Essential of Evidence Based Practice – PICO Question
Type of document Essay 1 Page Subject area Nursing Academic Level Master
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Please respond to Julia post in one of the following ways Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
Validate an idea with your own experience and additional sources.
Make a suggestion based on additional evidence drawn from readings, or after synthesizing multiple postings
2 days ago Julia Moore
RE: Discussion – Week 2
COLLAPSE
Discussion Board 2
PICO Question
In the forensic psychiatry patient population, how does the “forensic” label affect the therapeutic relationship, care, and compassion from nurses in comparison to the patient who is non-forensic?
Research Results
Following are my results in researching this topic using the levels of evidence pyramid found on the Walden library website. The first three levels use filtered resources, which are “resources that appraise the quality of studies and often make recommendations for practice” (Walden University Library, 2012, table 3).
For the level one research, systematic reviews, I chose the Cochrane Database of Systematic Reviews and my search topic was forensic psychiatric nursing. Only one article popped up and it was totally irrelevant to my PICO question.
For level two, critically appraised topics, I searched the National Guideline Clearinghouse with the same search topic. This time four articles came up but only one was relevant to my topic.
For level three, critically-appraised individual articles, I used the Evidence-Based Nursing search engine using the same topic and was presented with three articles, and again, only one was relevant.
An un-filtered search, you are searching primary, unfiltered literature, that the researcher needs to review for validity and reliability (Walden University Library, 2012).
In searching for a randomized control trial article, I used the CINAHL Plus with full-text database. I narrowed the search to randomized control trials only and used the topic psychiatric forensic nursing. Only one article popped up and was totally unrelated to my topic.
For a cohort study, I used Medline with full text. This time for my search I typed in “forensic psychiatric nursing and cohort studies” and expanded the search to include any of the terms within the whole text. This one got great results with 365,023 articles found.
Finally, for case-controlled studies, I again used Medline with the same expanders. This time I entered “forensic psychiatric nursing and case studies and case-controlled studies”. I received 3,737,341 articles.
In comparing the articles, I selected, I found the articles from the top three levels to be more detailed and informative, however, there were very little articles to choose from. These articles appear to be more valid and at the end, they offered ways to implement or recommended changes to practice. The bottom levels gave me many more articles to choose from, but with each, it took some time to make sure the article was valid. “In some scales, Level 1 evidence is the strongest evidence and in others, Level 5 is the strongest. Some levels of evidence scales are based only on the research design and others provide levels identified by the judgment of the quality of the study itself” (Thompson, 2017, para. 11).
I would recommend putting expanders in the search to include full text and any keyword from the search phrase. “Keywords are the search terms that you use to describe the topic you want to retrieve. The database will word-match your keywords against the text of the article, and deliver results that match what you enter” (Walden University Library, 2018, para. 1). Once I did this, I received thousands of articles to choose from.
References
Thompson, C. J. (2017). What does “levels pf evidence” mean in evidence-based practice? Retrieved from https://nursingeducationexpert.com/levels-of-evidence/
Walden University Library. (2012). Levels of evidence. Retrieved from http://academicguides.waldenu.edu/c.php?g=80240&p=523225
Walden University Library. (2018). Find items in databases with keyword search. Retrieved from https://academicguides.waldenu.edu/foundationscoursedocs/SearchingRetrieving
This is what Julia is responding to Literature Searches
An important step in the EBP process is reviewing the current body of literature to better understand the subject or topic in which you are interested. By conducting a review of the literature, you are building foundational knowledge about the topic; later, you can use this background to build new insights. Developing a strong grasp of a topic can only be garnered by taking the time to thoroughly search for relevant information and resources.
For this Discussion, you will practice searching the literature to find evidence on a specific topic.
To prepare:
Choose a simple search term(s) relating to a topic of your PICOT question.
Review the information on the evidence hierarchy discussed in Chapter 2 of the course text, in the article, “Facilitating Access to Pre-Processed Research Evidence in Public Health,” and in the multimedia presentation “Hierarchy of Evidence Pyramid,” found in this week’s Learning Resources.
Review the information on the Walden Library’s website, “Levels of evidence.” Take a few minutes to explore the different types of databases available for each level of evidence and focus on the meaning of filtered and non-filtered resources.
Conduct a literature search in the Walden Library on your selected topic using the databases that you reviewed. Use at least one database for each of the three levels of filtered information and at least one unfiltered database. Record the number of hits that you find at each level of the hierarchy of evidence.
Select one article from the results at each level of the hierarchy. Compare the articles based on the quality and depth of information. What would be the value of each resource if you were determining an evidence-based practice
