Master of Science in Nursing: Research Strategy Report

This report details a research strategy for evidence-based practice, focusing on effective database searching and evidence evaluation. It begins by outlining the process of identifying appropriate keywords and terms for database searches, emphasizing the importance of accurate concept representation and relevant medical terminology. The report then guides the selection of suitable databases, specifically recommending systematic review databases for their integrity in storing and analyzing complex medical terms, and the use of databases related to nursing practices such as the ones associated with urinary tract infections and Foley catheters. The core of the report centers on developing search strategies, including the use of Boolean operators, vocabulary control, and alternative spellings to refine search queries. It highlights the importance of including and excluding terms, using appropriate limits, and revising the research strategy for accuracy. The report also covers the evaluation of evidence, detailing systematic reviews, meta-analysis, and meta-synthesis, and their respective strengths in assessing the quality and validity of research findings. Finally, the report concludes by emphasizing the importance of documenting search strategies and results for future reference, including methods for record-keeping like multiple copies, emailing, and use of software programs.

STRATEGY FOR RESEARCH METHOD

Table of Contents
1. Determine the best keywords and other terms to use for searching databases.........................................2
2. Identify the best database to search.........................................................................................................2
3. Decide the best strategies for searching, including exclusions, inclusions, and operating delimiters......3
4. Evaluate the level, validity, and quality of the evidence..........................................................................6
5. Record the search strategy and results.....................................................................................................7
References...................................................................................................................................................8
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1. Determine the best keywords and other terms to use for searching databases
The initial find true evidence is to look for the keywords that are suitable to develop questions
that are required. It helps to find out the answers quickly. Moreover, it helps to identify
problems faced by the caregivers during their Medicare practices. For example, if the question is
regarding the attachment of the risk factors for the adults or the care settings, the keywords could
be Medicare, injury, care facilities and emergency injury management. The focus must be on the
accurate concept when the medical terms are used. It must be well recognized and need to depict
an overall process (Buccheri & Sharifi, 2017). For example- the word Intervention is used to
demonstrate the entire activities that are conducted for the healthcare development of a patient.
In addition, another keyword that may include is Adult Health Care. It generally depicts the
overall health developmental process of an adult in a healthcare home. Some related keywords
related to adult health care are medication for the adults and adult health developmental
equipment. Child healthcare can be another keyword and interventional keyow2rd for childe
healthcare can be baby care, baby health care, and baby health. For the urinary tract infections
associated with Foley catheter, the keywords like urinary tract, infections, Foley catheter will be
used. The effectiveness of using medical keywords are:
 The keywords describe the all the important information using only one or two words
 It helps the process to answer the EBP questions
 The collected information has the authenticity and reliability
 Demonstrates the whole health developmental strategy
 Evaluates the results that are gathered from different sources.
2. Identify the best database to search
Out of these three types of database systematic review database is suitable for the Medicare
services. It has integrity that quickly stores and analyzes any difficult medical term.
Psychotherapy Evidence Base database is the most updated database to store the medical
information for the patients. It generally contains over 33000 records regarding the trials, patient
review, treatment review and clinical informative guideline (Konno & Makimoto, 2014). The
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database related to the nursing practice, especially associated with urinary tract infections
associated with Foley catheter will be helpful to search proper research article.
3. Decide the best strategies for searching, including exclusions, inclusions, and operating
delimiters
Strategic question for article search:
What is the appropriate use of Foley catheter for urinary tract infections and what are the
benefits and drawbacks of the use of Foley catheter for urinary tract infections?
The strategies must be aligned with the selected database system. The strategy must be
developed through the process as follows:
 Converting the healthcare questions into concepts
 Select the keywords from the database
 Rephrase the described concept
 Identify the appropriate term and Control the vocabulary
By following these steps a well-developed strategy can be made. Boolean operators must be used
to include or exclude the concept. It is necessary to be careful about the inappropriate spelling of
words. The keywords must be combined accordingly so that it can be a meaningful concept. It is
the most necessary task to develop an appropriate strategy (Unimelb, 2018).
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The steps to develop appropriate strategy are:
 Vocabulary control: Vocabulary must be controlled with specific terms that can develop a
