Feb 23, 2024 Discussion: Using the Walden Library NURS 6003
Discussion: Using the Walden Library NURS 6003
Discussion: Using the Walden Library NURS 6003
I am pursuing the FNP program at Walden University. An area of interest with me is the role of telemedicine in the primary care setting. I know that I have used telemedicine since the COVID-19 pandemic for a few of my appointments with my family care physician. I wanted to look for articles that synthesize the effectiveness of the virtual visit in the primary care setting. I began my search for my topic of interest on Walden’s library page. Walden’s library page has a database link for EBSCOhost, one of the largest research collection databases that many universities utilize (Walden University, n.d). Once I went to the database, I found that I could narrow down my search to my field of interest, nursing.
From there the search was narrowed down to 15 nursing databases. I was able to filter out the databases that did not have peer-reviewed articles, and I was still left with nine databases related to nursing and the health field. It is a common practice in scholarly writing to use the peer viewed databases and articles (Walden University, n.d). I used CINAHL and Medline Combined Search as my database choice. I honestly chose this database out of habit because this is the one that I used primarily in my undergraduate degree and have found it to be useful in the past.
I paraphrased my topic of interest to “primary health care” and “telemedicine” in the search bar for the CINAHL and Medline Combined search database. I found that the database I chose did have many options related to my search, over 2000 articles appeared in fact. However, I did note some difficulties with my search. Many of the articles in the database I chose did not have the full text (only the abstract) so I was not able to view them on that database. I did notice that Walden’s library has a link for you to clink to find if they article is available on anther database they offer. This was a useful tool, but it is an extra step. Another difficulty I experienced was that one of the articles I found seemed to be a perfect fit but when I went to the full text, it was written in a different language other than English.
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“Critical appraisal is the course of action for watchfully and systematically examining research to assess its reliability, value and relevance in order to direct professionals in their vital clinical decision making” (Al-Jundi & Sakka, 2017, p. 1). Critical analysis of articles is an important part of our practice. It helps us research to become better clinicians and to better guide our practice and knowledge (Al-Jundi & Sakka, 2017). As professional students and nurses it is important for us in our decision making to review, analyze, and interpret research. Being able to have access to and find scholarly articles will be a large component of any graduate program. I would recommend the database I discussed above to my fellow peers because I did like that it gave me many options to review. Even if the option wasn’t available in full text, the library link showed me which database I could find the full text option.
Discussion: Using the Walden Library NURS 6003 References
Al-Jundi, A., & Sakka, S. (2017). Critical Appraisal of Clinical Research. Journal of Clinical
and Diagnostic Research : JCDR, 11(5), JE01-JE05.
https://doi.org/10.7860/JCDR/2017/26047.9942
Walden University Library. (n.d.). Databases A-Z: Nursing. Retrieved September 19, 2022,
from https://academicguides.waldenu.edu/az.php?s=1998
Walden University Library. (n.d.). Evaluating resources: Journals. Retrieved September 19,
2022, from https://academicguides.waldenu.edu/library/evaluating/resource-types/journals
Selected peer-reviewed article:
Gainotti, G. (2021). The relations between cognitive and motivational components of anosognosia for left-sided hemiplegia and the right hemisphere dominance for emotions: A historical survey. Consciousness and Cognition, 94, 103180. https://doi.org/10.1016/j.concog.2021.103180
Working as a family nurse practitioner has developed my interest in emergency care and this has necessitated my interest to enroll in advanced studies at Walden University to specialize in the same. Specifically, my concern is directed to patients with difficulty to move due to paralysis or half-paralysis and I look forward to addressing their concern in the emergency room (Gainotti, 2021). In order to access information relevant to this area of choice, I select to use an electronic database found at Walden University’s library. While doing my online research, I had difficulty in choosing the right online database in the library due to multiple options. However, since the university’s online library provides different options, I had to review the best database that gives good articles based on time limits and one that meets the criteria for best peer-reviewed materials (Justesen et al., 2021). Based on this premise, I chose CINAHL Plus with full text as the best database for online searches at the university’s library.
