Impact of nurse-led interventions on managing hypertension in adults

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ANSWER

Interestual Clinical Issue:

For my PICOT question, “the impact of nurse-led interventions on managing hypertension in adults,” the clinical issue is “the impact of nurses.” One common disorder that needs constant control to avoid major health issues including heart disease and stroke is hypertension. Given nurses’ frequent involvement in patient education, blood pressure monitoring, and lifestyle modification advocacy, it is important to look at how nurse-led interventions could affect treatment of hypertension.

Search Terms:

Using the Walden Library databases, I began my hunt with an eye towards papers on nurse-led interventions and hypertension control. Originally looking under the broad term “nurse-led interventions for hypertension,” I came back from the databases I used (CINAHL and PubMed) about 50 hits.

The number of results changed as I improved my search by adding more keywords and applying Boolean operators such “AND” and “OR”:

First I included the phrase “adults,” therefore restricting my search to “nurse-led interventions AND hypertension AND adults.” This reduced the outcomes to about thirty papers, more oriented on the demographic of interest.
I then improved the search even more by adding the phrase “blood pressure control,” therefore posing the query “nurse-led interventions AND hypertension AND blood pressure control AND adults.” Twenty-two peer-reviewed original research papers came of this.
To fit the requirements of the project, I filtered my findings to contain just original research papers and omitted systematic reviews.
Improvements in Search Strategies:

I want to: increase the accuracy and potency of my database searches by:

Use further filters: To guarantee the material is recent and pertinent, I can sort the publications by publication date—that is, restrict results to the previous five years.
Apply subject headings: I will utilise particular Medical Subject Headings (MeSH) terms in PubMed to guarantee my search concentrates on the most relevant topics and doesn’s ignores significant terminology variances.
Expand or narrow keywords: I can change my search terms depending on the too broad or too limited results. Depending on the emphasis I wish to stress in the search, I can include terms like “nurse education,” “lifestyle changes,” or “community health.”
Combine many kinds of Boolean operators: If necessary, I can combine “AND” with “NOT” to exclude irrelevant results, including research concentrating on children or particular pharmacological interventions.
Creating a PICO (T) query:

Examining the papers helped me create the following PICO(T) question:

P: In persons experiencing hypertension
I: In what ways does nurse-led intervention differ from usual treatment?
O: impact blood pressure regulation
T: for six months?
This intervention-oriented enquiry seeks to investigate, over a designated period, whether nurse-led interventions enhance blood pressure management in people, relative to normal care practices.

By limited my search to concentrate especially on adult populations and treatments meant to lower hypertension, I will be able to compile pertinent, high-quality data that might guide practice. I shall keep improving my search phrases and techniques to guarantee I gather the most relevant research to address my PICO(T) enquiry.

 

 

 

 

 

QUESTION

To Prepare:

  • Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
  • Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.
  • Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least two different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
  • Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. It is suggested that an Intervention-type PICOT question be developed as these seem to work best for this course.

*Library tip:

Walden Library recommends starting your search broadly with one concept or search word and adding more elements one at a time. Depending on your topic, the evidence will not necessarily address all the aspects of your PICO(T) question in one article. Select the most important concepts to search and find the best evidence available, even if that means assembling evidence from multiple articles.

Quick Answers:

Assignment

Post a brief description of your clinical issue of interest. This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question. Describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples.

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