The Role of Nurse Practitioners In The Management Of Hospitalized Patients Discussion Response
The Role of Nurse Practitioners In The Management Of Hospitalized Patients Discussion Response
Discussion – Week 4
Response to Diana Wendell
CINAHL is a comprehensive database indexing over five thousand journals in allied health and nursing fields. CINAHL has two main search functionalities: Advanced Search and Basic Search. Both Advanced Search and Basic Search allow an individual to search for a journal article via CINAHL Headings and keyword/ natural language. According to Hall and Roussel (2020), on CINAHL Basic Search (which is the main search page), there is one search box or find fields to utilize the terminology of EBSCO. EBSCO is CINAHL’s parent company. On CINAHL Advanced Search permits for up to twelve search boxes. Also, CINAHL Advanced Search has numerous limiters as well as the added functionality of Guided-Style Find fields, which provides a means for searching via filed codes, like Title Article (TI) or Author (AU) as a result of these search capabilities, CINAHL Advanced Search can generate a more specific, refine and focused search result. To search via CINAHL Headings, the searcher needs to type a search term in the search box, which is then mapped to the most pertinent CINAHL Headings. Search results are narrowed by numerous very useful limiter(s), commonly journal subset (for example, nursing), and date, author, and publication The Role of Nurse Practitioners In The Management Of Hospitalized Patients Discussion Response.
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References
Hall, H. R., & Roussel, L. A. (2020). Evidence-Based Practice: An Integrative Approach to Research, Administration, and Practice. Jones & Bartlett Learning.
Response to Hazel Alejandria
PubMed is a useful database that nurses can use to access scholarly journals. PubMed utilizes Medical Subject Headings (MeSH), a controlled vocabulary where there is the cataloging of information according to subject headings or specific words as in a thesaurus or dictionary. Its arrangement is in both a hierarchical and an alphabetical format. Although the majority of people begin searches utilizing keywords, this form of search fails to yield the most comprehensive results. Boswell and Cannon (2022) posit that the dictionary for locating words that most appropriately match or define the concept or search term in PubMed is the MeSH guide. This feature is accessible via a link from the PubMed/ National Library of Medicine website, under the “More Resources” header. In addition, the MeSH home page permits people to have access to the “MeSH on Demand” link, from which an individual can submit text for which the National Library of Medicine recognizes a list of MeSH terms pertinent to the text provided by the searcher. To be successful, a person is required to give well-defined sentences for the site to utilize.
References
Boswell, C., & Cannon, S. (2022). Introduction to Nursing Research: Incorporating Evidence-Based Practice. Jones& Bartlett Learning.
The Role of Nurse Practitioners in the Management of Hospitalized Patients
The increase in the use of nurse practitioners in managing patients during their hospitalizations has increased my interest in the role of the nurse practitioner in improving patient outcomes. Through a retrospective study, Patel et al. (2021) found that medical-surgical patients managed by a nurse practitioner during hospitalization had a lower rate of escalation of care to the intensive care unit and a lower risk of death during hospitalization. Interestingly, these patients were also associated with a longer length of stay and higher care costs (Patel et al., 2021). While this is only one study and more research is needed, it confirms my thoughts that the use of nurse practitioners in managing acutely ill patients positively affects the outcomes of their illnesses. The search for evidence on the topic of interest s was completed through the Walden University Library using CINAHL Plus with Full Text The Role of Nurse Practitioners In The Management Of Hospitalized Patients Discussion Response.
Database Chosen and Difficulties Experienced
CINAHL Plus with Full Text was the database chosen since Walden University Library lists it as a “best bet” (n.d.-b) to find articles related to your topic. Since peer-reviewed articles are read and evaluated by experts and scholars in the field for their validity, reliability, and bias (Walden University Library, n.d.-a, n.d.-b), the search limiter for peer-reviewed scholarly journals was applied. I initially searched for nurse practitioner, patient outcomes, and acute care, using the BOOLEAN operator AND between keywords. This search returned a minimal number of articles, so I took the advice of Walden University Library (n.d.-c) and added synonyms to expand my search by applying “or” in the search bar. CINAHL Plus with Full Text provided suggestions for synonyms for my keywords, which was very helpful in expanding my search.
Adding the synonyms to my search returned an overwhelming number of articles with dates ranging from 1989 and 2022. Because of the nature of research and constant change in healthcare, how recent an article was published can affect the validity and reliability of a study (Walden University Library, n.d.-a). Applying the date limiter for articles published between 2017 and 2022 provided a less overwhelming number of current, peer-reviewed articles to review. I could then filter my search based on relevance to find a peer-reviewed, recent research article about nurse practitioners’ effect on hospitalized patient outcomes.