Despite being free, finding this database was a bit challenging especially due to multiple online options that are available in the online university library which then meant that I had to limit the search process to modes and expanders in order to get the reference above (Rao & Moon, 2021). On a positive flip-side, I find the database easy to navigate as I was able to narrow down my searches to specific words and parameters. Therefore, the CINAHL database can be used by colleagues at the university and I recommend it as the primary tool where they can look for information pertaining to area of study. Other than providing an easy-to-use platform, the database has an option for advance searches and can also be used by colleagues to cite references (Justesen et al., 2021). Moreover, the database can be used by colleagues to search for a wide range of topics in health sciences and nursing.
Discussion: Using the Walden Library NURS 6003 References
Gainotti, G. (2021). The relations between cognitive and motivational components of anosognosia for left-sided hemiplegia and the right hemisphere dominance for emotions: A historical survey. Consciousness and Cognition, 94, 103180. https://doi.org/10.1016/j.concog.2021.103180
Justesen, T., Freyberg, J., & Schultz, A. N. (2021). Database selection and data gathering methods in systematic reviews of qualitative research regarding diabetes mellitus-an explorative study. BMC Medical Research Methodology, 21(1), 1-12. https://doi.org/10.1186/s12874-021-01281-2
Rao, S., & Moon, K. (2021). Literature Search for Systematic Reviews. In Principles and Practice of Systematic Reviews and Meta-Analysis (pp. 11-31). Springer, Cham. https://doi.org/10.1007/978-3-030-71921-0_2
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NURS 6003 Discussion: Using the Walden Library
RE: valid and unbiased
COLLAPSE
Being Unbiased is being fair and not likely to support a particular person or group involved in something. Unbiased in other words are basically being fair, objective, or just, about a situation or thing. In term of journal article an unbiased article is the type that the author is not being supportive of a particular person or group. When a researcher uses multiple people to code the data, allowing others to review findings, have the participants review the result doing this makes the research unbiased. “It is important that the process of research dissemination occurs in an unbiased manner through an effective system of peer review” (Parmar et al., 2019).
Validity is defined by Benova et al., (2020) “as the level of scientific robustness of an indicator with respect to how well it captures a phenomenon or concept of interest”. “More focus on this work was on the overall meaning of validity which was further elaborated as the extend to which an indicator correctly measures an underlying maternal and newborn health phenomenon” (Benova et al., 2020).
Discussion: Using the Walden Library NURS 6003 References
Benova, L., Moller, A.-B., Hill, K., Vaz, L. M. E., Morgan, A., Hanson, C., Semrau, K., Al Arifeen, S., & Moran, A. C. (2020). What is meant by validity in maternal and newborn health measurement? A conceptual framework for understanding indicator validation. PLoS ONE, 15(5), 1–19. https://doi-org.ezp.waldenulibrary.org/10.1371/journal.pone.0233969
Parmar, A., Kumar Dubey, D., Singh Balhara, Y. P., & Kumar Mishra, A. (2019). Do Addiction Science Journals Endorse Unbiased Reporting of Research? A Systematic Evaluation of Instructions for Authors. Substance Use & Misuse, 54(10), 1734–1742. https://doi-org.ezp.waldenulibrary.org/10.1080/10826084.2019.1610444
Ward, E. C., Clark, L. O., & Heidrich, S. (2009). African American women’s beliefs, coping
behaviors, and barriers to seeking mental health services. Qualitative Health Research, 19(11), 1589–1601. https://doi.org/10.1177/1049732309350686
Disparities in access to healthcare services is a topic that has once again been in the spotlight in light of the current pandemic. Some of this disparity can be attributed to cultural beliefs and stereotypes. This is particularly true in the case of African American women who have been cited as the group least likely to seek out services for mental health concerns and illnesses (Ward, Clark & Heidrich, 2009). The article I chose was “African American Women’s Beliefs, Coping Behaviors, and Barriers to Seeking Mental Health Services,” a qualitative study which examines how African American culture and self-perception itself can serve as a barrier to treatment for mental health.
