Clinical Issue Of Interest Essay Discussion Paper

Great Post. You have articulated your ideas in a clear and succinct manner.  I would like to add that in conducting research, first decide what it is that you are interested in researching and then begin the process. What exactly do you want to know? What do you want to gain knowledge about? Who do you want to assist you? Are you interested in researching a certain medicine, treatment, operation, or therapy. Is there a particular demographic on whom you would want to concentrate your research? Keep in mind that the more specific your subject and the more concentrated your research query, the less likely it is that you will discover it published in a database or on the internet. If you want to find out what has been published about a certain patient group, medicine, technique, treatment, or other topic, it is advised that you start by doing a wide search Clinical Issue Of Interest Essay Discussion Paper.

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The PICO method should be used while building your search strategy. When it comes to computer applications, Boolean logic serves as a fundamental building block and is a critical idea in database searching. The choice of the appropriate Boolean operator may make all the difference in the outcome of a successful search. There are three fundamental Boolean search commands: AND, OR, and NOT. They are as follows: If you’re looking for a phrase rather than a single word, you may use quote marks to group the words together in your search. When you search for “dengue fever,” you will only see results that include that precise term. It is possible to begin brainstorming phrases for use in your database search as soon as you have formulated your research query or picked your subject matter.

  • Create a list of phrases that writers or indexers could use to describe your subject.
  • Write down any terminology or related words that you want to utilize in your search.
  • Use synonyms or similar phrases to combine with the Boolean operator OR to make your search more effective.
  • Look for controlled vocabulary in databases, for example, look for MeSH words in PubMed or MEDLINE.

Description of my clinical issue of interest My clinical issue of interest is the current opioid epidemic and what strategies we can utilize for optimal treatment of opioid detoxification. O’Grady et al. (2021) offered evidence that we are in a national, public health crisis concerning the misuse and addiction of opioids. Effective, healthcare treatment strategies to battle this opioid crisis are not only needed at this time, but require our immediate attention. Research by O’Grady et al. (2021) shows “that SUD treatment in the USA has large gaps in quality of care. These reviews and other studies highlight a number of systemic issues in the SUD treatment system, including (1) too few with an SUD have access to treatment, (2) treatment is often not evidence based, and (3) poor treatment completion and retention rates among those who do access treatment. These quality gaps could be partially due to the SUD treatment workforce traditionally having limited professional education and training to provide scientifically supported practices or engage in quality improvement (QI) initiatives to change clinical outcomes”. Clinical Issue Of Interest Essay Discussion Paper

My PICO(T) question, search terms used, and names of the databases used for my question My PICO(T) question is: In hospitalized adults who are addicted to opioids (P), how does buprenorphine (I) compared with the administration of Beta-2 Antagonist, (C) affect the COWS assessment of the patient, (O) within the first 10 days of detox. (T) The search terms used were Opioid, Addiction, Detox, and Opioid Detoxification. The databases used for my PICO(T) question were the Library of Congress, CINHL, and PubMed. Describe the search results, original number of results, & how this changed using Boolean The search results using the Library of Congress provided zero results on my first attempt. I used the words, opioid and addiction and detox. Then I changed the search using the Boolean choices and method. I used the same key words, but after addiction I used “or” detox. This gave me 731 initial results. I continued to refine my search, adding limits, such as dates of research between 2016 – 2021. This narrowed down the material to 353 results. Using the Boolean options, I was able to cut the original results numbers in more than half. Using PubMed as my next database provided 1,748 initial results, using the words “opioid detoxification”. Minimizing the years of results between 2016-2022 produced 394 possible resources. Using CINAHL and peer reviewed articles, my second search provided 494 results. These 494 results were a much better result number from the original search using the Boolean term “or” after each term. When I used “or” the initial search was 1,016,464. Strategies to increase rigor and effectiveness of a database search using examples There are a few strategies to increase rigor and effectiveness of a database search. One example is to keep the resource list current and use resources that have been published within five years. Another example to be more effective in my search is to focus on the population of my question. My specific population for this assignment is inpatient adults who are detoxing from opioids. Knowing who your target population is helps tremendously. “Formulating clinical questions in a structured, specific way, such as in PICOT format, assists clinicians to find the right evidence to answer those questions and to decrease uncertainty. This approach to asking clinical questions facilitates a well-constructed systematic search” (Melnyk & Fineout-Overholt (2018), p. 39, para.1). A third example for an effective data base search is to utilize all the “advanced search” options because it provides limitations and an increased focused search for material. References Library of Congress. (n.d.). Search/browse help – Boolean operators and nesting. Retrieved September 19, 2018, from

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https://catalog.loc.gov/vwebv/ui/en_US/htdocs/help/searchBoolean.html Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-Based Practice in Nursing & Healthcare (4th Edition). Wolters Kluwer Health. https://mbsdirect.vitalsource.com/books/9781975138493 O’Grady, M. A., Lincourt, P., Greenfield, B., Manseau, M. W., Hussain, S., Genece, K. G., & Neighbors, C. J. (2021). A facilitation model for implementing quality improvement practices to enhance outpatient substance use disorder treatment outcomes: a stepped wedge randomized controlled trial study protocol. Implementation Science, 16(1), 1–12. https://doi.org/10.1186/s13012-020-01076-x Walden University Library. (n.d.-c). Evidence-based practice research: CINAHL search help. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/cinahlsearchhelp Walden University Library. (n.d.-f). Keyword searching: Finding articles on your topic: Boolean terms. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/boolean

References

DeBenedictis, E. P. (2016). The boolean logic tax. Computer, 49(4), 79-82. https://doi.org/10.1109/mc.2016.103

Ho, G. J., Liew, S. M., Ng, C. J., Hisham Shunmugam, R., & Glasziou, P. (2016). Development of a search strategy for an evidence based retrieval service. PLOS ONE, 11(12), e0167170. https://doi.org/10.1371/journal.pone.0167170

Clinical Issue Of Interest Essay Discussion Paper