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Posted: December 31st, 2022

Develop a PICO(T) question to address the clinical issue

To Prepare:

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.
The Assignment (Evidence-Based Project)Part 2: 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.
Required reading
• Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
o Chapter 2, “Asking Compelling Clinical Questions” (pp. 33–54)
o Chapter 3, “Finding Relevant Evidence to Answer Clinical Questions” (pp. 55–92)
• Davies, K. S. (2011). Formulating the evidence based practice question: A review of the frameworks Links to an external site.for LIS professionals. Evidence Based Library and Information Practice, 6(2), 75–80.
• Library of Congress. (n.d.). Search/browse help – Boolean operators and nesting Links to an external site.. Retrieved September 19, 2018, from https://catalog.loc.gov/vwebv/ui/en_US/htdocs/help/searchBoolean.html
• Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010). Evidence-based practice, step by step: Asking the clinical question: A key step in evidence-based practice. Links to an external site.American Journal of Nursing, 110(3), 58–61.
• Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2009).Evidence-based practice: Step by step: Igniting a spirit of inquiry Links to an external site.. Links to an external site.American Journal of Nursing, 109(11), 49–52. doi:10.1097/01.NAJ.0000363354.53883.58
• Stillwell, S.B., Fineout-Overhold, E., Melnyk, B.M., & Williamson, K.M. (2010). Evidence-based practice step-by-step: Searching for evidence. Links to an external site.American Journal of Nursing, 110(5), 41-47.
• Walden University Library. (n.d.-a). Databases A-Z: Nursing Links to an external site.. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981
• Walden University Library. (n.d.-c).Evidence-based practice research: CINAHL search help Links to an external site.. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/cinahlsearchhelp
• Walden University Library. (n.d.-d). Evidence-based practice research: Joanna Briggs Institute search help Links to an external site.. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/jbisearchhelp
• Walden University Library. (n.d.-e). Evidence-based practice research: MEDLINE search help Links to an external site.. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/medlinesearchhelp
• Walden University Library. (n.d.-f). Keyword searching: Finding articles on your topic: Boolean terms Links to an external site.. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/boolean
• Walden University Library. (n.d.-g). Keyword searching: Finding articles on your topic: Introduction to keyword searching Links to an external site.. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/searching-basics
• Walden University Library. (n.d.-h). Quick Answers: How do I find a systematic review article related to health, medicine, or nursing? Links to an external site.Retrieved September 6, 2019, from https://academicanswers.waldenu.edu/faq/72670
• Walden University Library. (n.d.-i). Systematic review. Links to an external site.Retrieved January 22, 2020, from https://academicguides.waldenu.edu/library/healthevidence/types#s-lg-box-1520654
The purpose of this study was to examine the length of time it takes for veterans with posttraumatic stress disorder (PTSD) to receive mental health services after initiating receipt of those services. Data for the study was gathered from the Department of Veteran Affairs from 2001 to 2008 and included 3,877 VA patients who received mental health services during this period, with approximately 1,200 of them diagnosed with PTSD. The researchers used a retrospective cohort design, gathering data from existing studies rather than observing populations in real-world settings. They also used a problems-oriented patient survey to gather information about the number of mental health visits made by veterans with PTSD and whether these visits were for “treatment,” “adjustment,” or “primary care.” The results of the study showed that veterans with PTSD had an increased risk of receiving mental health services, and this increased risk was related to their history of lifetime abuse or neglect, rather than a higher likelihood of being seen by mental health providers. The study highlights the importance of addressing the needs of veterans with PTSD and the potential barriers they may face in accessing mental health services.

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