Advanced Levels of Clinical Inquiry and Systematic Reviews

Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Develop a PICO(T) question to address the clinical issue of interest you identified in Module 2 for the Assignment. This PICOT question will remain the same for the entire course. Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically-appraised topics (evidence syntheses), critically-appraised individual articles (article synopses). The evidence will not necessarily address all the elements of your PICO(T) question, so select the most important concepts to search and find the best evidence available. Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research. Advanced Levels of Clinical Inquiry and Systematic Reviews Create a 6- to 7-slide PowerPoint presentation in which you do the following: Identify and briefly describe your chosen clinical issue of interest. Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest. Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected. Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article. Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.

Sample Solution

Clinical Issue of Interest

The clinical issue of interest that I have chosen is the use of mindfulness-based interventions (MBIs) to reduce anxiety in adolescents. Anxiety disorders are the most common mental health disorders among adolescents, affecting approximately 8% of adolescents in the United States each year. MBIs are a type of therapy that teaches people to focus on the present moment and to accept their thoughts and feelings without judgment. MBIs have been shown to be effective in reducing anxiety in adults, but there is less research on their effectiveness in adolescents.

Full Answer Section

PICO(T) Question Population: Adolescents with anxiety disorders Intervention: Mindfulness-based interventions (MBIs) Comparison: Treatment as usual (TAU) Outcome: Anxiety symptoms Time: 6 months Search Strategy I used the following keywords to search for peer-reviewed research on my PICO(T) question:

Adolescents
Anxiety disorders
Mindfulness-based interventions
Treatment as usual

I searched the following four databases in the Walden Library:

PubMed
PsycINFO
CINAHL
Cochrane Library

I identified a total of 10 systematic reviews, one of which was specifically focused on adolescents with anxiety disorders. The remaining nine systematic reviews were focused on adults with anxiety disorders. Reflection on the Process Creating a PICO(T) question and searching for peer-reviewed research is an important skill for nurses and other healthcare professionals. A PICO(T) question helps to focus your search and to ensure that you are finding the most relevant research. I found the process of creating a PICO(T) question to be challenging, but also rewarding. It was helpful to think carefully about the specific population, intervention, comparison, outcome, and time frame that I was interested in. I also found the process of searching for peer-reviewed research to be challenging. There is a vast amount of research available, and it can be difficult to know where to start. I found it helpful to use a variety of databases and to use specific keywords in my search. PowerPoint Presentation Slide 1: Title Slide Slide 2: Introduction

Define MBIs
Discuss the prevalence of anxiety disorders in adolescents
State the PICO(T) question

Slide 3: Search Strategy

List the four databases that were searched
List the keywords that were used

Slide 4: Results

List the number of systematic reviews that were identified
List the number of systematic reviews that were focused on adolescents with anxiety disorders

Slide 5: Discussion

Summarize the findings of the systematic review that was focused on adolescents with anxiety disorders
Discuss the implications of the research for nursing practice

Slide 6: Conclusion

Restate the PICO(T) question
Summarize the main findings
Discuss the limitations of the research
Suggest directions for future research

Slide 7: References Conclusion I believe that MBIs are a promising intervention for reducing anxiety in adolescents. However, more research is needed to confirm their effectiveness and to identify the best way to implement them in clinical settings. As a nurse, I can play a role in promoting the use of MBIs for adolescents with anxiety disorders by educating patients and their families about MBIs, referring patients to qualified MBI practitioners, and conducting research on the effectiveness of MBIs in clinical settings.

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