Respond to the Post that is bellow using one or more of the following approaches:
Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
Validate an idea with your own experience and additional sources.
Make a suggestion based on additional evidence drawn from readings, or after synthesizing multiple postings.
NOTE: THE ANSWER THAT YOU ARE GOING TO DO IN REFERENCE OF THIS POST, HAS TO BE IN A POSITIVE WAY, REFLECTING THE POSITIVE OF THE POST THAT THE STUDENT MADE.
Initial Discussion Post
Literature Searches
Nursing is a field filled with numerous policies and procedures. To understand these policies and procedures, the practice of research and knowledge acquisition is essential. The method of incorporating proper research into daily practice is called evidence-based practice (Polit & Beck, 2017). The goal of using evidence-based practice is to move away from traditions and ritual by incorporating tested research evidence that supports clinical practices (Polit & Beck, 2017).
Summary of Article Search
Based on the evidence hierarchy by Polit & Beck (2017), and the levels of evidence presented in class I was able to evaluate research articles (Walden University, 2018). When looking for specific research for my topic, I searched for the highest level of evidence. There are three types of research which are: primary, synthesized or secondary, and others such as expert opinions or practice questions (Polit & Beck, 2017).
My PICOT question is: In patients with acute pain in the emergency department, what is the effect of Ketamine use for the reduction of pain compared to opioid medications during their ED visit? To begin the search, I used the keywords Ketamine, analgesia, sedation and emergency medicine. Using these words, I was able to find 408 results. I further limited my search to ten years which yielded 297 results. Finally, I used systematic reviews, meta-analysis and randomized control trials (RCTs) for my final search narrowing the articles to 111. Upon examination of the articles, I found the articles based on systematic reviews, meta-analysis and RCTs provided detailed research including abstracts, methods of trials, results, discussion, limitations, and conclusion. Each of these sections specifies the purpose of the study in detail.
Using this framework for literature review ensures relevant research is used to answer evidence seeking questions. Davies (2011) comments, “detailed knowledge of the frameworks enables the searcher to refine strategies to suit each particular situation rather than trying to fit a search situation to a framework” (p. 79). By using a timeframe such as the past ten years, it is easier to see the relevance of the information to clinical practice today. An active literature search will yield the most appropriate information for the question being posed.
References
Davies, K. S. (2011). Formulating the evidence-based practice question: a review of the frameworks. Evidence Based Library and Information Practice, 6(2), 75-80. Retrieved from
Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.
Walden University Library. (2018). Levels of evidence. Retrieved from
Expert Solution Preview
In the initial discussion post, the student highlighted the importance of evidence-based practice in the field of nursing. They discussed the goal of incorporating research evidence into clinical practices and moving away from traditions and rituals. This demonstrates a good understanding of the concept and its significance in providing quality healthcare.
Furthermore, the student shared their experience of conducting a literature search to answer a PICOT question related to pain management in the emergency department. They utilized appropriate keywords and narrowed down the search results by using specific research types such as systematic reviews, meta-analyses, and randomized control trials. This approach is commendable as it ensures the selection of relevant and reliable research articles.
The student also emphasized the importance of having a timeframe for the literature search to ensure the relevance of the gathered information to current clinical practice. They mentioned that an active search utilizing frameworks allows for refining search strategies according to each specific situation. This approach demonstrates the student’s understanding of the need for a systematic and tailored approach to literature review.
Overall, the student’s post reflects a thorough understanding of evidence-based practice and showcases their ability to effectively search for and evaluate research articles. Their approach to conducting a literature search aligns with best practices in the field of healthcare research. Well done!
