Question

Select a challenging nursing care issue (examples include falls, medication errors, pressure ulcers, and other clinical issues that can be improved by evidence in nursing). Do not select a medical issue (disease, medical treatment). Do not select a workforce issue (staffing, call-offs, nurse to patient ratios). Explain the following for the selected clinical issue.

State the issue.

Explain the process you would use to search CINAHL for evidence. Include your search terms.

Answer 1

Topic is pressure ulcer .

Pressure Ulcer - localised injury to the skin and or underlying tissue as a result of pressure or pressure in combination with shear and friction . Usually over a bony prominence .

#. Evidence Based Practice. It is a problem-solving approach to clinical practice that combines the conscientious use of best evidence in combination with a clinician's expertise, patient preferences and values, and available healthcare resources in making decisions about patient care.

#. EBP is important to a nurse:-

EBP is a guide for how nurses make accurate, timely, and appropriate clinical decisions.

#. Sources of evidence based research are :-

Textbooks. Scientific journals.

#. Sources of non-research based sources of evidence are :-

Performance improvement data, risk management data , infection control data, Clinician's expertise, etc.

Six steps for EBP :-

1-Ask a clinical questions

2-Collecte the most relevant and best evidence

3-Critically appraise the evidence you gather

4-Integrate all evidence with your clinical expertise, patient preferences, and values

5-Evaluate the practice decision or change

6-Communicate the results of the change

CINAHL :-

Among the best-known comprehensive databases that represent the scientific knowledge base of health care.

The CINAHL Search Screen

The search screen below is the starting point for all CINAHL database searches. The entire screen is divided into three sections. The top section (1) has the search boxes where search terms can be entered. The middle section (2) allows the searcher to select different options to apply to a search. The bottom section (3) displays all the limiters the searcher can apply to a search strategy.

Note: The search defaults to Suggest Subject Terms (immediately above the search box). If you want to search by keywords (natural language, as in a Google search) just uncheck that box. You will need to uncheck it every time you do a search.

#. Searching with CINAHL

To begin searching, type a subject term into the first search box on the screen. Click Search.

The next screen displays a list of CINAHL subject headings for the term you entered. This list allows you to select the most relevant term for your search. In most instances, the most relevant term will be at the top of the list.

The Explode and Major Concept columns give options for broadening and/or narrowing the search. The Explode box, when available, will include search terms that are more narrow for the term pain in the set of results it retrieves. Major Concept retrieves articles in which a significant portion of the article is devoted to that term. Once you have determined whether or not to check the Explode or Major Concept column, select the box in front of the term pain, and click Search Database at the right side of the screen.

The results from the your first search are displayed on the screen. To add a second subject to the search, click the clear button. Then type your other keyword in the box and click Search.

Combining Searches

Select any relevant terms and click "Search database." Once viewing your results, click Search History located below the trio of search boxes.

Both searches are displayed as lines S1(first search term) and S2 (second search term). To find the articles that discuss both subjects, first clear the search box near the top of the screen. Then combine S1 with S2 by checking the box in front of each set and clicking the Search with AND button. (S1 and S2) will appear in the search box, and the results of that search will appear in your Search History.

Scroll down the page to view your search results.