Nursing Research and Practice June 18, 2012 Jacquelyn Zirbes University of Phoenix Material Literature Search Worksheet * Select a literature search topic relevant to your practice. The topic must be sufficiently delineated in scope without being trivial. You will revisit this article in the Week Five presentation. Possible topics include but are not limited to: * * Non-pharmacological pain relief with childbirth * Effects of shift work and fatigue on medication errors Best practices for pin site care * Nurse satisfaction in magnet hospitals * Accurate temperature assessment methods in neonates * Pain assessment in the cognitively impaired * Childhood type II diabetes and obesity * Complementary and alternative therapies for control of menopausal symptoms * Best practices in nurse-led smoking cessation classes * Thermoregulation in the operating room * Best practices for pain assessment and management in specified area of practice * * Complete the table below: * * Which topic did you choose? * Best practices for pain assessment and management in specified area of practice * | * Which three databases will you use? * * 1. EBSCO * 2. ProQuest * 3. PUBMED * | * Search each database, using key words, for relevant research on this subject. What key words did you use in the Search Strategy fields? Include all attempts and limitations used to refine your search. * 1. I used the key words: Pain assessment and management; Pain management orthopedic surgery; NSAIDs use in orthopedic surgery; 2.
I limited my search to peer reviewed journals only. 3. I also refined my search by using full text journals that were published between 2001-2012. * | * * Report the number of citations identified from each database in the number of articles found field. * * 1. EBSCOhost: 9 * 2. ProQuest: 9064 * 3. PUBMED: 2154 * | * Select one article from a peer-reviewed nursing journal published within the last three years—or a germinal article which may contain an earlier publication date—and provide the citation in APA format. * Leach, D. , & Bonfe, M. (2009). The effectiveness of Femoral/Sciatic nerve blocks on postoperative pain management in total knee arthroplasty. Orthopaedic Nursing, 28(5), 257-62. http://search. proquest. com/docview/195964994? accountid=35812 * | * Answer the following questions using your selected research article: * 1. Is this qualitative or quantitative? What is the study design? What criteria did you use to determine the study design? * * My article is a quantitative research.
Search Strategy Worksheet
The researchers used an experimental research design which includes a total of 130 patients who had total knee replacements. The controlled group of 65 patients received general or spinal anesthesia with conventional narcotic management postoperatively, while the intervention group of 65 patients received general or spinal anesthesia with femoral/sciatic nerve block post-operatively. * The criteria I used to determine the study design is looking at what kind of study the research is. In descriptive and correlational studies, there are no treatments involved (Burns & Grove, 2011).
Since this study has treatments involve and the researchers have control over the treatments, it is experimental. Experimental study also uses a smaller sample size like the sample size in the article. It also involves 3 characteristics namely: (1) controlled manipulation of at least one treatment variable (independent variable); (2) exposure of some of the subjects to the treatment (experimental group), and no exposure of the remaining subjects (control group); and (3) random assignment of subjects to either the control or experimental group (Hopkins, 2008). 2. How did you confirm that the journal you selected was peer-reviewed or germinal? * * According to Burns & Groves, there are clues to know if an article is peer-reviewed. Some of the clues are finding out where the article originated, the number of references they used in the study and if the journal goes through a review process through their editorial board (2011, p. 191). I confirmed that the journal I selected was peer-reviewed based on the where my article originated.
I found this article using ProQuest which gave me an option in searching only peer-reviewed articles. Aside from this, the article has 15 references which are from journals, nationally accredited organizations and textbooks. The article is from Orthopaedic Nursing Journal which is an international journal providing continuing education for orthopaedic nurses and focuses on a wide variety of clinical settings. It also provides departmental sections on current events, organizational activities, research, product and drug information, and literature findings.
Articles reflect a commitment to professional development and the nursing profession as well as clinical, administrative, academic, and research areas of the orthopaedic specialty (NAON, 2011). The Orthopaedic Nursing Journal also has an editorial committee that reviews their articles before publishing them. 3. Does this research article generate support for evidence-based practice? If not, state why it does not. * * Using the critical appraisal guide, I believe that my research article generates support for evidence-based practice.
The purpose of their study was clearly stated: To evaluate the effectiveness of femoral/sciatic nerve blocks on post-operative knee replacements. The inclusions and exclusions criteria were also reported. Patients were excluded if they had a history of chronic pain, fibromyalgia, rheumatoid arthritis or drug/alcohol dependence. In addition, patient who had received antiemetic prior to surgery, those with documented evidence of pre-operative cognitive impairment, or those who required admission to a critical care unit during their postoperative course were also excluded (Leach & Bonfe, 2009).
The conclusion of the study was supported by the data from their research. The femoral/sciatic group members experienced less pain and increased functional range of motion. Their findings also support the research done by Cook et al. (2003) – that the use of femoral/sciatic blockade produces less pain and use of adjunct narcotics. Our facility uses evidence-based practice in our treatment plans. Finding this article validates why our orthopedic surgeons uses femoral/sciatic blocks on our total knee replacement post-operatively.
It is interesting to find out literature that supports our practice.