NURS 6052 Searching Databases

Sample Answer for NURS 6052 Searching Databases Included After Question

BY DAY 3 OF WEEK 4

Post a brief description of your clinical issue of interest. This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question. Describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples.

BY DAY 6 OF WEEK 4

Respond to at least two of your colleagues on two different days and provide further suggestions on how their database search might be improved.

A Sample Answer For the Assignment: NURS 6052 Searching Databases

Title: NURS 6052 Searching Databases

The clinical issue of interest to me is mental health issues among adolescents due to the COVID-19 pandemic.  This subject interested me because having worked as a Psych/behavioral health nurse for over 2 years, I witnessed firsthand how the number of adolescent patients increased at our hospital.  I worked at a 20-bed inpatient behavioral health/psych facility and within a matter of months after COVID, we were getting twice as many adolescent admission packets than adult admissions.  In six months, the hospital went from 20 adolescents to a 50-adolescent inpatient facility.  

I started my search using the Walden library resource.  I started with the broad subject of mental health.  I narrowed my search result to adding adolescents to the search criteria.  I selected “peer-reviewed articles” and changed the years to include searches between 2016 and 2022.  I also included COVID-19 in the search criteria as well.  This narrowed the search result down to 495 articles which is a lot more manageable to go through rather than going through thousands of articles.  

I found a great article on this topic titled “The impact of COVID-19 on adolescents’ mental health.”  In this article, the author discusses that several studies show that emergency department visits for peds patients increased after the first lockdown.  The author also talks about the underlying causes of pandemic-induced distress, with social isolation and loneliness due to social distancing being the main culprit in increased anxiety, depression, self-harm, and suicidal ideation among this population.  

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I will continue to read through the list of articles on this subject matter and the COVID-19 timeframe of the last year will develop my PICOT question.  I will also research how this pandemic over the last year has increased substance abuse among adolescents.  

References

Malik, A. (2022). The impact of COVID-19 on adolescents’ mental health. Current Psychiatry21(8), e1–e2. https://doi.org/10.12788/cp.0275

A Sample Answer For the Assignment: NURS 6052 Searching Databases

Title: NURS 6052 Searching Databases

 I agree with you that most adolescents experienced mental breakdown and psychological distress during the COVID-19 pandemic. Healthcare facilities received many teenagers with mental health complications. The restrictive measures such as closure of social and public amenities compelled these youngsters to stay lonely at their homes (Magson et al., 2021). However, to obtain credible and accurate materials to explain mental health issues among adolescents, locating the right platforms is important.

The Walden library resource is a genuine source of academic materials. However, navigating to the right reading materials is a process guided by the keywords. Walden library has many materials. Therefore, choosing wrong keywords may mislead someone to other sources (Ravens-Sieberer et al., 2022). Peer-reviewed articles are considered to be the best. Besides, using latest materials provide relevant and current information. Different results are obtained when searching for information about COVID-19. Hence, becoming more specific increases the accuracy of the process. Reading more articles on mental health issues among adolescents due to the COVID-19 pandemic increases clarity on the problem.

NURS 6052 Searching Databases
NURS 6052 Searching Databases

References

Magson, N. R., Freeman, J. Y., Rapee, R. M., Richardson, C. E., Oar, E. L., & Fardouly, J. (2021). Risk and protective factors for prospective changes in adolescent mental health during the COVID-19 pandemic. Journal of Youth and Adolescence50(1), 44-57.

Ravens-Sieberer, U., Kaman, A., Erhart, M., Devine, J., Schlack, R., & Otto, C. (2022). Impact of the COVID-19 pandemic on quality of life and mental health in children and adolescents in Germany. European Child & Adolescent Psychiatry31(6), 879-889.

A Sample Answer 2 For the Assignment: NURS 6052 Searching Databases

Title: NURS 6052 Searching Databases

Thanks for sharing your thoughts and information. The COVID-19 pandemic has affected people of all ages physically and mentally, and even financially. Because of all the regulations we had to follow, we were drowning and getting frustrated, living in a life of worrisome and fear. Your clinical issue also interests me too. I also work at a psychiatric unit, but an acute adult psychiatric unit. I’ve done some research before on mental health issues after COVID-19 on older adults but not solely on adolescents. Adolescence is when hormone changes happen the most, and it makes people become more emotionally sensitive and mentally vulnerable.

Due to social distancing and stay home regulations, feelings of loneliness have increased, especially more in adolescence (Cooper et al., 2021), which can apparently lead to depression. Rice and Sher found out that suicide risk during the COVID-19 pandemic went up significantly in male adolescents relative to female adolescents because of the impacts of the pandemic on “losses of team sports, male mentors, and the implications of diminished educational advancement,” as well as increased risk of substance use (2021). I look forward to seeing more of your research on this topic since this is such an interesting clinical issue these days.

