Discussion: Conducting a Literature Review
Main Post Week 2
Research is critical to the healthcare industry. The research conducted can lead to many operational and clinical changes that will improve company culture and patient outcomes. In a recent article, Ives-Erickson and Pappas (2020) state that nurses should be encouraged not just to ask questions but also to be driven to find solutions (p 243). Once a research topic is identified, knowing how to navigate resources using the appropriate search engines, databases effectively, and search terms to narrow down the search is essential. It is also necessary to include only those most recent studies from reputable sources as well. Discussion: Conducting a Literature Review.
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My chosen health care topic was diabetic foot exams. I have used the CINAHL PLUS database before and have gotten many good results, so I used this database. I am horrible at choosing search phrases. I entered the following parameters:
diabetic foot exam
AND nurse compliance
The search yielded one 2019, irrelevant result. I removed nurse compliance, and the search yielded 21 options. I added a date range of 2019- 2020 and received two very relevant studies.
I had time to play around a bit, so I tried a few other options. I entered:
Foot exam
AND diabetes
AND foot ulcer
Limited date range to 2016-2020
Limited publication type to research
This search yielded five relevant results, one of which was within the last year. Discussion: Conducting a Literature Review.
The biggest challenge I had with this search at first was finding information that was published within the last five years. My lack of creativity when coming up with search phrases is something that I will have to overcome. I can do that through learning to think less concretely. If I need help in my work setting with a literature search, I will reach out to our newly hired Quality Assurance Officer. She loves to research and is an excellent resource for me.
References
Ives-Erickson, Jeanette, Pappas, Sharon. (2020). The Value of Nursing Research. Journal of
Nursing Administration, 50, 243-244. https://doi.org/10.1097/NNA.0000000000000876
Discussion – Week 2
COLLAPSE
Research is of high importance to the nursing world today. Research gives us the key to various outcomes for patient care, and education to deliver a high quality of care as a whole. Nursing research is defined as the systematic, and objective process of analysis phenomena of nursing practice. Nursing research can be simple or complex studies that proliferate conclusions for the better of mankind. Walden University Library Resource Center is a great start to the research process.
In week 1, the research topic I chose was medication error in a clinical setting. The first step in my initiation process of research was to go to the Walden University Library located on the home page. The databases I used as CINAHL, which is considered the best nursing database for nursing ( James and Presley, 2019). I then typed in my keyword as a medication error, which came up with thousands of articles on this topic. I then narrowed my search to medication error in a clinical setting from 2015-2020, which yielded 5,416 results on medication errors. Lastly, I narrowed my research year to only one year of publication which yielded 1,236 results. This did narrow my research on my research topic, but this was not enough. I needed to know medication errors in a clinic specifically. I then typed in clinics instead of the clinical setting to see if the search would narrow, but the resources increased in article research by at least 40 new articles. The challenges of my research topic were it is a broad topic that many researchers have researched to identify the problems of medication errors. How I overcame this obstacle was by narrowing my research topic and only utilizing research that was pertaining to my definite topic as a whole. Discussion: Conducting a Literature Review.
Research is complex and requires knowledge of searching from various databases. If I need help at Walden University, I have the option to ask the librarian. This is a great tool for newcomers to the research process. This can be utilized by chatting, emailing, and calling the librarian for advice, and answers to your research questions.
References
James, J., & Presley, L. (2019, June). Introduction to nursing research in the Walden Library [Webinar]. Walden Library. https://academicguides.waldenu.edu/nurs3150/week2discussion
iscussion – Week 2
COLLAPSE
The research question that I proposed last week was, Can using Barcode Medication Administration (BCMA) decrease medication errors in the Emergency Room (ER)? I thought that there would be a lot of research on this topic because BCMA and medication errors are a patient safety issue. Upon watching the webinar on nursing research that was made by Julie James and Lisa Presley who are both Liaison Librarians to the College of Science I learned some new and helpful information on doing research. One way is to look up research by subject and type in Nursing, or once in the search engine making sure while refining your search you have checked the Boolean tab, this includes; AND, OR, NOT (James & Presley, 2019).
While in the library I searched by subject, nursing, I used the CINAHL PLUS full text database to search BCMA OR Barcode Medication Administration + Emergency Room OR Emergency Department + Medication errors. I limited my search to the past five years and to my surprise there were only five in the five years and only one in the past year. An even bigger surprise was all the articles were written in other countries, none were written in the United States. The challenges that I encountered were there is not enough research in the past five years and there were no studies done here in the United States.I wondered how can this be? My thought is that we can learn a lot from other countries, and expand our knowledge on the subject by doing our own research. This is a great learning opportunity for us on a topic that has such an impact on patient safety.
I know that if I needed extra help on the research I could always go to the library and ask Julie or Lisa since they are the liaisons librarians. I would also go as far as to seek help from a multidisciplinary team that would include my ER director, pharmacy, risk management, and IT. I think this team would be very vital in gathering data to see if using BCMA can decrease medication errors in our department. Discussion: Conducting a Literature Review.
References
James, J., & Presley, L. (2019, June). Introduction to nursing research in the Walden Library [Webinar]. Walden Library. https://academicguides.waldenu.edu/nurs3150/week2discussion
Discussion: Conducting a Literature Review
For this Discussion, view the webinar in this week’s resources by a Walden University librarian on strategies to conduct a successful literature search. The webinar provides information on available databases, the use of search engines, and the selection of search terms. Then, you will conduct a literature search on research conducted in the last 5 years on the patient safety problem you identified in Week 1.