Database Usefulness and Recommendation
CINAHL with Full Text is very useful to students searching for research related to nursing and professions related to nursing (Walden University Library, n.d.-b). Overall, I found CINAHL with Full Text effortless to use, with the only difficulty of not initially using synonyms for my keywords and receiving limited results in my search. CINAHL with Full Text provides the researcher with synonyms for chosen keywords, which helps take some guesswork out of searching for current research on the topic of choice to expand the search further. Search filters are easy to apply and adjust with a handy toolbar on the left to allow further refinement or expansion of results. It is easy to navigate and provides links to the journals and authors for further review to evaluate journal or book validity in the search result list The Role of Nurse Practitioners In The Management Of Hospitalized Patients Discussion Response.
Because of the ease of filtering results, the suggestion of synonyms for keywords, and the ability to evaluate the journals and authors quickly with the click of a button, I recommend CINAHL as a great starting point for colleagues looking for current nursing research. However, if a search topic crosses into another specialty, such as psychology, education, or administration, your search results in CINAHL with Full Text will be an incomplete picture of what research is out there since it only searches nursing-related publications.
References
Patel, M. S., Hogshire, L. C., Noveck, H., Steinberg, M. B., Hoover, D. R., Rosenfield, J., Arya, A., & Carson, J. L. (2021). A retrospective cohort study of the impact of nurse practitioners on hospitalized patient outcomes. Nursing Reports, 11, 28-35. https://doi.org/10.3390/nursrep110100003
Walden University Library. (n.d.-a). Instructional media: Fundamentals of library research. Retrieved June 17, 2022 from https://academicguides.waldenu.edu/library/instructionalmedia/researchfundamentals
Walden University Library. (n.d.-b). Databases A-Z: Nursing. Retrieved June 17, 2022 from https://academicguides.waldenu.edu/az.php?s=19981
Walden University Library. (n.d.-c). Verify peer review: Home. Retrieved June 17, 2022 from https://academicguides.waldenu.edu/library/verifypeerreview
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Hazel Alejandria
RE: Discussion – Week 4
COLLAPSE
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Working in a Neuro ICU unit, an article that interests me the most through my readings was the article in the Scandinavian Cardiovascular Journal entitled “Brain structure and stroke risk score in subjects without a history of atrial fibrillation” by Wykretowicz, Mateusz, et al., (2022). The article is a study that was focused on to see a correlation between the CHA2DS2-VASc scores and brain structure in patients that does not have any known or diagnosed heart issues or arrhythmias. CHA2DS2-VASc is a tool to identify the score of a patient’s risk of developing a stroke. CHA2DS2-VASc scores include several risk factors for ischemic stroke that includes history congestive heart failure, hypertension, ages >75 years of age, diabetes mellitus, prior stroke, TIA, thromboembolism, vascular disease, ages 65-74 years old, and sex category (Gažová, et al. 2019). The CHA2DS2-VASc score is also a useful aid in recognizing patients with high risk of mortality that would benefit from anticoagulation therapy. Atrial fibrillation increases the risk of stroke and cognitive impairment as this is a type of irregular heartbeat that can cause blood clots to form in your heart and can eventually travel to the brain that will cause embolic or ischemic strokes. According to the article, they found out that with an increased score estimated by CHA2DS2-VASc in patients without any history atrial fibrillation/flutter is substantially correlated with the atrophy of various brain structures. They also found out through this study that out of all the elements of CHA2DS2-VASc scoring, having diabetes mellitus was the top contributing factor that is associated with lower segmental brain volume that plays an important role in memory, cognition, thought, behavior, and perception (Wykretowicz, Mateusz, et al., 2022). After this study, the authors have concluded that a collection of risk factors and the higher the score of a patient with the CHA2DS2-VASc, there is a correlation with the brain tissue volume and the development of cardiac arrhythmias that can put the patient at a high risk of experiencing strokes The Role of Nurse Practitioners In The Management Of Hospitalized Patients Discussion Response.
Upon researching some peer-reviewed articles that is in relation to my field, there was a little to none struggles that I have encountered. It was through PubMed that I was able to find an article that interests me, and the data were current and new. Though it was newly published, it was substantial and informative. I have been using PubMed for the most parts if I must search articles that pertain to the topics that I am currently learning. I would highly recommend Pubmed’s search engines and literatures for new and innovative studies that can help us understand and gain more knowledge on the topics we aim to know more.
References
Gažová, A., Leddy, J. J., Rexová, M., Hlivák, P., Hatala, R., & Kyselovič, J. (2019). Predictive value of CHA2DS2-VASc scores regarding the risk of stroke and all-cause mortality in patients with atrial fibrillation (CONSORT compliant). Medicine, 98(31), e16560. https://doi.org/10.1097/MD.0000000000016560
Wykretowicz, M., Gąsiorowski, Ł., Kłusek-Zielińska, A., & Katulska, K. (2022). Brain structure and stroke risk score in subjects without a history of atrial fibrillation. Scandinavian cardiovascular journal : SCJ, 56(1), 100–102. https://doi.org/10.1080/14017431.2022.2074094 The Role of Nurse Practitioners In The Management Of Hospitalized Patients Discussion Response