Cooper, K., Hards, E., Moltrecht, B., Reynolds, S., Shum, A., McElroy, E., & Loades, M. (2021). Loneliness, social relationships, and mental health in adolescents during the COVID-19 pandemic. Journal of Affective Disorders, 289, 98–104. https://doi.org/10.1016/j.jad.2021.04.016
Rice, T., & Sher, L. (2021). The men’s mental health perspective on adolescent suicide in the COVID-19 era. Acta Neuropsychiatrica, 33(4), 178–181. https://doi.org/10.1017/neu.2021.10

A Sample Answer 3 For the Assignment: NURS 6052 Searching Databases

Title: NURS 6052 Searching Databases

I find your method of research interesting. I suggest changing the search years for the articles. Covid 19 was not a relevant disease in the years 2016-2019 “CDC reports the first laboratory-confirmed case of the 2019 Novel Coronavirus in the U.S. from samples taken on January 18 in Washington state and on the same day activates its Emergency Operations Center (EOC) to respond to the emerging outbreak.” (CDC,2022) I noticed that you mentioned that your topic was “mental health issues among adolescents due to the covid-19 pandemic, this includes a certain age group. “Adolescence is the phase of life between childhood and adulthood, from ages 10 to 19.” (WHO,2022) I imagine that the adolescents that are admitted to the mental health facility that you work in are at least in the teens. So, this is another way to narrow down your search by putting actual ages rather than “adolescents.”

References

Centers for Disease Control and Prevention. (2022, August 16). CDC Museum Covid-19 Timeline. Centers for Disease Control and Prevention. Retrieved December 23, 2022, from https://www.cdc.gov/museum/timeline/covid19.html# 

World Health Organization. (n.d.). Adolescent health. World Health Organization. Retrieved December 23, 2022, from https://www.who.int/health-topics/adolescent-health#tab=tab_1 

A Sample Answer 4 For the Assignment: NURS 6052 Searching Databases

Tirle: NURS 6052 Searching Databases

Thanks for sharing about your research topic and your area of interest! 

COVID-19 has had a huge impact on many people’s mental health, including teenagers. My husband and I work in youth ministry and we have seen this impact first hand. From our experience, many teens have become secluded and introverted and do not have a desire to be social as they did before the pandemic. Almost 50% of teens say that they felt hopeless and sad during the pandemic (Hicks, 2022). The statistics surrounding teens mental health and COVID19 is devastating, but hardly surprising. 

I think that you will find numerous research topics and continuing studies on this subject! I have had good luck with the PubMed database in the past and would encourage you to look to use it for some of your sources. 

Thanks for sharing. 

References 

Hicks, T. (2022, April 6). How COVID-19 Pandemic Has Affected the Mental Health of Teens. Healthline. https://www.healthline.com/health-news/how-covid-19-has-affected-the-mental-health-of-teens

A Sample Answer 5 For the Assignment: NURS 6052 Searching Databases

Title: NURS 6052 Searching Databases

I did not realize to what extent the Covid pandemic had on adolescents in the sense of the increase in inpatient admits for mental health reasons. I do have two kids of my own, with the youngest being in first grade during the time Covid was rampant. I remember when we found out about a Covid exposure in his class, we had to do virtual schooling from home, which was NOT easy holding the attention of a first grader for hours behind the computer screen. Besides that, my oldest almost didn’t get to have a “normal” graduation this past year, which would have been devastating to her for sure!

One article I found surveyed 2,111 patients less than 25 years old that had been diagnosed with psychiatric conditions. The survey revealed that 83% of these individuals admitted to a worsening in their condition during the pandemic, and 26% of them were unable to access the support they needed (Listernick & Badawy, 2021).

Another article I found explored solutions to combat this increase in mental health disturbance. It discussed the importance of adolescents being socially connected, getting the recommended hours of sleep at night, and promoting physical activity (Kiss et al., 2022).

References

Kiss, O., Alzueta, E., Yuksel, D., Pohl, K. M., de Zambotti, M., Műller-Oehring, E. M., Prouty, D., Durley, I., Pelham, W. E., III, McCabe, C. J., Gonzalez, M. R., Brown, S. A., Wade, N. E., Marshall, A. T., Sowell, E. R., Breslin, F. J., Lisdahl, K. M., Dick, A. S., Sheth, C. S., … Baker, F. C. (2022). The pandemic’s toll on young adolescents: Prevention and intervention targets to preserve their mental health. Journal of Adolescent Health70(3), 387–395. https://doi.org/10.1016/j.jadohealth.2021.11.023

A Sample Answer 6 For the Assignment: NURS 6052 Searching Databases

Title: NURS 6052 Searching Databases

Patient Outcomes Effected by Nursing Burnout

Patient outcomes are at the forefront of all healthcare organizations. We want the best for our patients and their families. As healthcare workers, this can be a challenge. With staffing shortages, and constantly changing work requirements, burnout is becoming more and more prominent. Exacerbated by the COVID-19 pandemic nursing burnout is a challenge we must overcome. Decreased work-related stressors such as workload, and time pressures, and increasing communication, and interpersonal relationships by having a more conducive work environment can minimize burnout in nursing (Afriyie, 2020).   This clinical issue must be addressed to prevent further deterioration of staff and patient outcomes (Canadas-DelaFuente et al., 2015). Overall, nursing burnout has negative implications for patient outcomes and healthcare organizations (Peirson, 2021).

