Advanced Levels of Clinical Inquiry and Systematic Reviews

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.  

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.