NURS 6003 Using the Walden Library

NURS 6003 Using the Walden Library

NURS 6003 Using the Walden Library

In reviewing the objectives and learning resources provided, the Walden University library database function is helpful in the search for peer-reviewed research. Databases such as EBSCOhost, PubMed, and the Cochrane Library appropriately source literature regarding evidence-based practices to help shape the words and ideas used for scholarly writing. The article I have chosen relates to a future practice area as a Psychiatric Mental Health Nurse Practitioner, a specialty of health care I am incredibly passionate about. In reviewing the learning resources for this week, one of the videos outlined that scholarly writing uncovers and presents evidence that reveals a truth (Walden University, LLC, 2018). The video also states that while extensive personal experience can inform a viewpoint, in scholarly writing, one must always remain unbiased (Walden University, LLC, 2018). As someone whose passion is inspired by personal experience with the limitations of diagnosis and treatment within the current medical system, one difficulty I acknowledge is the potential for bias. The potential for bias is mediated in scholarly writing by presenting evidence, not assumptions.

Database and Article 

The article I present was found within EBSCOhost via the APA PsycInfo database. The piece, originally published in the peer-reviewed Journal of Neuroimaging, is titled “Neuroimaging in Psychiatric Disorders: A Bibliometric Analysis of the 100 Most Highly Cited Articles.” This article was the first to focus exclusively on this topic and indicated high research activity in this area. This article aimed to navigate the current body of research and identify trends in the 100 most highly cited papers referencing neuroimaging in primary psychiatric disorders (Gong et al., 2019). This citation-based bibliometric analysis was implemented to highlight areas of clinical significance and impact by involving qualitative and quantitative research analysis. This narrowing helps highlight historical, emerging, and utility trends and guides future research, development, and commercialization of these unique diagnostic tools.

Article and Practice Area

This article pertains to my practice area of interest in that it highlights an area of much-needed further research and investigation into the assessment, diagnosis, and treatment of primary psychiatric disorders so that receiving an accurate diagnosis and optimal treatments can be the norm in this field of medicine. In mainstream medicine’s approach, evaluation of symptoms and behaviors are placed against the rubric of the DSM, must then meet criteria, and then will receive a diagnosis. Additionally, treatments are trial and error, with most individuals trying multiple medications. Of those that receive treatment, “60%–70% of patients with depression respond to antidepressant therapy” (Al-Harbi, 2012). The statistics regarding medication adherence leave additionally room for improvement within this area of care (Sansone & Sansone, 2012). Often, the root causes that can contribute to primary psychiatric disorders are not considered. Gong et al. (2019) propose that a multivariable analysis, including neuroimaging, biomarkers, and even artificial intelligence, would identify etiology-based treatments, identifying persons at risk and which medications could be most valuable structurally and genetically in treatment.

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Difficulties Experienced and Database Recommendation 

I experienced additional difficulty while looking for this article due to the limited volume of peer-reviewed options available for this topic. For example, via the APA PsychInfo database, 110 results populated with a search field query of “Neuroimaging in Psychiatric Disorders.” Whereas “medications and treatment in psychiatric disorders” populated 2,769, showing this available research to still be in a very early stage. Regarding my recommendation of the database, I appreciate its options for narrowing down a research topic. The database allows one to filter by utilizing basic and advanced search options through many databases of peer-reviewed content and select up to three lines of additional search field options. This database also provides citation assistance. Overall, I believe that I can recommend this database and that it would be helpful to my colleagues in their pursuit of evidence-based literature and in compiling original scholarly work.

Resources 

Al-Harbi K. S. (2012). Treatment-resistant depression: therapeutic trends, challenges, and future directions. Patient preference and adherence, 6, 369–388. https://doi.org/10.2147/PPA.S29716

Gong, B., Naveed, S., Hafeez, D. M., Afzal, K. I., Majeed, S., Abele, J., Nicolaou, S., & Khosa, F. (2019). Neuroimaging in Psychiatric Disorders: A Bibliometric Analysis of the 100 Most Highly Cited Articles. Journal of Neuroimaging, 29(1), 14–33. https://doi.org/10.1111/jon.12570

Sansone, R. A., & Sansone, L. A. (2012). Antidepressant adherence: are patients taking their medications?. Innovations in clinical neuroscience, 9(5-6), 41–46.

Walden University, LLC. (Producer). (2018). Introduction to Scholarly Writing: Purpose, Audience, and Evidence [Video file]. Baltimore, MD: Author.