I found this article using the Walden University library and searched through SAGE Journals. I found the database easy to use and did a few different searches using specific keywords with no issues. I think others in this course may find this database useful as it has many peer-reviewed articles specifically related to nursing, psychology and education along with other subjects. The database can be browsed by discipline, has the option to view the most read and most cited articles, as well as other resources.
Discussion: Using the Walden Library NURS 6003 References
Walden University Library. (N.d). Evaluating resources: Journals. Retrieved October 25, 2021,
from https://academicguides.waldenu.edu/library/evaluating/resource-types/journals.
Ward, E. C., Clark, L. O., & Heidrich, S. (2009). African American women’s beliefs, coping
behaviors, and barriers to seeking mental health services. Qualitative Health Research, 19(11), 1589–1601. https://doi.org/10.1177/1049732309350686.
The article I have selected for this week’s discussion is titled “Pregnancy and postpartum psychiatric episodes in fathers: A population-based study on treatment incidence and prevalence”. In my path to becoming a psychiatric nurse practitioner, we will be learning about different mental health conditions and postpartum depression is among them. When we talk about postpartum depression, this mainly refers to the mother. This peer-reviewed article has a different perspective on the topic of postpartum depression, which is the father. Throughout the pregnancy, and even postpartum, the attention is focused on the mother and the baby. It’s important that we also talk about the father and acknowledge how they are feeling and their emotions. Men may manifest different signs of depression. They may not cry but feel angry and irritable (Horsager-Boehrer, 2021). Postpartum depression is real and it’s important to know that there is help available to both the mother and the father.
I did not experience any difficulty while searching for this article. The Walden University Library is convenient and easy to use. This database would be useful to my colleagues because they provide peer-reviewed articles that have been checked for importance and accuracy in the field interest of your choice. I would also recommend this database because it is offered by the university for students and is a reliable source.
Discussion: Using the Walden Library NURS 6003 Reference
Horsager-Boehrer, R. (2021, August 17). 1 in 10 dads experience postpartum depression, anxiety: How to spot the signs. Utswmed.Org. Retrieved October 26, 2021, from https://utswmed.org/medblog/paternal-postpartum-depression/
Madsen, K., Mægbæk, M., Thomsen, N., Liu, X., Eberhard-Gran, M., Skalkidou, A., Bergink, V., & Munk-Olsen, T. (2021, September 22). Pregnancy and postpartum psychiatric episodes in fathers: A population-based study on treatment incidence and prevalence. Https://Www-Sciencedirect-Com.Ezp.Waldenulibrary.Org/Science/Article/Pii/S0165032721010156. Retrieved October 26, 2021, from https://www-sciencedirect-com.ezp.waldenulibrary.org/science/article/pii/S0165032721010156?via%3Dihub
Walden University Library. (n.d.). Https://Academicguides.Waldenu.Edu/Az.Php?S=144884&t=24471. Retrieved October 26, 2021, from https://academicguides.waldenu.edu/az.php?s=144884&t=24471
Hi Jim and class, “I did not experience any difficulty while searching for this article. The Walden University Library is convenient and easy to use. This database would be useful to my colleagues because they provide peer-reviewed articles that have been checked for importance and accuracy in the field interest of their choice”.
Please review the above information – suppose you wish to access a full text article – the journal is not included in Walden’s database. How might you secure the article?
I lok forward to your ideas – thanks, Dr. Forrest
Hi Jim. I found your article to be an excellent read. I know several fathers who have suffered from postpartum depression, and they all emphasized that they felt angry and irritable, as you described. Fathers feel stressed in their everyday lives, balancing work and coping with their parental role (Johansson et al., 2020). Becoming a father is as rewarding as it is challenging. It can be hard to cope once a child is born, especially for first-time fathers.
I also agree with you on the easiness of finding peer-reviewed articles through the Walden University Library. The Walden University Library (n.d) provides a list of databases for research. I used CINAHL PLUS to find articles for my initial post and my response to your post with ease.
