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       My search proved to be beneficial in finding relevant information and research regarding my PICOT question (In postmenopausal women (P), does performing exercises, taking supplements, and keeping a healthy diet (I), rather than receiving hormonal therapy (C), lead to lessened diagnoses of osteoporosis (O) over a 2-year period (T)?). I was also able to determine which databases would be the most useful and efficient. The CINAHL database’s CINAHL Subject Heading search found excellent articles about osteoporosis management in postmenopausal women, but I had a hard time trying to get the database to recognize that I was asking for articles that were about osteoporosis only in postmenopausal women; it was only giving me articles about managing osteoporosis in all groups. For this reason, I liked PubMed’s MESH search and the TRIP database’s keyword search better. Also, I liked the Cochrane library’s mesh search, but it’s keyword search did not give me results that were applicable to my question. Dynamed’s database did not allow me to specify my search as much as I would have liked. South University’s Library was helpful and I liked the EBSCO setup. Therefore, when conducting research, these databases will most likely be helpful to me in acquiring information that supports my PICOT question.

          Finding and using reliable, credible information to support clinical decision-making and to meet expectations for evidence-based practice is challenging. The use of current, relevant, and appropriate evidence based practices are important to provide the best care available to patients and necessary directions for the future. To do this, finding appropriate research can be overwhelming without building a research strategy.  Learning to use  relevant electronic databases enables us to examine evidenced based research in a systematic way and find areas that need to be further studied. Also, this helps to implement the necessary interventions for the future (Hopia & Heikkilä 2019).  This assignment helped me to use a database appropriately and find good research articles that will help to answer my PICOT question.

Reference

Hopia, H., & Heikkilä, J. (2019). Nursing research priorities based on CINAHL database: A scoping review. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC

7024619/

Exploring the Literature

 

PICOT Question: In postmenopausal women (P), does performing exercises, taking supplements, and keeping a healthy diet (I), rather than receiving hormonal therapy (C), lead to lessened diagnoses of osteoporosis (O) over a 2-year period (T)?

 