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 Using the Walden Library 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

Where can you find evidence to inform your thoughts and scholarly writing? Throughout your degree program, you will use research literature to explore ideas, guide your thinking, and gain new insights. As you search the research literature, it is important to use resources that are peer-reviewed and from scholarly journals. You may already have some favorite online resources and databases that you use or have found useful in the past. For this Discussion, you explore databases available through the Walden Library.
Note: Unless otherwise noted, initial postings to Discussions are due on or before Day 3, and response postings are due on or before Day 6. You are required to participate in the Discussion on at least three different days (a different day for main post and each response). It is important to adhere to the weekly time frame to allow others ample time to respond to your posting. In addition, you are expected to respond to questions directed toward your own initial posting in a timely manner.

To Prepare:
•

Review the information presented in the Learning Resources for using the Walden Library, searching the databases, and evaluating online resources.
• Begin searching for a peer-reviewed article that pertains to your practice area and interests you.

By Day 3 of Week 4

Post the following:
Using proper APA formatting, cite the peer-reviewed article you selected that pertains to your practice area and is of particular interest to you and identify the database that you used to search for the article. Explain any difficulties you experienced while searching for this article. Would this database be useful to your colleagues? Explain why or why not. Would you recommend this database? Explain why or why not.

Equity and accessibility to quality healthcare are two of my driving forces for becoming a primary care nurse practitioner. As a Black woman, it is important to me that people in rural areas that lack sufficient resources have what they need to lead and live healthier lives. How do we change the narrative? It starts with education and health literacy. Educating patients and their family members on preventative care, especially at young ages makes a huge difference in overall wellness (Koschmann et al., 2021). In fact, the very first nurse practitioner program’s purpose was to serve the underserved, in rural communities (Kippenbrock, 2017). As such, I feel as though it is my duty to uphold and maintain these same ideals to improve disadvantaged communities as a whole. In order to make a change, we must highlight the disparities the lesser fortunate face altogether. Primary health prevention is vital to more positive patient outcomes. Some of the barriers to preventive care include the inability to make appointments due to transit, lack of childcare, and simply naivete (Lincoln, 2021). There is much opportunity to make a difference.

In order to find my peer-reviewed article, I used the CINAHL database. It’s been my favorite database to use throughout my undergraduate and graduate career. Thankfully, I did not run into any issues locating the article. It could be due, in part, to how familiar I am with the system. However, I believe it to be quite user-friendly. I highly recommend this database to my colleagues. It’s useful for us because its results are nursing based/focused. I recommend CINAHL due to how straightforward it is and how little digging is involved, in my opinion.

Links to an external site.

Lincoln, K. D., Chow, T., Gaines, B. F., & Fitzgerald, T. (2021). Fundamental causes of barriers to participation in Alzheimer’s clinical research among African Americans. Ethnicity & Health, 26(4), 585–599. https://doi.org/10.1080/13557858.2018.1539222

By Day 6 of Week 4

Respond to at least two of your colleagues’ posts by offering suggestions/strategies for working with this database from your own experience, or offering ideas for using alternative resources.
Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message.
KELLY

RE: Discussion – Week 4
Collapse

My goal as an MSN student is to one day become an Adult-Gerontology Acute Care Nurse Practitioner. The peer-review article I chose is titled “Acute Care Nurse Practitioner Students’ Perceptions of a Debriefing Experience After a Cardiac Emergency High-Fidelity Simulation: A Qualitative Study” (2021). This article can be found in AACN Advanced Critical Care, a journal published by the American Association of Critical-Care Nurses (2021). As nurses advance their role to becoming acute care nurse practitioners, they need specialized training to prepare them. This study uses a qualitative approach to explore students’ perceptions on whether simulation on emergent situations and debriefing experiences would grow their leadership-related learning abilities (Ali et al., 2021).
Because online search databases typically contain only abstracts, I found it difficult to locate a peer-reviewed journal article in its entirety unless subscribed to that database. Also, after using Walden’s database, I had a hard time locating an article that was recently published, and pertinent to advanced practice nursing in a critical care setting. I am a member of AACN and I have utilized its evidence-based resources for many purposes throughout my career. Experts explain that evidence-based practice is the integration of individual clinical expertise with the best available external clinical evidence from systematic research (Al-Jundi & Sakka, 2017). The AACN is a useful database for students and professionals because it is a professional organization that provides peer-reviewed research that is evidence-based as well as carefully evaluated healthcare information by the guidance of fully qualified experts. This database also includes research and data services that are centered around baccalaureate and graduate nursing programs.
The “AACN Scope and Standards for Acute Care Nurse Practitioner Practice” describes and measures the expected level of practice and professional performance for acute care nurse practitioners and offers a practical tool for students, educators, and advanced practice nurses caring for high acuity or critically ill patients and their families (AACN, 2021). Therefore, I would recommend this database to my colleagues who have a goal is becoming an acute care nurse practitioner one day.

