CB Discussion
Reply to the following discussion by challenging the post. You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language.
It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources.
CB Discussion:
I found it took some time to navigate the different databases. The textbook proved helpful where it describes what to expect from the different databases. It gave me a better understanding of the search results. It also explained how some databases like PubMed use automatic term mapping to appropriate MeSH terms (Hartzell & Fineout-Overholt, 2019). I found this particularly helpful because I was having trouble figuring out what MeSH terms to use that for my PICOT question. In my opinion the PubMed database was the easiest to use. The limits feature was very easy to figure out and toggle options on and off. I did not find the Dynamed useful for this particular PICOT question, but I can see how it provides searchable access to guidelines that may be helpful in the future.
PICOT Question: In adult patients seeking care from a nurse practitioner family practice clinic (P), does an in-person health coaching session followed by weekly telephone coaching calls by the nurse practitioner (I) compared to no coaching (C) increase adherence to a physical exercise plan (O) over the period of one year (T)?
Research Tool
Search Tips
Search Terms & 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:
Health coaching, nurse coaching, physical activity, exercise
Limits:
2017-2021.
Academic Journals
Adults
United States
Full text articles
CINAHL Heading search:
Limits:
2017-2021
Academic journals
Adults
United States
Full text articles
379
53
This database seems a little more intimidating to a novice user. It did produce a lot of results which will need to be combed through.
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:
Health coaching, nurse coaching, physical activity, exercise, adherence
Limits:
2017-2021
Adults
Full Text
Clinical Trial, Meta-analysis, RCT, Review, Systematic review
MESH search:
Limits:
No limits
23
There are many limit options. I found it easy to toggle on and off limit options. There are various age options and many other qualifiers that may be useful in future research.
Cochrane Library
Cochrane Library provides access to the Cochrane Library of Systematic Reviews. Full text of reviews is 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 Advanced Search Features
Allows you to search with MeSH Terms
Check out the New Reviews
Browse reviews by topic
Keyword search:
Health coaching, nurse coaching, physical activity, exercise
Physical activity, intervention, adherence, compliance
Limits:
Last 5 years
MeSH search:
Physical activity, exercise
182
37
This database yielded some interesting results when search was expanded to include all interventions. However, there was no easy way to limit the results to only adult patients.
Dynamed
Use the Simple Search and the Advanced Search Features
Allows you to search with MeSH Terms
Check out the New Reviews
Browse reviews by topic
Keyword search:
Health coaching, nurse coaching, physical activity, exercise
Limits:
Also browse by:
Family Medicine, Health Promotion, Physical Activity
0
0
No relevant information was found using this database
TRIP Database
TRIP is a clinical search engine to locate publicly available clinical evidence.
Limit to:
Systematic Reviews
Guidelines-US
Keyword search:
Used PICO to search
Limits:
Last 5 years
46
This was very satisfying to type in the PICO portion of my question and get some relevant results
SU Library Search
Library Search is set up just like an EBSCO
The library even has a specialized PICOT search setup in Library Search—you must go to Advance search to get to the PICOT option.
Keyword: Health coaching, nurse coaching, physical activity, exercise, adherence
Limits:
Last 5 years
Peer reviewed
Full text
United States
PICO Search
1431
290
This seems like a lot of results that will be difficult to narrow down. There is no way to limit the search based on adults with this database tool.
The PICO search yielded more workable results
References
Hartzell, T., & Fineout-Overholt, E. (2019). Finding relevant evidence to answer clinical questions. In B. Melnyk & E. Fineout-Overholt (Eds.), Evidence-based practice in nursing and healthcare (4th ed., pp. 55–92). Wolters Kluwer.
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