Research Tool	Search Tips	Search Terms and Limits	Findings	Features
CINAHL CINAHL is an SU subscription-only resource that offers full text access to 336 scholarly journals and indexes over 3,000 journals from the fields of nursing and allied health. Indexed journals do not provide access to full-text. Just because it is indexed in does not mean the library has full-text access to the journal. SU can always request articles for students via Interlibrary Loan, but the service is not instantaneous	-Look at the Major Subject Heading in the Full Record -Use the Limits Feature: -Example: Publication Type=Systematic Review -Try the CINAHL Heading search:	Keyword search: Osteoporosis, prevention, postmenopausal women Limits: Full text, English language, peer reviewed, January 2015 to June 2020 CINAHL Heading search: Osteoporosis prevention in postmenopausal women, postmenopausal women (additional term) Limits:Full text, 2015-2020	Keyword search: 511   CINAHL Heading search: 192	I like how I was able to search for additional terms in CINAHL Subject Headings. This allowed me to look for results that included both osteoporosis prevention and postmenopausal women.
PubMed PubMed is a free health science citation & abstracts index from the National Center for Biotechnology Information at the U.S. National Library of Medicine.	-Look at MeSH Terms in Full Record -Use the Limits Feature: -Examples: Article Type=Meta-Analysis; Age=All Adult -Look for the open access Free articles!	Keyword search: Osteoporosis, postmenopausal, prevention Limits: Full text, 2015-2020 MESH search: "Osteoporosis, Postmenopausal/diagnosis"[Mesh] OR "Osteoporosis, Postmenopausal/diet therapy"[Mesh] OR "Osteoporosis, Postmenopausal/therapy"[Mesh] Limits: Full text, 2015-2020	Keyword search: 1,330 MESH search: 1,138	The Mesh search in this database was very easy to navigate. In the CINAHL database, I had some difficulty in relating the term osteoporosis to postmenopausal women. On the contrary, the MESH search automatically grouped the terms together and gave me valuable search results.
Cochrane Library Cochrane Library provides access to the Cochrane Library of Systematic Reviews. Full text of reviews are subscription only. Index summaries are a public resource. Indexed journals do not provide access to full-text. Just because it is indexed in does not mean the library has full-text access to the journal. SU can always request articles for students via Interlibrary Loan, but the service is not instantaneous	-Use the Simple Search and the Advance Search Features -Allows you to search with MeSH Terms -Check out the New Reviews Browse reviews by topic	Keyword search: Osteoporosis, postmenopausal, prevention Limits: 2015-2020 MESH search: Osteoporosis, postmenopausal (subheadings: diet therapy, therapy, prevention/management) Limits: 2015-2020	Keyword search: 165 MESH search: 72	The MESH search in the Cochrane Library was effective in finding relevant results. The keyword search found results, but they were not as relevant to my PICOT question.
Dynamed	-Use the Simple Search and the Advance Search Features -Allows you to search with MeSH Terms -Check out the New Reviews Browse reviews by topic	Keyword search: osteoporosis, postmenopausal, prevention   Also browse by: osteoporosis, postmenopausal, diet therapy	Keyword search: 52 Also browsed: 5	The Dynamed database is a simple tool, but there was little for me to do that enabled me to specify my search. For example, I was unable to specify the date range I wanted for the results.
TRIP Database TRIP is a clinical search engine to locate publicly available clinical evidence.	-Limit to: -Systematic Reviews -Guidelines-US	Keyword search: Osteoporosis, postmenopausal, prevention Limits: since 2015	Keyword search: 496	I liked how this database is organized. It makes it simple to conduct my search to yield relevant results. I tried the PICOT search setup, but I did not get results that were applicable to my question.
SU Library Search	-Library Search is setup just like an EBSCO -The Library even has a specialized PICOT search setup in Library Search—must go to Advance search to get to PICOT option	Keyword search: Osteoporosis, postmenopausal, prevention   Limits: Full text, 2015-2020, peer reviewed   Subject term: Osteoporosis, postmenopausal, prevention   Limits: Full text	Keyword search: 1,751   Subject term: 4	The SU Library’s keyword search performed well and I got many relevant results.

 

 

 

 

 

Summary

My search proved to be beneficial in finding relevant information and research regarding my PICOT question (In postmenopausal women (P), does performing exercises, taking supplements, and keeping a healthy diet (I), rather than receiving hormonal therapy (C), lead to lessened diagnoses of osteoporosis (O) over a 2-year period (T)?). I was also able to determine which databases would be the most useful and efficient. The CINAHL database’s CINAHL Subject Heading search found excellent articles about osteoporosis management in postmenopausal women, but I had a hard time trying to get the database to recogonize that I was asking for articles that were about osteoporosis only in postmenopausal women; it was only giving me articles about managing osteoporosis in all groups. For this reason, I liked PubMed’s MESH search and the TRIP database’s keyword search better. Also, I liked the Cochrane library’s mesh search, but it’s keyword search did not give me results that were applicable to my question. Dynamed’s database did not allow me to specify my search as much as I would have liked. South University’s Library was helpful and I liked the EBSCO setup. Therefore, when conducting research, these databases will most likely be helpful to me in acquiring information that supports my PICOT question.

Finding and using reliable, credible information to support clinical decision-making and to meet expectations for evidence-based practice is challenging. The use of current, relevant, and appropriate evidence based practices are important to provide the best care available to patients and necessary directions for the future. To do this, finding appropriate research can be overwhelming without building a research strategy. Learning to use relevant electronic databases enables us to examine evidenced based research in a systematic way and find areas that need to be further studied. Also, this helps to implement the necessary interventions for the future (Hopia & Heikkilä 2019). This assignment helped me to use a database appropriately and find good research articles that will help to answer my PICOT question.

 

Reference

Hopia, H., & Heikkilä, J. (2019). Nursing research priorities based on CINAHL database: A scoping review. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC 7024619/