meaningful sentence. It is important because it ensures to provide a meaningful outcome
whenever search tools are used. Moreover, appropriate vocabulary provides relevant
meaning and the concept becomes easily understandable (Twycross, 2011).
 Using Boolean Operation; Use of Boolean operations like AND, OR and NOT makes the
phrase easy understandable. Moreover, it is helpful to search more than one concept at a
time by using Boolean Operation.
 Using alternative spelling: Alternative spelling method helps to demonstrate the key
concepts that are required. There are variations in accent in the UK English and USA
English. Thus, alternative spelling must be remembered to get the desired result.
 Using limits: Most of the database has an unlimited page. Thus, it becomes impossible to
understand the desired concept that is required. PubMed and CINAHL make the use of a
database process easy by segregating the information according to age, gender,
publication date and language (Cutcliffe & Ward, 2014).
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 Researches revise the revision of the last stage of the appropriate research strategy. The
information must be revised accordingly. It includes grammatical errors, spelling errors,
inappropriate spelling, and vocabulary.
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Hence, their following steps are to be followed to develop an effective research strategy for the
medical students (Poe & White, 2010).
4. Evaluate the level, validity, and quality of the evidence
The level, validity, and quality of the evidence can be gathered from various review systems.
Systematic review system, a meta-analysis review system, and meta-synthesis are the most
suitable types of review systems by which the level, validity, and quality of the record can be
identified (Newman, 2006).
Systematic review: Systematic review database generally analyzes and evaluates the research
questions and list the source information. The documents that the systematic review provides are
comprehensive, rigorous and transparent. The healthcare evidence-based practitioners rely much
on the systematic review. It provides them technically advanced research results and
methodological accurate. Moreover, the Systematic review is interchangeable. Thus,
information can be manipulated (Saberi, 2016).
The features of systematic review system are :
 It employs comprehensive quality records that evaluate the reproductive strategies
 It can be used in both experimental and nonexperimental studies for information
enquire
Meta-analysis review: The Meta-analysis review system is integrated with the effective
Medicare decision making power. It combines all the study results and increases the power of
probability to analyze and discuss the information (Huls et al., 2018).
The key features of the meta-analysis review are :
 It qualifies the validity of the evidence in a statistical procedure
 It is an experimental review process where the validity of the information mostly
stays loyal to the information
 It estimates the all over quality and validity of the evidence
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Meta-Synthesis review: Meta-synthesis review is a qualitative research base database that
records information collecting from rich and narrative resources. It interprets data instead of
aggregating this. Moreover, it stores the information with scientific techniques (Mabbott, 2013).
The key features of meta-synthesis review are :
 It has a limitation to qualify the validity and authenticity of the resources
 It generally qualifies the key information not the overall information (Flemming,
2007).
5. Record the search strategy and results
After analyzing the records and strategy it is necessary to keep a record of the strategy and
results.
The ways to keep the record are
 Keeping multiple duplicates of the record copies
 It can be emailed to the self-email id
 It can be saved as the word document with authentic password
 It can also be saved in software programmers like EndNote, RefWorks, and Zotero
(Philbrick, 2013).
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References
Buccheri, R., & Sharifi, C. (2017). Critical Appraisal Tools and Reporting Guidelines for
Evidence-Based Practice. Worldviews On Evidence-Based Nursing, 14(6), 463-472.
Cutcliffe, J., & Ward, M. (2014). Critiquing nursing research. Luton: Andrews UK.
Flemming, K. (2007). The synthesis of qualitative research and evidence-based
nursing. Evidence-Based Nursing, 10(3), pp.68-71.
Huls, H., Abdulahad, S., Mackus, M., van de Loo, A., Roehrs, T., Roth, T., & Verster, J. (2018).
Inclusion and Exclusion Criteria of Clinical Trials for Insomnia. Journal Of Clinical
Medicine, 7(8), 206.
Konno, R., & Makimoto, K. (2014). A systematic review of the best pain assessment strategies
for people with dementia. International Journal Of Evidence-Based Healthcare, 12(3),
169.
Mabbott, I. (2013). The Practice of Nursing Research: Appraisal, Synthesis, and Generation of
Evidence – Seventh editionThe Practice of Nursing Research: Appraisal, Synthesis, and
Generation of Evidence – Seventh edition. Nursing Standard, 27(31), 30-30.
Newman, M. (2006). Helping practitioners understand the contribution of qualitative research to
evidence-based practice. Evidence-Based Nursing, 9(1), pp.4-7.
Philbrick, V. (2013). Johns Hopkins Nursing Evidence-Based Practice: Model and Guidelines,
2nd Edition. AORN Journal, 97(1), 157-158.
Poe, S. & White, K. (2010). John Hopkins nursing evidence-based practice. Indianapolis, IN:
Sigma Theta Tau International.
Saberi, M. (2016). Choosing the Best Glasses for Clinical Practice: Evidence- Based Medicine
Versus Other Alternative Approaches. Annals Of Anesthesiology And Critical Care, 1(1).
Twycross, A. (2011). Using research findings in nursing practice. Evidence-Based Nursing,
14(3), pp.63-63.
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Unimelb. (2018). LibGuides: Systematic Reviews: Tab 5: Inclusion and exclusion criteria.
Retrieved from http://unimelb.libguides.com/c.php?g=492361&p=3368110
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