Tuesday, May 5, 2020

Searching for Evidence for Fish Oil- myassignmenthelp.com

Question: Discuss about theSearching for Evidence for Fish Oil. Answer: Introduction This assignment is based on scenario one, Fish Oil. Peggy is an older lady aged 65 years old and has degenerative osteoarthritis in her knees. Her friend Edith has told her that fish oil is good for arthritis and wants to try it. The clinical question for this scenario is in older women with osteoarthritis is fish oil an effective treatment option? The assignment aims to describe the search for evidence using the PICO question. Apart from the keywords derived from the PICO/PICo question, alternative search terms will be introduced to increase the efficiency of the search and increase chances of getting the required resources. I will two nursing databases will be used to perform the search. Searching for evidence Evidence-based practice (EBP) offers nurses with an approach to use critically analysed and scientifically proven evidence for delivering quality health care to particular clients or populations (Majid, et al., 2011). Peggy requires scientifically proven evidence to determine whether fish oil would improve her condition. The first step is identifying the population, intervention, comparison and outcome. The PICO format is a helpful technique for summarising a research question that examines the effect of therapy (Riva, Malik, Burnie, Endicott, Busse, 2012). The PICO; P is older women with osteoarthritis, I is fish oil, and O is the effective treatment option. Hence, the search terms are older women, osteoarthritis, fish oil and treatment option. Alternative search terms are aged ladies, degenerative joint disease, and fish-liver oil. These search terms and phrases are sufficient to answer the PICO question and determine whether Peggy can use fish oil to treat osteoarthritis. The best two nursing databases that I would use to perform the search are CINAHL complete and Medline complete. These two databases have been chosen because they are authoritative, have peer reviewed journals and are simple to use. The Cumulative Index to Nursing and Allied Health Literature (CINAHL) is an effective source of primary studies for qualitative evidence synthesis. Besides, CINAHL provides distinct studies for systemic reviews (Wright, Golder, Lewis-Light, 2015). The thesaurus of CINAHL contains a variety of terms associated with research techniques such as action research, ethnographic research and naturalistic enquiry. Although CINAHL might seem better than MEDLINE Complete, they both have thousands of peer reviewed articles. A review conducted in 2015 showed that MEDLINE complete was the biggest companion to MEDLINE (Kaste, 2015). This database offers the full text of approximately 2500 medical journals. Additionally, most of the medical articles on MEDLINE Complete a re available to users with no restrictions. In fact, users can access the peer reviewed articles as soon as they are published on the database. Another benefit of MEDLINE complete is the scope of its content (Kaste, 2015). Searching for evidence in both CINAHL complete and MEDLINE complete adds significantly to the information need for systemic reviews. It is evident that both CINAHL complete and Medline complete are effective to search for evidence in the chosen case scenario. The table below demonstrates how I used the CINAHL complete to search for evidence utilising the table from the book by Richardson-Tench and colleagues. Actions Search mode Results Limiters (or expanders) S1 Older women Find all my search terms 19,498 Scholarly (Peer Reviewed) journals 2011-2017 S2 Osteoarthritis Find all my search terms 12,601 Scholarly (Peer Reviewed) journals 2011-2017 S3 Fish oil Find all my search terms 4,976 Scholarly (Peer Reviewed) journals 2011-2017 S4 Older women and Osteoarth* Find all search terms 174 Scholarly (Peer Reviewed) journals 2011-2017 S5 Degenerative joint disease and fish oil Find all my search terms 8 Scholarly (Peer Reviewed) journals 2011-2017 S6 Aged wom* and Osteoarthritis Find all my search terms 239 Scholarly (Peer Reviewed) journals 2011-2017 SI AND S2 AND S3 Find all my search terms 1 Scholarly (Peer Reviewed) journals 2011-2017 Adapted from (Richardson-Tench, Taylor, Kermode, Roberts, 2016). The final results are related to the PICO/PICo since they offer more information on the use of fish oil to manage osteoarthritis in older women. Specifically, the results showed literature review on effectiveness, side effects and guidance on the use of fish oil for senior women with the degenerative joint disease. Further, the results of the search introduced the aspect of using fish oil as a dietary intervention for osteoarthritis. Since the search results are pertinent to the PICO/PICo questions, I can develop a report for Piggy on whether to use fish oil, how and appropriate quantities. The best two example journals from my final search are included in the reference list. Conclusion The field of nursing is evolving fast, and evidence-based practice is becoming indispensable. Nurse practitioners should increasingly rely on research to develop treatment plans for clients. Thus, nurses should consider improving their research competence to meet the current client needs. Conclusively, nurses should understand how to filter results of the search in various databases and especially how to get recently published evidence. References The best two example journals from my final search Chen, J., Hill, C., Lester, S., Ruediger, C., Battersby, R., Jones, G., ... March, L. (2016). Supplementation with omega-3 fish oil has no effect on bone mineral density in adults with knee osteoarthritis: a 2-year randomized controlled trial. Osteoporosis International, 27(5), 1897-1905. Davidson, R. K., Clark, I. M. (2015). Dietary intervention for osteoarthritis: Clinical trials after the ' Bone and Joint Decade'. Nutrition Bulletin, 40(3), 203-210. Other references Kaste, A. (2015). MEDLINE Complete. Journal of the Medical Library Association , 103 (1), 62-63. Majid, S., Foo, S., Luyt, B., Zhang, X., Theng, Y., Chang, Y., et al. (2011). Adopting evidence-based practice in clinical decision making: nurses' perceptions, knowledge, and barriers. Journal of the Medical Library Association: JMLA , 99 (3), 229-236. Richardson-Tench, M., Taylor, B., Kermode, S., Roberts, K. (2016). Inquiry in health care. South Melbourne: Cengage Learning. Riva, J., Malik, K., Burnie, S., Endicott, A., Busse, J. (2012). What is your research question? An introduction to the PICOT format for clinicians. he Journal of the Canadian Chiropractic Association , 56 (3), 167-171. Wright, K., Golder, S., Lewis-Light, K. (2015). What value is the CINAHL database when searching for systematic reviews of qualitative studies? Systematic reviews , 4 (1), 104.

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