‘Schizophrenia/psychosis and Interventions for Family Caregiver Support.’

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QUESTION
 
My clinical topic of interest is ‘Schizophrenia/psychosis and Interventions for Family Caregiver Support.’ I chose this topic since I am pursuing my PMHNP and wanted to focus on a question related to my field of study. I believe it is necessary to learn what kind of support is available to caregivers to help lessen the burden of care. Furthermore, I have witnessed the difficulties that family caregivers face when caring for someone suffering from schizophrenia or psychosis.
In order to design a search strategy, you must first formulate a review question. The PICO model is by far the most extensively utilized model for creating clinical questions, according to Eriksen and Frandsen (2018). My PICOT question is an intervention-type question. I was able to use the guide in Appendix A of our textbook; In _________ (P), how does _________ (I) compared to _________(C) affect _______(O) within _______ (T) (Melnyk & Fineout-Overholt, 2018) to formulate my question. First, I broke up the question and made it fit into the pneumonic PICOT:
P—family caregivers of schizophrenia/psychosis patients
I—educating or informing about schizophrenia/psychosis
C—not educating or informing.
O–reduced caregiver burden.
T— I decided not to include a time frame
‘In caring for individuals diagnosed with schizophrenia/psychosis, how does educating or informing caregivers of available resources compared to not educating or informing influence caregiver burden?’
Databases Utilized for Search:
I used the ‘CINAHL & MEDLINE Combined’ database search engine at the Walden library to find articles related to my topic.
Search Results, Articles Returned, and Changes from use of Boolean Operators
I started by typing in the complete PICOT question, which yielded 48,913 results. I found that when I limited my search to key terms, it returned 188 results. The more detailed the question, the fewer articles that will be retrieved.
Database Strategies to Increase Rigor and Effectiveness
The following Is what I typed into the search engine that yielded fewer results:
schizophrenia OR psychosis
AND
care* OR family*
AND
educate* OR inform*
resources OR support OR programs OR services
AND
burden OR stress OR fatigue OR burnout OR strain
In a search box, you can use OR to link together synonyms or related words, enabling the database to search more thoroughly. The AND operator does two things: it connects distinct notions and it narrows down your search. The * character at the end of a word allows you to search for different versions of the same term; for example, type educate* to search for education, educated, or care* to search for carer, caregiver, caring, and so on (Walden University Library, n.d.).
I had no clue this was the best approach to search for EBP and peer-reviewed publications on a database until I read about these methods for finding them. In addition, I discovered that creating a PICOT question is a desired method for asking questions to search for existing research and to find the most relevant and best evidence-based literature (Melnyk & Fineout-Overholt, 2018).
 

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