Assignment Task:

Task: 
Using clinical case scenarios, you will develop a question to address the area of clinical uncertainty. You will use the PICO framework to build a structured and searchable question and build a systematic literature search.

Important information before you begin:
• You need to develop your PICO questions before you begin your search in the database.
• Review the learning activities from Week 1, Week 2, and Week 3 to help you develop your PICO question and develop search strategies.
• Use additional library drop-in sessions to get further help with this assessment.

How to do this assessment:

1. Choose one of the provided clinical case scenarios below.
2. Using the information from the case scenario, answer the questions in Assessment one template to plan for your systematic database search.
3. Enter your search terms into Embase (Elsevier Platform) and complete a search. 
4. Take a screenshot of the final search and paste it into the end of this document (see the example screenshot on the last page).

Choose one of the following case scenarios to guide your work in Assessment one

Depression scenario 

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 an antidepressant medication. 
You are aware that cognitive behavioural therapy (CBT) is offered as an alternative or adjunct to medication in other mental health services. Your team is open to change and it is decided to search for evidence of optimal care for these clients.

Breast Cancer

As a new registered nurse, you are working in a community health centre. One of your clients asks you about the effectiveness of screening for breast cancer. She states that she has received mixed recommendations about the regular mammography for early detection of breast cancer and its usefulness on reducing death rate from this disease. You are interested to search for the available evidence on this topic.  

ASSESSMENT ONE: SUBMISSION TEMPLATE

Please complete your assessment activities in the following pages and submit this into Turnitin:
• PICO Worksheet 
• A print screen of your search (must be readable in Turnitin). 

PICO Worksheet – Development of PICO and terms to be used in search 

1. Use the following categories to help define your problem and what you are looking at in simple terms

PICO: Patient/Problem/Population, Intervention, Comparison, and Outcome. (Remember to use your readings to help you if you are unsure)

2. Write down your PICO question :

3. What type of clinical question do you think this PICO question is? 

4. What kind of study/studies do you think would best answer your question? You can also refine your search based on study types if you have a lot of papers.
    
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.

5. The table below will help you to think of search terms that you need to look up when searching for evidence– this is part of basic planning for a database search. 

We ask you to look up alternative terms because sometimes articles from health systems call things different names – for example, in Australia we sometimes use 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 pictures! You can find alternative terms by googling synonyms or by looking in your textbooks.

part of basic planning for a database Search

6. Now you need to design your systematic search plan below in the table. Demonstrate how to use your operators below adding extra spaces to include all your key terms.

7. Is there a particular group of people that you want to look at? List here any inclusion criteria (limiters) you might use to refine your search if you have too many papers.

8. Run your search in Embase(Elsevier) and paste in a picture (screenshot/screengrab) of the search that you did in Embase (Elsevier Platform). The picture has to be readable.


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  • Posted on : March 17th, 2019

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