Research Strategies

 I first had to develop a strategy for researching to find articles that did not include systematic reviews, this week’s resource section provided excellent explanations of the different types of research and where to go to find them. I did find that while searching different databases having fewer words helped with the search results. My original search term Nursing Burnout resulted in 45 articles to choose from, alternatively when using the term Patient Outcomes over 1600 articles populated. This made searching for my specific topic more challenging since there were only a few articles that had both specifications addressed. Some way to overcome these challenges is to speak the research engine’s “language” so to speak. I researched the topic of interest and utilized the word AND in addition to the second word in my topic of interest which narrowed down the amount articles to 40, which resulted in the best articles that addressed the complete topic in its entirety.

References:

Afriyie, D. (2020). Reducing work-related stress to minimize emotional labour and burn-out syndrome in nurses. Evidence-Based Nursing24(4), 141–141. https://doi.org/10.1136/ebnurs-2020-103321

Links to an external site.

Cañadas-De la Fuente, G. A., Vargas, C., San Luis, C., García, I., Cañadas, G. R., & De la Fuente, E. I. (2015). Risk factors and prevalence of burnout syndrome in the nursing profession. International Journal of Nursing Studies52(1), 240–249. https://doi.org/10.1016/j.ijnurstu.2014.07.001

Links to an external site.

Peirson, J. (2021). Staff burn-out has implications for organizational and patient outcomes: Would an open culture of support with structures in place prevent burn-out? Evidence-Based Nursing25(3), 99–99. https://doi.org/10.1136/ebnurs-2021-103437

A Sample Answer 7 For the Assignment: NURS 6052 Searching Databases

Title: NURS 6052 Searching Databases

The PICOT question that I have developed for this class to address the clinical issue at hand and to help me research this specific topic is as follows: (Problem) Nurses in acute care settings who (Intervention) build self-resilience, and develop a better work environment related to evidence-based practices and better staffing (Compared) to a lack of self-resilience, lack of ideal work environment related to by understaffing and lack of evidence-based practices (Outcome) will improve patient outcome measures (Timeframe) within the 6-month survey period. According to Davies, the first step to formulating an adequate evidenced based question is using well defined structured format (2011). Overall, the development of a PICOT question can help research efforts and can help identify a problem that can be studied and resolved in many areas of healthcare (Riva et al., 2012).  

References:

Davies, K. S. (2011). Formulating the evidence-based practice question: A review of the frameworks. Evidence-Based Library and Information Practice6(2), 75–80. https://doi.org/10.18438/b8ws5n

    • Links to an external site.Riva, J. J., Malik, K. M., Burnie, S. J., Endicott, A. R., & Busse, J. W. (2012). What is your research question? An introduction to the PICOT format for clinicians. The Journal of the Canadian Chiropractic Association56(3), 167–171.

Your approach to exploring the impact of cognitive behavioral therapy (CBT) on adults with depression is commendable, and you’ve outlined several effective strategies for your database search. However, I’d like to offer some additional suggestions to further enhance the rigor and effectiveness of your search.

Firstly, consider broadening your keyword selection to include variations of CBT and depression. For instance, alongside “cognitive behavioral therapy” and “depression,” you might include synonyms like “CBT,” “cognitive therapy,” “behavioral therapy,” “major depressive disorder,” or “clinical depression.” This expanded list of terms can ensure that you capture a more comprehensive set of articles on the topic.

Secondly, in your discussion, you mentioned that you plan to limit the publication dates not to exceed five years. This is a good practice for accessing current research. However, it’s essential to strike a balance between recent studies and older seminal works. 

Sorting articles by methodology, is a valuable strategy, especially if you’re looking for specific types of studies, such as randomized controlled trials or systematic reviews (Melnyk et al., 2023). You might also consider using additional search terms related to research design, such as “RCT” (for randomized controlled trials) or “systematic review,” in combination with your PICO elements.

Lastly, using words from your PICO question as search terms is an excellent approach to narrowing your search and refining your results. You can also apply these terms in various combinations with your broader keywords to capture studies that align closely with your research question.

References

American Psychiatric Association. (n.d.). What Is Depression? Retrieved September 18, 2023, from https://www.psychiatry.org/patients-families/depression/what-is-depressionLinks to an external site.Links to an external site.

Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Wolters Kluwer.