Assessment Item 1: Finding the evidence
Weight: 15% of overall mark for the subject
No paper submission is required.
Task: Using clinical case scenarios, students will be expected to develop a question to address the area of clinical uncertainty and demonstrate their ability to use the PICO framework and document a systematic literature search.
Instructions : 92318 EVIDENCE FOR NURSING ASSIGNMENT
This assignment will build on your learning during Week 1, 2, and 3. In the tutorial time and preparation activities during these weeks, you will learn what a PICO is, how to create one, why we use it, and how it helps us in searching for evidence. Face to face library workshops and online library study guide have been designed to assist you with assessment one. A discussion board has been set up for assessment one, so that you can share your ideas or find answer to your questions about this assessment. Research is a collaborative process, and so is learning in the clinical environment, so this activity will teach you skills in sharing your ideas with others so that you can all learn and achieve together.
In this assignment you will provide evidence of your learning on using PICOs and building a systematic literature search
- Choose one of the three clinical case scenarios on the next page (page 2).
- Using the information from the case scenario, and your skills from Week 1 and 2, fill in the attached PICO worksheet to plan for your systematic database search.
- Using the information from your PICO Worksheet record your Search Strategy in the attached worksheet (please do this in Microsoft Word and not by hand)
- Enter your search terms into Medline using skills you have learnt in Week 1 and 2, the Online Library Study Guide, and the information in your Search Strategy Worksheet.
- Take a screenshot of your search and paste it into the section in the worksheet below (see example on page 3).
- Why Medline? It is one of many databases, you just need to show us you are able to apply your learning into a database and in this instance we have asked you to use Medline – being able to carry out a prescribed task is part of learning 🙂
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Choose one of the following case scenarios to guide your work in Assessment Item 1 and 2
Scenario 1: Depression
You are a community mental health nurse in Sydney. In a recent review of referrals to your service it was noted that there has been a large number of clients referred for treatment of depression. The treatment provided by your service for these clients is antidepressant medication. Some of your patients, however, are not keen to take antidepressant medications for different reasons. You are aware that in other mental health services psychological interventions such as cognitive behavioral therapy (CBT) are offered as an alternative or adjunct to medication. Your team is open to change and it is decided to search for evidence of the most optimal care for these clients.
Scenario 2: Managing Chronic Heart Failure
You are working as a clinical nurse specialist in the heart failure clinic and service in Dubbo. One of your patients travels 2 hours by car from Coonabarabran for his monthly consultation. His wife and he find the long trip from home very difficult and an added burden in their lives. Particularly as he takes frusemide for his chronic heart failure that causes diuresis, which means they have to stop the car often which is frustrating and makes the trip even longer and tiring. They tell you that a friend of theirs, who also lives in regional NSW, uses a remote tele monitoring device to monitor their condition from their home. This means that their friend doesn’t have to travel to their clinic so much. They ask you whether you think it is better to keep coming into the clinic or to see about getting a remote tele monitoring device to help them manage the chronic heart failure. You are a little unfamiliar with tele monitoring, but you also don’t want your patient to have to travel unnecessarily. You tell the couple that you will search for the available research on the management of chronic heart failure using tele monitoring and bring this back to them.
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Scenario 3:Hypertension
As a registered nurse you have advised Mr. Smith, a 58- year-old man who is overweight and has hypertension, to cut down on the amount of salt in his diet. However, Mr. Smith is very sceptical that this course of action will help him. You would like to find some evidence that support your recommendation.
ASSESSMENT ONE: SUBMISSION TEMPLATE
Please complete your assessment activities in the following pages and submit this into Turnitin:
- PICO Worksheet
- Search Strategy Worksheet
A picture (must be readable!) of your systematic literature search in Medline
- What type of clinical question do you think this PICO answers? (0.25 mark)
□ Therapeutic □ Aetiology □ Diagnostic □ Prevention □ Prognosis □ Others
2. The table below will help you to think of the other terms that you might also like to look up when searching for evidence to help you answer your question – this is part of basic planning for a research search (2 marks).
- We ask you to look up alternative terms because sometimes articles from health systems call things different names – for example, in Australia we sometimes us the term ‘community nurses’, but in the UK they often talk about ‘district nurses’ – if you only searched under ‘district nurse’ you’d miss all the articles which used the other term – you would be missing some of the picture!
| Population | Intervention | Comparison
(not commonly used in actual database search strategy) |
Outcome
(not commonly used in actual database search strategy) |
| What is your population? Main search term:
What other terms might have been used? Alternative search terms: |
What is your intervention? Main search term:
What other terms might have been used? Alternative search terms: |
What is your comparison? Main search term:
What other terms might have been used? Alternative search terms: |
What is your outcome? Main search term:
What other terms might have been used? Alternative search terms: |
3. What kind of study do you think would best answer your question? Select here which type of article you might want to access. You can also use these to refine your search if you have a lot of papers (0.25 mark).
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| □ Cohort Study
□ Randomized Controlled Trial (RCT) □ Case-control Study/Case Series □ Systematic Reviews |
□ Qualitative Study
□ Economic Evaluation □ Quantitative Study |
Systematic Search Plan (this is what we call a Search Strategy)
- Now that you have decided on WHAT you will be searching, you need to put down a plan of HOW you will search for your articles. This helps you and others to see how you got your evidence and how you made sure you got the best evidence to help you decide on your clinical action (3 marks).
- Using the PICO terms in your table, enter each term in a row (group them together under the PICO categories). You can extra rows or delete them as appropriate.
- The next step is to combine similar terms using ‘OR’ so that you have all the papers on the same topic together
- The final step is to find papers which only talk about both the population AND the intervention. To do this you use ‘AND’ in the database.
4.The final step is to paste in a picture (screenshot/screengrab) of the search that you did in the database. The picture has to be readable!!! (2 marks).
In providing this you show your marker that you are able to take your strategy and apply this into a database system. You also show us that you understand the systematic approach to searching and your understanding of how to use OR and AND as tools to draw together the articles you are interested in. You can use limits, but you would only do this if you wanted to refine your search because you had too many papers to search through.
Example of a screen shot. Yours should look something like this:
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