NURS 6003 Using the Walden Library References

Ali, A. A., Miller, E., Musallam, E., & Ballman, K. (2021). Acute care nurse practitioner students’ perceptions of a debriefing experience after a cardiac emergency high-fidelity simulation: A qualitative study. AACN Advanced Critical Care, 32(3), 264–274. https://doi.org/10.4037/aacnacc2021376
American Association of Critical Care Nurses. (2021). AACN Scope and Standards for Acute Care Nurse Practitioner Practice. https://www.aacn.org/nursing-excellence/standards/aacn-scope-and-standards-for-acute-care-nurse-practitioner-practice.
White, T., Kokiousis, J., Ensminger, S., & Shirey, M. (2017). Supplementing intensivist staffing with nurse practitioners. AACN Advanced Critical Care, 28(2), 111–123. https://doi.org/10.4037/aacnacc2017949

RESPOND HERE (150 WORDS, 3 REFERENCES)

This is insightful Kelly, the article selected, “Acute Care Nurse Practitioner Students’ Perceptions of a Debriefing Experience after a Cardiac Emergency High-Fidelity Simulation: A Qualitative Study” (2021), is relevant to the topic or area of study. Specialized training is necessary for the nurses who want to advance their roles in acute care (Ali et al., 2021). The article contains essential information required in the course or the area of study. From the article, the abstract only contain basic information about the topic under the study. However, the article can be accessed from the link provided (White et al., 2017). The full article contain advanced information and data required for the entire study. The full document also contain comprehensive information about the topic under the study. Walden University database contain numerous articles that can be applied to research about the same topic (Bramer et al., 2018). To determine the exact article required in the research processes, the application of keywords or phrases is essential. These keywords provided direct link to the document required.

NURS 6003 Using the Walden Library References

Ali, A. A., Miller, E., Musallam, E., & Ballman, K. (2021). Acute care nurse practitioner students’ perceptions of a debriefing experience after a cardiac emergency high-fidelity simulation: A qualitative study. AACN Advanced Critical Care, 32(3), 264–274. https://doi.org/10.4037/aacnacc2021376
Bramer, W. M., de Jonge, G. B., Rethlefsen, M. L., Mast, F., & Kleijnen, J. (2018). A systematic approach to searching: an efficient and complete method to develop literature searches. Journal of the Medical Library Association: JMLA, 106(4), 531. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6148622/
White, T., Kokiousis, J., Ensminger, S., & Shirey, M. (2017). Supplementing intensivist staffing with nurse practitioners. AACN Advanced Critical Care, 28(2), 111–123. https://doi.org/10.4037/aacnacc2017949

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Peer-Reviewed Article on COVID-19 and Mental Health in the United States

The significant impact of the pandemic on the population’s mental health has been one of the main reasons I pursued my MSN in Psychiatric-Mental Health degree. Its effects on individuals from all walks of life, regardless of race and gender, have been hard to ignore. For this discussion, the article I chose is titled COVID-19 and mental health equity in the United States by Purtle (2020). In this journal, the author discussed that socially disadvantaged groups like those in the low-income brackets and those belonging to racial/ethnic minorities experienced more pandemic-related psychiatric illnesses (Purtle, 2020). Using the database APA PsycInfo, I keyed the words “COVID-19” and “mental health” on the first search field and “United States” on the second field. To expand my search, I included the Boolean “AND.” The search resulted in 470 articles. One setback I encountered was the vast number of articles I generated from my initial inquiry and narrowed my search. To focus my search, I used the “TI” Titles from the optional field, chose FullText, and publication years 2019 to 2021 as my limiters, resulting in 17 articles (Walden University Library, n.d.).
There are many valuable databases available for research and scientific studies. APA PsycInfo is one of them. Like many databases, it contains trusted and credible peer-reviewed articles. However, APA PsycInfo would be more beneficial for those pursuing studies on behavioral and social sciences as it has more choices of psychiatric journals than the MEDLINE database (Eady, Wilczynski, & Haynes, 2008). APA PsycInfo contains one of the most extensive selections, more than 5million scientific papers, focusing on this field (American Psychological Association, n.d.). Therefore, it would be a useful resource for anyone interested in this field of study. I would highly recommend this to my colleagues also pursuing MSN in Psychiatry-Mental Health.

Initial Discussion Post – Week 4

COLLAPSE

Top of Form

I’ve decided to pursue a career as a psychiatric/mental health nurse practitioner. After 28 years of working as a mental nurse, I made the decision to advance my career. The peer-reviewed article used is entitled. “How PMHNP Program Directors Facilitate Psychotherapeutic Skill Acquisition by the authors Wesemann, Convoy, Goldstein, and Melino. I looked for this article by typing “PMHNP” into the Walden library tab. Next, I selected the “peer-reviewed” link on the left and entered the keyword “psychotherapeutic,” I then restricted my search. A list of articles from the Thoreau/EBSCO search engine appeared, and I chose this particular one.

