Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.

· Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.

· Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least two different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.

· Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. It is suggested that an Intervention-type PICOT question be developed as these seem to work best for this course.

BY DAY 3 OF WEEK 4

Post a brief description of your clinical issue of interest. This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question. Describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples.

Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry

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An Original Human-Crafted Assignment

NRS NRS 493Benchmark – Capstone Change Project Objectives

**Clinical Issue of Interest:**

 

The clinical issue of interest is the effectiveness of mindfulness-based interventions in reducing symptoms of anxiety among college students.

 

**Search Results:**

 

I conducted searches in two different databases: PubMed and PsycINFO, using keywords related to mindfulness, anxiety, and college students. Initially, my search in PubMed yielded 87 articles, while PsycINFO returned 63 articles. As I refined my search by adding additional keywords and using Boolean operators (such as “AND” and “OR”), the number of articles returned decreased, but the relevance of the results improved. For example, when I added “college students” as an additional keyword using the Boolean operator “AND,” the number of articles decreased to 35 in PubMed and 28 in PsycINFO.

 

**Strategies to Increase Rigor and Effectiveness of Database Search:**

 

  1. **Use Controlled Vocabulary:** Utilize the controlled vocabulary or subject headings specific to each database (e.g., MeSH terms in PubMed) to ensure comprehensive coverage of relevant articles. For example, instead of using general keywords like “mindfulness,” I could use specific MeSH terms such as “Mindfulness-Based Stress Reduction” or “Anxiety Disorders.”

 

  1. **Utilize Truncation and Wildcards:** Employ truncation (*) and wildcards (?) to capture variations of search terms. For instance, using “mindful*” as a search term would retrieve results containing “mindfulness,” “mindful,” or “mindfulness-based.”

 

  1. **Explore Related Articles:** Review the references of retrieved articles and utilize the “related articles” feature in databases to identify additional relevant studies that may have been missed in the initial search.

 

  1. **Set Inclusion/Exclusion Criteria:** Clearly define inclusion and exclusion criteria based on the research question to narrow down search results. This ensures that only studies meeting specific criteria are considered for review.

 

  1. **Search Across Multiple Databases:** Expand the search scope by exploring various databases relevant to the topic. Each database may index different journals and publications, thus providing a more comprehensive overview of the literature.

 

  1. **Periodically Update Searches:** Conduct periodic searches to ensure that the latest research studies are included in the review. Setting up search alerts or utilizing RSS feeds can facilitate staying updated on new publications related to the topic.

 

By employing these strategies, I can enhance the rigor and effectiveness of my database search, ensuring that I capture relevant and high-quality research articles to inform my evidence-based practice.

 

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