Searching Databases: In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format…

Searching Databases: In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format

Searching Databases

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When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data focused more on these factors and less on color options and sound systems.

The same holds true when searching for research evidence to guide your clinical inquiry and professional decisions. Developing a formula for an answerable, researchable question that addresses your need will make the search process much more effective. One such formula is the PICO(T) format.

In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question.

To Prepare:

· Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.

· Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.

· Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least two different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.

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· Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. It is suggested that an Intervention-type PICOT question be developed as these seem to work best for this course.

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. Then, post your PICO(T) question, the search terms used, and the names of at least two databases used for your PICO(T) 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.

Building upon what you have learned thus far in the course, you will take the focus of your clinical inquiry (aka topic of interest) and turn it into a searchable PICO(T) question. In your discussion, you will present your PICO(T) question and address strategies useful to enhance the effectiveness of searching databases for information linked to such.  

I often get questions from students regarding the assignment noted in this module, so I wanted to offer some additional insights here. I developed the following in hopes that it can be of assistance.

To develop a PICOT question, it is important that the correct content is connected to each area of the question. 

Your preliminary PICOT question and a description of each PICOT variable relevant to your question are paramount to a solid evidence-based investigation. 

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Please see the following for information on your PICOT question:

In the past, several students asked about how to address PICOT questions in a specific direction. A variety of focused PICOT questions will be offered here for your consideration:

When considering a question linked to prevention or intervention, one might say: 

In adolescents, 13-15 years of age,  how does education by the school nurse compares with groups led by peer mentors in alcohol consumption?

In individuals with a substance use disorder, how does cognitive behavioral therapy compare with life regression therapy in relapse prevention?

When considering a question linked to etiology, one might say:

Are adults, over the age of 25, with a history of alcoholism in their immediate family, compare with those without any immediate family with an alcohol use disorder, at greater risk for developing an alcohol use disorder if social drinking is initiated?

Are adult children of alcoholics (ACOA) who exhibit a genetic predisposition for chemical dependency compare with ACOAs without the genetic predisposition for substance abuse disorders at an increased risk for developing an alcohol abuse disorder>?

Searching Databases

When considering a question linked to health prediction, one might say:

In patients who have received an alcohol use disorder diagnosis, how does the use of Declinol compare to not receiving any pharmaceutical intervention when first attempting to stop drinking alcoholic beverages?

In middle-aged females suspected of an alcohol use disorder, are health interviews, as compared to using the “AUDIT” screening instrument,  more accurate in predicting health consequences related to alcohol use?

When considering a question linked to meaning, one might say:

How do individuals with a diagnosis of an alcohol use disorder, perceive their responsibility for consequences linked to alcohol use before recovery?

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· How do individuals raised in a family with a parent with an alcohol use disorder, perceive health issues linked to their own use of alcohol?

By providing these examples, I hope you can see how different dynamics can be applied based on the focus of your work.  Please let me know if you have any questions.

Dr. B.

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