Finding this peer-reviewed article was not difficult for me. The library database at Walden University is quite trustworthy. Yes, I would recommend this database, because it is accessible, and the full articles are available for usage. “A good database should begin with valuable metadata and data”, (Siyavula. n.d.). Criteria used for selecting a good database is using one that is a reliable monitoring and alerting system, (Guo, 2022). This database will be very helpful to my colleagues for the reasons stated above. My search was able to be limited by a large number of alternatives. The Walden library’s EBSCO database has excellent themes and a big selection of articles, therefore I would definitely recommend it.

NURS 6003 Using the Walden Library References

Guo, L. (2022). How to efficiently choose the right database for your applications. PingCAP. Retrieved from https://www.pingcap.com/blog/how-to-efficiently-choose-the-right-database-for-your-applications/

Siyavula. (n.d.). Characteristics of a good database. Retrieved from https://www.siyavula.com/read/it/grade-12-it/database-design-concepts/02-database-design-concepts

Wesemann, D., Convoy, S., Goldstein, D., & Melino, K. (2022). How PMHNP Program Directors Facilitate Psychotherapeutic Skill Acquisition. Journal of the American Psychiatric Nurses Association, 10783903221091980. https://doi.org/10.1177/10783903221091980

NURS 6003 Using the Walden Library References

American Psychological Association. (n.d.). APA PsycINFO – APA publishing | APA.
https://www.apa.org. https://www.apa.org/pubs/databases/psycinfo

Eady, A. M., Wilczynski, N. L., & Haynes, R. B. (2008). PsycINFO search strategies identified
methodologically sound therapy studies and review articles for use by clinicians and
researchers. Journal of clinical epidemiology, 61(1), 34–40. https://doi.org/10.1016/j.jclinepi.2006.09.016

Purtle, J. (2020). COVID-19 and mental health equity in the United States. Social Psychiatry
and Psychiatric Epidemiology: The International Journal for Research in Social and
Genetic Epidemiology and Mental Health Services, 55(8), 969–971. https://doi-
org.ezp.waldenulibrary.org/10.1007/s00127-020-01896-8

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

RESPOND HERE (150 WORDS, 3 REFERENCES)

This is insightful Claricel, the significant impact of the pandemic on the population’s mental health has been one of the main reasons I pursued my MSN in Psychiatric-Mental Health degree. Master of Science in Psychiatric-Mental Health is essential in gaining knowledge in evidence-based practices and the research processes in healthcare (American Psychological Association, n.d). The journal identified is relevant to the research topic or the topic under consideration. The journal can be accessed through the link that have been provided (Bramer et al., 2018). This link leads to a comprehensive information that can be applied in the gaining information about the topic under consideration (White et al., 2017). Walden university database contain numerous sources of information that can be applied in the research process. Using the keywords or phrases is necessary in finding the link to the relevant information that is needed. Apart from Walden University database, there is APA PsycInfo database that can be applied to identify information required. APA PsycInfo database contain relevant and credible information that can be applied in the research processes.

NURS 6003 Using the Walden Library References

American Psychological Association. (n.d.). APA PsycINFO – APA publishing | APA.
https://www.apa.org. https://www.apa.org/pubs/databases/psycinfo
White, T., Kokiousis, J., Ensminger, S., & Shirey, M. (2017). Supplementing intensivist staffing with nurse practitioners. AACN Advanced Critical Care, 28(2), 111–123. https://doi.org/10.4037/aacnacc2017949
Bramer, W. M., de Jonge, G. B., Rethlefsen, M. L., Mast, F., & Kleijnen, J. (2018). A systematic approach to searching: an efficient and complete method to develop literature searches. Journal of the Medical Library Association: JMLA, 106(4), 531. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6148622/

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 Using the Walden Library  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 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 hospitals and effects on patient care (Walden University Library, 2022). The database brought me to a result page of articles to select and I chose the above article.

Searching for the articles based on the above steps did not present any significant difficulties. The only notable challenge or difficulty was ensuring that I use the specific terms and topics to filter the results and searches for better optimization. CINAHL would be a useful database to my colleagues because it is easy to navigate and filters outcomes appropriately (Walden University Library, 2022b). Further, it provides full text articles with full citations that makes it easy for colleagues to use it in getting appropriate research evidence for their projects. I would recommend this database because of the benefits that it offers like fast and easy navigation of the different components that it has for nurses and other health care professionals and nursing students.

NURS 6003 Using the Walden Library References

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.

Walden University Library (2022) Databases A-Z: Nursing.

https://academicguides.waldenu.edu/az.php?s=19981

Walden University Library (2022b). Instructional Media: Fundamentals of library research.

https://academicguides.waldenu.edu/library/instructionalmedia/researchfundamentals