By Day 3
Post the following:
For the literature search, describe the following in your post:
The databases, search engines, and search terms you used in your literature search
The number of research articles you found on your patient safety problem that were published in the last year
The challenges you encountered locating research articles and how you overcame them
Who you would go to for help in your work setting if you needed help with a literature search
Note: Post a three paragraph (at least 350 words) response. Be sure to use evidence, in-text citations, and essay-level writing skills, including the use of transitional material and organizational frames. Use the writing resources to develop your post. Discussion: Conducting a Literature Review
By Day 7
Read two or more of your colleagues’ postings from the Discussion question.
Respond to two or more of your colleagues with a comment that asks for clarification, provides support for, or contributes additional information.
Post a Discussion entry on 3 different days of the week. See the Discussion Rubrics for more information.
NURS_3150_Week_2_Discussion_Rubric
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Excellent Proficient Basic Needs Improvement
” Describes the number of research articles found on the patient safety problem published in the last year. Describes the data bases, search engines and search terms used in the literature search. Discusses the challenges encountered in locating research articles and how they were overcome. Discusses who might help with literature searches in the work setting if needed. (20 points) “
18 (36%) – 20 (40%)
Initial post contains well developed and insightful analysis that brings new insight into the discussion .
16 (32%) – 17 (34%)
Initial post contains reasonable analysis that brings insight into the discussion.
Discussion: Conducting a Literature Review
14 (28%) – 15 (30%)
Initial post contains minimal analysis that brings limited insight into the discussion.
0 (0%) – 13 (26%)
Initial post lacks analysis and/or that brings little or no insight into the discussion.
“Entered the discussion thread on 3 separate days. Wrote at least two posts to two separate peers. Responses are appropriate to the topic, substantive, and promoted discussion by one or more of the following: • contributing insight to move the discussion forward. • offering substantial and/or different points of view and asks questions to add to discussion • including extra references or websites for peers to consider • relating discussion to different areas of practice and applying concepts to practice **Additional points may be deducted for late posting per the University late policy.”
14 (28%) – 15 (30%)
Response posts add substantive ideas and perspectives that invite further analysis and discussion. Participated 3 or more days in the classroom and responded to more than 2 classmates.
12 (24%) – 13 (26%)
Response posts are proficient and provide adequate analysis and discussion. Participated 3 days in the classroom and responds to at least two classmates.
11 (22%) – 11 (22%)
Response posts are limited and provide minimal analysis and discussion. Participated less than 3 days in the classroom and/or responds to less than two classmates.
0 (0%) – 10 (20%)
Response posts are inadequate and provide no analysis of discussion and/ or there is no participation in the classroom.
Uses evidence to support a claim and give credit to the source. Uses course learning resources and seeks additional scholarly resources to support ideas. Displays sentence, paragraph, and essay skills. Writes in a scholarly, well-organized manner using own words by synthesizing evidence/resources. Paraphrases to avoid plagiarism of the source. APA: No more than one short, unique quote with correct APA format. Appropriate use and format of in-text citations. Lists references.
14 (28%) – 15 (30%)
Writer demonstrates excellence in all sentence and paragraph level skills within discussion board posts to meet the 3000 Academic Writing Expectations for this level.
12 (24%) – 13 (26%)
Writer demonstrates proficiency of most sentence and paragraph level skills within discussion board posts to meet the 3000 Academic Writing Expectations for this level with only one format or writing issue needing to be addressed.
11 (22%) – 11 (22%)
Writer demonstrates minimal skill in meeting sentence level and/or paragraph level skills within discussion board posts to meet 3000 Academic Writing Expectations for this level with less than or equal to three format or writing issues needing to be addressed.
Discussion: Conducting a Literature Review
0 (0%) – 10 (20%)
Writer demonstrates inadequate skill within discussion board posts to meet the sentence and/or and paragraph level skills in meeting the 3000 Academic Writing Expectations for this level with four or more format or writing issues needing to be addressed.
Total Points: 50
Name: NURS_3150_Week_2_Discussion_Rubric
Discussion – Week 2
COLLAPSE
When I chose my research question last week, I did so because it is a situation that I felt I could make a process change in my practice and quickly impact the health and well-being of my patients. It is a problem I encounter daily. Discharge Med-to-Bed and ER re-visit/ readmission is something I felt sure many of my ER companions were dealing with. Lord, I did not realize what a trailblazer I was! After watching the process tutorial on the utilization of the library resources (James and Presley, 2019), I went to work.
My first step in the Walden Library database under research by subject, Nursing was to search Emergency Room + meds to bed + readmission. I figured this would take me to subject content that addresses exactly what I want to know. It gave me zilch in bold red letters. I was crestfallen. I then decided maybe I better back up to step one and search for med to bed. Then I thought I hit the jackpot with 24 results, three of those published in the last year. Okay, now we’re in business. Let’s try med to bed and emergency room. This search gave me two results, one in the last year. I thought maybe “med to bed” is the problem and switched to discharge meds and emergency room. I found one article, published this year.
The challenge I am facing with my research problem may be that there are not many articles that focus on facilities that use a med to bed program for discharge medications. For future research on this subject, I would reach out to Ms. Julie James or Ms. Lisa Presley, the Walden liaison librarians for Nursing, and inquire whether they have any pointers on rephrasing my search terms to yield more results. I would also reach out to my director and our quality director to see if any data is available from our EMR system or any reportable databases and to the pharmacy director to see if she has any contacts that utilize the med to bed process and reach out to them. If I am unable to gain any traction from these efforts, I may have to use only data obtained from our facility or assume my quest is ahead of its time and broaden my question to a less specific variable. Discussion: Conducting a Literature Review.
References
James, J., & Presley, L. (2019, June).Introduction to nursing research in the Walden library[Webinar]. Youtube.https://youtu.be/KsosCYxLPwk