PICOT Question: For nurses working in the acute care settings, (P) do nurse education interventions addressing coping skills for work-related stress (I) compared to no intervention (C) improve job satisfaction(O) within 30 days (T)?
Measured by the number of academic publications, research output continues to grow exponentially, placing scientists in danger of becoming decoupled from the discourse with which they are engaged. The growing research volume makes it even harder for practitioners and researchers to keep track of past and current findings in a specific discipline and across disciplines (Gusenbauer & Haddaway, 2020). In this line, this week’s discussion aims to address ways to identify relevant resources from the large body of evidence. Failure to identify relevant publications results in research agendas neither building on nor advancing previous findings but existing in isolation from the greater body of evidence.
Description of the Clinical Issue
The clinical issue identified is work-related stress faced by healthcare workers, including nurses. Healthcare workers suffer from work‐related or occupational stress. Often, this is because healthcare workers face high expectations and may not have enough time, skills, and social support at work. It can lead to severe distress, burnout, or physical illness (Alenezi et al., 2018). Given the effect of healthcare workers’ stress on health outcomes, there is a need for interventions proven to have worked, which are practices based on evidence. According to Melnyk and Fineout-Overholt (2018), Evidence-Based Practice(EBP) in nursing and healthcare gives real-world examples and meaningful strategies which care providers can relate to, equipping them to meet today’s clinical challenges and ensure positive patient outcomes. Thus, understanding what other healthcare organizations are doing to solve work-related stress helps an institution to develop organization-specific strategies to resolve the issue.
Search Result Description
I used ProQuest Nursing & Allied Health Database and CINAHL and Medline combined search databases. ProQuest Nursing & Allied Health Database yielded 14073 results when I typed stress management. After applying full text and peer-reviewed filters, the results were 7481, and when I included only the last five years, the results were 3101. I then included a keyword search of “stress management for healthcare professionals,” and the total number of resources was 117. Last, I included the keyword “intervention,” and the results were 34. I included the Boolean term “AND” between keywords. Using Boolean terms helps one to create more precise and powerful searches with a higher percentage of relevant results (Walden University, n.d.). Regarding CINAHL and Medline combined search, after typing stress management, the results were 21991. After applying limiters such as peer-reviewed, full text, and references available, the results were 933. After applying years of publication to the last five years, the results yielded were 105. When I included “healthcare professionals,” the initial search failed to bring results but yielded 462 after using smartText searching.
To increase the effectiveness of the database search results and rigour, I will use various strategies. Evidence identification requires the right search strategy using the right search systems (Gusenbauer & Haddaway, 2020). Among them are adding more keywords from my PICOT question, such as job satisfaction, nurses, coping mechanisms, educational intervention, and Boolean operators. The strategy will help narrow down the results to the most relevant resources to my PICOT question (Russell-Rose et al., 2018). Also, I will increase limiters, such as reducing the custom range for the year of publication to the most recent resources. The more recent a resource is, the higher the chances that the information presented is relevant and up to date to the current clinical issue.
Alenezi, A. M., Aboshaiqah, A., & Baker, O. (2018). Work‐related stress among nursing staff working in government hospitals and primary health care centres. International Journal of Nursing Practice, 24(5), e12676.
Gusenbauer, M., & Haddaway, N. R. (2020). Which academic search systems are suitable for systematic reviews or meta‐analyses? Evaluating retrieval qualities of Google Scholar, PubMed, and 26 other resources. Research Synthesis Methods, 11(2), 181-217.
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
Russell-Rose, T., Chamberlain, J., & Azzopardi, L. (2018). Information retrieval in the workplace: A comparison of professional search practices. Information Processing & Management, 54(6), 1042-1057.
Walden University Library. (n.d.). Keyword searching: Finding articles on your topic: Boolean terms. Retrieved June 21, 2022, from http://academicguides.waldenu.edu/library/keyword/boolean