Discussion: Using the Walden Library NURS 6003 References
Johansson, M., Benderix, Y., & Svensson, I. (2020). Mothers’ and fathers’ lived experiences of
postpartum depression and parental stress after childbirth: a qualitative study.
International Journal of Qualitative Studies on Health & Well-Being, 15(1), 1–11. https://doi-org.ezp.waldenulibrary.org/10.1080/17482631.2020.1722564
You find something you enjoy in life, and you chase it. That is what I have done by deciding to further my nursing education at Walden University. I not only have a passion for caring for others, but I particularly have a passion for providing comfort to terminally ill patients. My position as a hospice nurse has been the most rewarding experience in my nursing career yet. Time after time, I provide families with comfort and support when they need it the most. I bring this to attention because I often provide families with education. At the end of life, many changes cause concern to families, especially in the home setting. My job is to provide facts about expectations during a very uncertain time in an individual’s life to comfort the patient and their family.
Symptom control drives the plan of care for our hospice patients. This significant detail led me to research a medication we commonly use to comfort patients in their final days. Morphine treats a variety of symptoms in hospice patients when not contraindicated. Morphine is more widely known for its ability to decrease pain levels. As a hospice nurse, I have observed the use of this medication for reducing pain, but I have also witnessed doctors prescribing this opioid to control breathing symptoms.
For my research regarding this topic, I utilized the Walden Library. I selected the “nursing” category on the library homepage to narrow my search. After choosing this topic, the library generated a list of databases available for research. From previous assignments, I have some knowledge of the listed databases. I have experience with the CINAHL database, specifically, so this is where I began my search (Walden University Library, 2022). My goal was to locate evidence-based information to back up the use of morphine for breathlessness or shortness of breath in terminally ill patients. It is important to me to provide families with education regarding the benefits of morphine, besides pain relief. Having the research to back up my field experience is what I need to continue to make a difference for patients and their suffering.
To my surprise, finding information regarding the use of morphine for shortness of breath was reasonably straightforward. In further detail, I researched a specific population of patients. Very commonly, cancer is the primary diagnosis in hospice patients. The article I found targeted results on the effects of oral morphine on breathlessness in cancer patients specifically. In further detail, the article I reviewed focused on the success of morphine for dyspneic patients from multiple sources of etiology.
While lung cancer was the primary diagnosis for the patient population in the study, no patient health history will be identical. This study went beyond evaluating the response from different patient backgrounds and focused on personal bias toward morphine treatment. Like any part of health care, most patients or families have a preconceived idea of whether they agree with a course of treatment. The common stigma regarding morphine was addressed in this study and made reviewing it personally intriguing.
Like many studies conducted, this article had its weaknesses. This study lacked a control group but attempted to compensate for this downfall by having a large population and evaluating patients’ preconceived ideas about the treatment. The study used multiple tools and approaches to reduce bias. Subjective tests for the patients, in the form of questions, were implemented to determine the results. Some scales included in their research were the Cancer Dyspnea Scale (CDS), Visual Analog Scale (VAS), and the Numeric Rating Scale (NRS). While the study was not able to completely fix the dose of morphine given to all patients, they succeeded in setting a quantity of 5 mg for all the patients in question except for 2. This made the treatment almost unvaried.
I could go on about the positives and negatives of this study in length. One last detail I wanted to elaborate on was the choice to only evaluate the change in patient condition after one dose of morphine (Takahashi et al., 2019). This was an eye-opener for me. Many patients require drug titration, regardless of the medication, to see the full beneficial effect (Caffrey & Borrelli, 2021). While the fixed dose for morphine eliminated a great deal of bias in the study, it also limited the researchers’ ability to evaluate how effective morphine may be for each patient honestly. Adding evaluation for further response with additional dosing or titration of the dose would have been something I would have liked to see in this study.
