

Resources

Al-Harbi K. S. (2012). Treatment-resistant depression: therapeutic trends, challenges, and future directions. Patient preference and adherence, 6, 369–388. https://doi.org/10.2147/PPA.S29716

Gong, B., Naveed, S., Hafeez, D. M., Afzal, K. I., Majeed, S., Abele, J., Nicolaou, S., & Khosa, F. (2019). Neuroimaging in Psychiatric Disorders: A Bibliometric Analysis of the 100 Most Highly Cited Articles. Journal of Neuroimaging, 29(1), 14–33. https://doi.org/10.1111/jon.12570

Sansone, R. A., & Sansone, L. A. (2012). Antidepressant adherence: are patients taking their medications?. Innovations in clinical neuroscience, 9(5-6), 41–46.

Walden University, LLC. (Producer). (2018). Introduction to Scholarly Writing: Purpose, Audience, and Evidence [Video file]. Baltimore, MD: Author.

NURS 6003 Using the Walden Library