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QUESTION
 
Respond to the two following post make it strait forward and easy.
 
The clinical issue I have chosen to focus on is incorporating bedside shift reports to ensure patient safety. My PICOT question is, Among the neuro patient population, would bedside shift report versus a handoff report at the nurse’s station improve patient safety? Bedside shift report has been proven to enhance communication which enhances the safety of patient care (Bains et al., 2018). For bedside shift reports to have an impact, they must remain effective and consistent. To develop adequate research, it is best practice to use relevant search engines and ensure that the articles selected reflect peer-reviewed research versus that of systemic reviews.
Using the CINHAL Plus with complete text database search engine, I used the boolen operator to search for “bedside shift report.” The boolen operator is the advanced key search that gives you the starting point for your research (Library of Congress, n.d.). Bedside Shift Report populated 340 results. When adding the following search term, I used “patient safety,” which resulted in 119 results.
The following database that I searched was that of Pubmed. This site indicates that it uses the Medline database. Within the boolen operator, I searched for “bedside shift report.” I was provided with 111. I placed the words bedside shift report in parenthesis and then patient safety. This narrowed my search down to 32 articles.
The goal is to narrow down the articles to those that are peer-reviewed and to have relevant articles. Both CINHAL and Pubmed have a filter where you can select the year you are searching for articles within. You weed out articles not within your desired time frame by selecting this. You are also able to narrow it down to peer-reviewed articles. This allows for your selection to focus on the review process that best suits you. Finding relevant evidence involves deliberate and thorough research. A clinician must ensure that the research performed will deliver the safe and efficient care asked within the PICOT question (Melynk & Fineout-Overholt, 2018).
 
The clinical issue I chose to discuss is the Dietary Approaches to Stop Hypertension (DASH) diet. Dietary choices have an impact on blood pressure. Those choices can lower or raise blood pressure. With the amount of information that clinicians have at their disposal today, finding the correct information at the right time is much like weeding through the haystack to find the proverbial needle (Melnyk & Fineout-Overholt, 2019). I will discuss the process of weeding through searchable databases regarding the chosen clinical issue of the DASH diet and high blood pressure.
CINAHL Plus with Full Text was the first database searched. The terms “high blood pressure” and “diet” returned 5,528 articles. I utilized limiters for peer-reviewed scholarly journals, academic journals, and the publication date range of 2017-2022, which yielded 4,867 articles. An unstructured collection of keywords can retrieve literature, which wastes time and effort eliminating inappropriate information (Davies, 2011). With the number of articles from the background search, I refined the search with a foreground question. Foreground questions are those that can be answered from scientific evidence about diagnosing, treating, or assisting patients in understanding their prognosis or their health experience (Melnyk & Fineout-Overholt, 2019). I revised the search terms to “high blood pressure” and “DASH diet,” with a five-year date range, peer reviewed scholarly journals and academic journals with a result of 417 articles. I added the geography limiter of the USA and age range (patient age) of 45-64 years with 83 results. By refining the Boolean terms, I connected keywords to create a logical phrase that the database can understand (Walden University Library, n.d.). After reviewing the resources, I developed a PICO question: In Americans aged 45-64, does the Dietary Approaches to Stop Hypertension diet and antihypertensive medication compared to antihypertensive medication/regular diet improve blood pressure control?
 
 

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