NURS 6003 Discussion Using the Walden Library SAMPLE

NURS 6003 Discussion Using the Walden Library SAMPLE

NURS 6003 Discussion Using the Walden Library SAMPLE

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.

“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.

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NURS 6003 Discussion Using the Walden Library SAMPLE 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.

NURS 6003 Discussion Using the Walden Library SAMPLE 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

Peer-Reviewed Article on Nurse Practitioner Care in a Nursing Home

The peer-reviewed article I will cite is “Effects of a Geriatric Nurse Practitioner on Process and Outcome of Nursing Home Care” (2021).   To find this article, I searched the Am J Public Health Journal library.  When determining the best type of article to use for this post, I referenced the web article “What Types of References are Appropriate?” (S.C. Pan. 2021).  This article includes information on peer-review journals, and determines that these are the best to use. An article in the National Library of Medicine (NLM. 2021) assisted me in understanding what a peer-reviewed article all entails.  The article I found discusses using doctors versus nurse practitioners to care for the elderly in nursing homes.  The main difficulty I found was to find an article that was both relevant to the topic as well as current.  This article is a little dated, however, I did feel that the findings in this peer-reviewed article are still relevant today.  The article discusses an improvement in activities of daily living, nursing and drug therapies.  Also, that the number of admissions to hospitals as well as the days in the nursing home were decreased with the use of a Nurse Practitioner in the nursing home setting.  This journal would be helpful to classmates of mine.  It did appear to have well-written and well-researched nursing topics.  This database will also be helpful to me going forward as I will need to reference more peer-cited information for class.

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NURS 6003 Discussion Using the Walden Library SAMPLE References

Kane, R & Garrard, J & Skay, C & Radosevich, D. (1989). Effects of a Geriatric Nurse Practitioner on Process and Outcome of Nursing Home Care.  ALPH. September 1989. Volume 79. No. 9.

National Library of Medicine staff. (2021).  Peer-reviewed literature. National Library of Medicine website. https://www.nlm.nih.gov/nichsr/stats_tutorial/section3/mod6_peer.html

S.C. Pan. (2021). What Types of References are Appropriate.  UCSD psychology website.  https://psychology.ucsd.edu/undergraduate-program/undergraduate-resources/academic-writing-resources/writing-research-papers/appropriate-references.html

RE: Discussion – Week 4 Initial Post NURS 6003 Discussion Using the Walden Library SAMPLE

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The peer-review article I found is “Telemedicine, the current COVID-19 pandemic, and the future: a narrative review and perspectives moving forward in the USA.” In the world we live in, technology continues to advance by the day. As a future nurse practitioner, telemedicine has always drawn my attention because I always wondered how it worked and whether or not it is effective. According to my research, telemedicine is relatively new, finding my article was challenging. The first resource I used to find information on telehealth was the database in Walden University’s library because it contains many databases (n.d.). Unfortunately, I was not successful in the University’s library database and looked elsewhere. I found the article in the U.S. National Library of Medicine database. In order to determine if the article was reliable, I referenced Walden University’s library Evaluating Resources to learn more about reliable journals and articles (n.d.). Telemedicine provides luxury to people by being able to seek medical treatment from the convenience of their homes. The COVID-19 pandemic has accelerated the outlook of telemedicine tremendously because the country was on lockdown, and medical offices were closed (Kichlo et al.,2020). I highly recommend this database to my colleagues because it contains many medical-related articles that can be used for further papers in the future. The database provides reliable sources and also helps with proper citation.

NURS 6003 Discussion Using the Walden Library SAMPLE Resources

Kichloo, A., Albosta, M., Dettloff, K., Wani, F., El-Amir, Z., Singh, J., Aljadah, M., Chakinala, R. C., Kanugula, A. K., Solanki, S., & Chugh, S. (2020). Telemedicine, the current COVID-19 pandemic and the future: a narrative review and perspectives moving forward in the USA. Family medicine and community health, 8(3), e000530. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7437610/pdf/fmch-2020-000530.pdf.