Positively, this study was still able to conclude that oral morphine successfully reduced dyspnea based on the population evaluated and the tools utilized (Takahashi et al., 2019). I recommend this article for review by my colleagues, and I now have evidence to provide to families needing reassurance for using morphine outside of pain control. In the material resources for this course, I was encouraged by a faculty staff member at Walden to find my passion and use it to fuel my desire to engage in research. Researching something I am passionate about allowed me to enjoy this assignment and use it to continue to make a difference in my community (Walden University, 2018).
Article of Choice
Takahashi, K., Kondo, M., Ando, M., Shiraki, A., Nakashima, H., Wakayama, H., Kataoka, C., Yamamoto, M., Sugino, Y., Nishikawa, M., Imaizumi, K., Kojima, E., Sumida, A., Takeyama, Y., Saito, H., & Hasegawa, Y. (2019). Effects of oral morphine on dyspnea in patients with cancer: Response rate predictive factors, and clinically meaningful change.. CINAHL Plus with Full Text. Retrieved September 20, 2022, from https://doi.org/https://web.p.ebscohost.com/ehost/detail/detail?vid=3&sid=a83dcfb5-c301-491e-b770-d4098220a5b2%40redis&bdata=JkF1dGhUeXBlPXNoaWImc2l0ZT1laG9zdC1saXZlJnNjb3BlPXNpdGU%3d#db=rzh&AN=137587829&anchor=AN0137587829-16
Discussion: Using the Walden Library NURS 6003 References
Caffrey, A. R., & Borrelli, E. P. (2021). The art and science of drug titration. Therapeutic Advances in Drug Safety, 11. Retrieved September 21, 2022, from https://doi.org/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7967860/
Takahashi, K., Kondo, M., Ando, M., Shiraki, A., Nakashima, H., Wakayama, H., Kataoka, C., Yamamoto, M., Sugino, Y., Nishikawa, M., Imaizumi, K., Kojima, E., Sumida, A., Takeyama, Y., Saito, H., & Hasegawa, Y. (2019). Effects of oral morphine on dyspnea in patients with cancer: Response rate predictive factors, and clinically meaningful change.. CINAHL Plus with Full Text. Retrieved September 20, 2022, from https://doi.org/https://web.p.ebscohost.com/ehost/detail/detail?vid=3&sid=a83dcfb5-c301-491e-b770-d4098220a5b2%40redis&bdata=JkF1dGhUeXBlPXNoaWImc2l0ZT1laG9zdC1saXZlJnNjb3BlPXNpdGU%3d#db=rzh&AN=137587829&anchor=AN0137587829-16
Walden University. (2018). Introduction to scholarly writing: tips for success [Video file]. Walden University, LLC. https://content.waldenu.edu/3948674baaf6f1607c9948901c5553c0.html
Walden University Library. (2022). Databases A-Z: Nursing. Walden University library. Retrieved September 20, 2022, from https://academicguides.waldenu.edu/az.php?s=19981
Walden University Library. (n.d.). Databases A-Z: Nursing. Retrieved from
https://academicsguides.waldenu.edu/az.php?s=19981
My practice area is family nurse practitioner and I am concerned about patient safety. Having sufficient or appropriate nurse-to-patient ratio levels is essential to enhancing quality of and accessibility to care. Therefore, the selected peer-reviewed article relating to this is by Lasater et al. (2021).
Lasater, K. B., Sloane, D. M., McHugh, M. D., Cimiotti, J. P., Riman, K. A., Martin, B., …
& Aiken, L. H. (2021). Evaluation of hospital nurse-to-patient staffing ratios and sepsis bundles on patient outcomes. American Journal of Infection Control, 49(7), 868-873. DOI: 10.1016/j.ajic.2020.12.002.
I began the research by using the “Walden Library and Your Total Information Network” to guide me in the necessary steps in locating the scholarly articles. I selected the articles based on my nursing topic and followed the link to the nursing databases area in the library. I saw the list of available databases and I chose on that includes full text articles from the list of “Best Bets”. I chose the CINAHL (Cumulative Index to Nursing and Allied Health Literature) and typed by topic or subject, nurse-to-patient ratios and nursing levels in hospi
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