Evidence-Based Practice Research on Women With Breast Cancer Assignment

Evidence-Based Practice Research on Women With Breast Cancer Assignment

Discussion Post

After a patient has been diagnosed with breast cancer, various factors change that need to be intervened. For instance, women who have undergone a mastectomy may develop low self-esteem since they will have only one breast leading to mental health issues like depression and anxiety (Sukartini & Sari, 2021). Therefore my PICO question is, “For patients with breast cancer, is mastectomy the most efficient intervention compared to radiation therapy to control the spread of cancerous breast cells?” In that case, the Population stands for breast cancer patients, Intervention is mastectomy, Comparison is radiation therapy, and Outcome is the spread of cancerous cells control. Evidence-Based Practice Research on Women With Breast Cancer Assignment

The search database that I engaged in were PubMed Center and Google Scholar. The keyword I engaged in the research was breast cancer management to search for articles within the last five years, that is, 2018 to 2022, which were 144630 results and 188,000 results, respectively. However, after involving the “mastectomy surgical and breast cancer” keyword as my Boolean operators, the results narrowed to 15811 and 17,200, respectively. The reason for using different search term strategies was to ensure that I acquired more specific articles for my research.

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As I continue researching my topic, I aim to enhance my research effectiveness and rigour. Therefore, I will refine my search limiters to ensure I get up-to-date information to help me address my PICO question (Walden University Library, n.d.-e). I will also need to increase my key terms to help me get more specific articles on my research question. That will help me manage to sample the most appropriate articles that will be essential for my research (Walden University Library, n.d.-f). In conclusion, how one engages their search strategies determines the kind of articles one gets.

References

Sukartini, T., & Sari, Y. I. P. (2021). Women with breast cancer living with one breast after a mastectomy. Central European Journal of Nursing and Midwifery, 12(2), 366-375. http://dx.doi.org/10.15452/cejnm.2021.12.0012

Walden University Library. (n.d.-e). Evidence-based practice research: MEDLINE search help. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/medlinesearchhelp

Walden University Library. (n.d.-f). Keyword searching: Finding articles on your topic: Boolean terms. http://academicguides.waldenu.edu/library/keyword/boolean

Assignment: Evidence-Based Project, Part 2: Advanced Levels of Clinical Inquiry and Systematic Reviews Evidence-Based Practice Research on Women With Breast Cancer Assignment

Your quest to purchase a new car begins with an identification of the factors important to you. As you conduct a search of cars that rate high on those factors, you collect evidence and try to understand the extent of that evidence. A report that suggests a certain make and model of automobile has high mileage is encouraging. But who produced that report? How valid is it? How was the data collected, and what was the sample size?

In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected.

To Prepare:

• Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
• Develop a PICO(T) question to address the clinical issue of interest you identified in Module 2 for the Assignment. This PICOT question will remain the same for the entire course.
• Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically-appraised topics (evidence syntheses), critically-appraised individual articles (article synopses). The evidence will not necessarily address all the elements of your PICO(T) question, so select the most important concepts to search and find the best evidence available.
• Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.

The Assignment (Evidence-Based Project) Evidence-Based Practice Research on Women With Breast Cancer Assignment

Part 2: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

• Identify and briefly describe your chosen clinical issue of interest.
• Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.
• Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
• Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.
• Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.

By Day 7 of Week 5

Submit Part 2 of your Evidence-Based Project. Evidence-Based Practice Research on Women With Breast Cancer Assignment

 

Resources

Required Readings

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

• Chapter 2, “Asking Compelling Clinical Questions” (pp. 33–54)
• Chapter 3, “Finding Relevant Evidence to Answer Clinical Questions” (pp. 55–92)

Davies, K. S. (2011). Formulating the evidence based practice question: A review of the frameworks for LIS professionals. Evidence Based Library and Information Practice, 6(2), 75–80.

 

Library of Congress. (n.d.). Search/browse help – Boolean operators and nesting. Retrieved September 19, 2018, from https://catalog.loc.gov/vwebv/ui/en_US/htdocs/help/searchBoolean.html

 

Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010). Evidence-based practice, step by step: Asking the clinical question: A key step in evidence-based practice. American Journal of Nursing, 110(3), 58–61.

 

Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2009). Evidence-based practice: Step by step: Igniting a spirit of inquiry. American Journal of Nursing, 109(11), 49–52. doi:10.1097/01.NAJ.0000363354.53883.58

 

Stillwell, S.B., Fineout-Overhold, E., Melnyk, B.M., & Williamson, K.M. (2010). Evidence-based practice step-by-step: Searching for evidence. American Journal of Nursing, 110(5), 41-47.

Evidence-Based Practice Research on Women With Breast Cancer Assignment

Walden University Library. (n.d.-a). Databases A-Z: Nursing. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981

Walden University Library. (n.d.-c). Evidence-based practice research: CINAHL search help. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/cinahlsearchhelp

Walden University Library. (n.d.-d). Evidence-based practice research: Joanna Briggs Institute search help. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/jbisearchhelp

Walden University Library. (n.d.-e). Evidence-based practice research: MEDLINE search help. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/medlinesearchhelp

Walden University Library. (n.d.-f). Keyword searching: Finding articles on your topic: Boolean terms. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/boolean

Walden University Library. (n.d.-g). Keyword searching: Finding articles on your topic: Introduction to keyword searching. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/searching-basics

Walden University Library. (n.d.-h). Quick Answers: How do I find a systematic review article related to health, medicine, or nursing? Retrieved September 6, 2019, from https://academicanswers.waldenu.edu/faq/72670

Walden University Library. (n.d.-i). Systematic review. Retrieved January 22, 2020, from https://academicguides.waldenu.edu/library/healthevidence/types#s-lg-box-1520654

 

Rubric

Part 2: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

· Identify and briefly describe your chosen clinical issue of interest.

· Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest. Evidence-Based Practice Research on Women With Breast Cancer Assignment

· Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.

· Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.—

Excellent 72 (72%) – 80 (80%)

The presentation clearly and accurately identifies and describes in detail the chosen clinical issue of interest.

The presentation clearly and accurately describes in detail the developed PICO(T) question.

The presentation clearly and accurately identifies four or more research databases used to conduct a search for the peer-reviewed articles selected.

The presentation includes specific and relevant examples that fully support the research.

The presentation provides a complete, detailed, and accurate synthesis of two outside resources related to the peer-reviewed articles selected, and fully integrates at least two outside resources and two or three course-specific resources that fully support the presentation.

Good 64 (64%) – 71 (71%)

The presentation accurately identifies and describes the chosen clinical issue of interest. Evidence-Based Practice Research on Women With Breast Cancer Assignment

The presentation accurately describes the developed PICO(T) question focused on the chosen clinical issue of interest.

The presentation accurately identifies at least four research databases used to conduct a search for the peer-reviewed articles selected.

The presentation includes relevant examples that support the research presented.

Fair 56 (56%) – 63 (63%)

The presentation inaccurately or vaguely identifies and describes the chosen clinical issue of interest.

The presentation inaccurately or vaguely describes the developed PICO(T) question focused on the chosen clinical issue of interest.

The presentation inaccurately or vaguely identifies at least four research databases used to conduct a search for the peer-reviewed articles selected.

The presentation includes inaccurate or vague examples to support the research presented.

Poor 0 (0%) – 55 (55%)

The presentation inaccurately and vaguely identifies and describes the chosen clinical issue of interest or is missing.

The presentation inaccurately and vaguely describes the developed PICO(T) question or is missing.

The presentation inaccurately and vaguely identifies less than four research databases used to conduct a search for the peer-reviewed articles selected or is missing.

The presentation includes inaccurate and vague examples to support the research presented or is missing.

Resource Synthesis—

Excellent 5 (5%) – 5 (5%)

Using proper in-text citations, the presentation clearly and accurately provides at least four peer-reviewed systematic review type articles selected, describes the levels of evidence in each of the four articles selected, including a thorough and detailed explanation of the strengths of using systematic reviews for clinical research.

Good 4 (4%) – 4 (4%)

Using proper in-text citations, the presentation accurately provides at least four systematic review type peer-reviewed articles selected including adequate explanation of the levels of evidence, the strengths of using a systematic review for

Fair 3 (3%) – 3 (3%) Evidence-Based Practice Research on Women With Breast Cancer Assignment

Using proper in-text citations, the presentation provides a vague or inaccurate synthesis or outside resources related to the systematic review type peer-reviewed articles selected. The response minimally explains the levels of evidence and the strengths of using a systematic review and/or minimally integrates resources that may support the presentation.

Poor 0 (0%) – 2 (2%)

The presentation provides a vague and inaccurate synthesis of no outside resources related to the articles selected and fails to integrate any resources to support the presentation or is missing.

Resource Formatting

Appropriate peer-reviewed articles are included and citations use APA format.—

Excellent 5 (5%) – 5 (5%)

Presentation includes 4 or more peer-reviewed articles selected using systematic reviews for clinical research.

Citations use correct APA format with no errors.

Good 4 (4%) – 4 (4%)

Presentation includes 3 peer-reviewed articles selected using systematic reviews for clinical research.

Citations use correct APA format with few (1-2) errors.

Fair 3 (3%) – 3 (3%)

Presentation includes 2 peer-reviewed articles selected using systematic reviews for clinical research.

Citations contain several (3-4) APA format errors.

Poor 0 (0%) – 2 (2%)

Presentation includes 1 or no resources.

Citations contain many >5 APA format errors. Evidence-Based Practice Research on Women With Breast Cancer Assignment

PowerPoint Presentation:

The presentation is professional; images are appropriately attributed; images are clear. The presentation text is readable. Presentation flows well and is presented in a logical order.—

Excellent 5 (5%) – 5 (5%)

The presentation is professional; images are appropriately attributed; images are clear. The presentation text is readable. Presentation flows well and is presented in a logical order.

Good 4 (4%) – 4 (4%)

Eighty percent of the presentation is professional; images are appropriately attributed; images are clear. The presentation text is readable. Presentation flows well and is presented in a logical order.

Fair 3 (3%) – 3 (3%)

Sixty to seventy nine percent of the presentation follows these guidelines: presentation is professional; images are appropriately attributed; images are clear. The presentation text is readable. Presentation flows well and is presented in a logical order.

Poor 0 (0%) – 2 (2%)

Less than sixty percent of the presentation follows these guidelines: presentation is professional; images are appropriately attributed; images are clear. The presentation text is readable. Presentation flows well and is presented in a logical order.

Written Expression and Formatting—English Writing Standards:

Correct grammar, mechanics, and proper punctuation.—

Excellent 5 (5%) – 5 (5%)

Uses correct grammar, spelling, and punctuation with no errors.

Good 4 (4%) – 4 (4%)

Contains a few (one or two) grammar, spelling, and punctuation errors.

Fair 3 (3%) – 3 (3%)

Contains several (three or four) grammar, spelling, and punctuation errors.

Poor 0 (0%) – 2 (2%)

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Contains many (five or more) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. Evidence-Based Practice Research on Women With Breast Cancer Assignment

Create a 6- to 7-slide PowerPoint presentation in which you do the following:
• Identify and briefly describe your chosen clinical issue of interest.
• Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.
• Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
• Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.
• Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples. Evidence-Based Practice Research on Women With Breast Cancer Assignment