Walden University Library. (n.d.). Databases A-Z: Nursing, Retrieved September 19, 2021 from https://academicguides.waldenu.edu/az.php?s=19981

Walden University Library. (n.d.). Evaluating resources: Journals, Retrieved September 19, 2021 from https://academicguides.waldenu.edu/library/evaluating/resource-types/journals

Response #2
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Hello St,

Telemedicine has been such an advancement for primary care within these last years. I also found database searching for this topic to be a bit difficult. I did find an article, “Evaluating Advanced Practice Nurses’ Knowledge and Use of Electronic Consultations” (2020) to be very insightful. The Journal of Nurse Practitioners states that the information gained during an e-consult can eliminate the need for an appointment by approximately 30% (2020). This can give the provider more time to set appointments with patients that require face to face evaluations.

Walden offers assistance with varies databases. Walden understands that it can be difficult to identify a resource online without physical clues. (Walden, nd). I have used EBSCO for past research but recently have used ProQuest. It offers multiple search fields to review numerous journals and is user friendly. I wish you success in your scholarly pursuit.

NURS 6003 Discussion Using the Walden Library SAMPLE References

(2020). Evaluating Advanced Practice Nurses’ Knowledge and Use of Electronic Consultations. Journal for Nurse Practitioners, 16(2). DOI: 10.1016/j.nurpra.2019.11.023

Walden University Library. (n.d.). Evaluating resources: Journals. https://academicguides.waldenu.edu/library/evaluating/resource-types/journals

RE: Discussion – Week 4 Initial Post

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Hello St,

I read your post about telemedicine, and what an interesting topic it is! While the world is dealing with Covid-19, telemedicine is getting a great deal of attention. Telemedicine is still a fairly new concept, but I’m sure we can expect to see several future medical organizations begin to utilize these resources – especially if they can find a sizable target audience (which they most certainly can). Many hospitals are turning away patients due to shortage of staff and resources and lots of patients having to wait in line to find help for themself or loved one.

I found an article in the Walden library that explains how Telemedicine was used during Covid-19 in hospital to provide quality care to patients and enhance the safety to both patients and staff at the same time (Pilosof, 2021). Technology is already widely used in the healthcare settings, so it is not surprising to see a higher utilization of it to help find solutions we’ve been facing due to the challenges of the Covid-19 pandemic. I think Telemedicine is going to be utilized more in the future in healthcare systems.

NURS 6003 Discussion Using the Walden Library SAMPLE References

Pilosof N. P., Barrett M., Oborn E., Barkai G., Pessach I. M., & Zimlichman E., (2021). Impatient telemedicine and new models of care during COVID-19: hospital design strategies to enhance patient and staff safety. Int J Environ Res Public Health, 18(16):8391. doi: 10.3390/ijerph18168391.

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

NURS 6003 Discussion Using the Walden Library SAMPLE 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

My approach to remaining focused on established goals is setting time aside daily to review and work on my up coming assignments. My goal is to get my assignments submitted a day early instead of the day of, as I am finding that I am working last minute. I live outside of the city, so my internet can get finicky. This has caused me to turn in assignments late or have difficulty posting responses. Submitting my work a day early will prevent the delay from affecting my grades and submission times. Another goal is to ask for help instead of trying to figure everything out on my own. It has been many years since I have had to research and write papers, instead of wasting time attempting to figure out how to navigate through new programs, I reached out to others and asked for assistance. I have many resources to reach out to, I have to remember that even though this program is online, I am not alone.

I am easily sidetracked as a mother of four who all have very active schedules, a full time job, and my involvement within my community. I have set boundaries with my family and work regarding my schedule and availability and am lucky to say they have all agreed to respect the new boundaries and allow me to focus on my education daily. It’s hard to get back into the flow of school, so I have to say I have really been struggling the last few weeks, but its getting better! I look forward to watching my improvement and growth over the next couple years.

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