USING THE WALDEN LIBRARY NURS 6003

USING THE WALDEN LIBRARY NURS 6003

USING THE WALDEN LIBRARY NURS 6003

    In reviewing the objectives and learning resources provided, the Walden University library database function is helpful in the search for peer-reviewed research. Databases such as EBSCOhost, PubMed, and the Cochrane Library appropriately source literature regarding evidence-based practices to help shape the words and ideas used for scholarly writing. The article I have chosen relates to a future practice area as a Psychiatric Mental Health Nurse Practitioner, a specialty of health care I am incredibly passionate about. In reviewing the learning resources for this week, one of the videos outlined that scholarly writing uncovers and presents evidence that reveals a truth (Walden University, LLC, 2018). The video also states that while extensive personal experience can inform a viewpoint, in scholarly writing, one must always remain unbiased (Walden University, LLC, 2018). As someone whose passion is inspired by personal experience with the limitations of diagnosis and treatment within the current medical system, one difficulty I acknowledge is the potential for bias. The potential for bias is mediated in scholarly writing by presenting evidence, not assumptions.  

Database and Article 

    The article I present was found within EBSCOhost via the APA PsycInfo database. The piece, originally published in the peer-reviewed Journal of Neuroimaging, is titled “Neuroimaging in Psychiatric Disorders: A Bibliometric Analysis of the 100 Most Highly Cited Articles.” This article was the first to focus exclusively on this topic and indicated high research activity in this area. This article aimed to navigate the current body of research and identify trends in the 100 most highly cited papers referencing neuroimaging in primary psychiatric disorders (Gong et al., 2019). This citation-based bibliometric analysis was implemented to highlight areas of clinical significance and impact by involving qualitative and quantitative research analysis. This narrowing helps highlight historical, emerging, and utility trends and guides future research, development, and commercialization of these unique diagnostic tools. 

Article and Practice Area

    This article pertains to my practice area of interest in that it highlights an area of much-needed further research and investigation into the assessment, diagnosis, and treatment of primary psychiatric disorders so that receiving an accurate diagnosis and optimal treatments can be the norm in this field of medicine. In mainstream medicine’s approach, evaluation of symptoms and behaviors are placed against the rubric of the DSM, must then meet criteria, and then will receive a diagnosis. Additionally, treatments are trial and error, with most individuals trying multiple medications. Of those that receive treatment, “60%–70% of patients with depression respond to antidepressant therapy” (Al-Harbi, 2012). The statistics regarding medication adherence leave additionally room for improvement within this area of care (Sansone & Sansone, 2012). Often, the root causes that can contribute to primary psychiatric disorders are not considered. Gong et al. (2019) propose that a multivariable analysis, including neuroimaging, biomarkers, and even artificial intelligence, would identify etiology-based treatments, identifying persons at risk and which medications could be most valuable structurally and genetically in treatment.  

Difficulties Experienced and Database Recommendation 

    I experienced additional difficulty while looking for this article due to the limited volume of peer-reviewed options available for this topic. For example, via the APA PsychInfo database, 110 results populated with a search field query of “Neuroimaging in Psychiatric Disorders.” Whereas “medications and treatment in psychiatric disorders” populated 2,769, showing this available research to still be in a very early stage. Regarding my recommendation of the database, I appreciate its options for narrowing down a research topic. The database allows one to filter by utilizing basic and advanced search options through many databases of peer-reviewed content and select up to three lines of additional search field options. This database also provides citation assistance. Overall, I believe that I can recommend this database and that it would be helpful to my colleagues in their pursuit of evidence-based literature and in compiling original scholarly work.  

USING THE WALDEN LIBRARY NURS 6003 Resources 

Al-Harbi K. S. (2012). Treatment-resistant depression: therapeutic trends, challenges, and future directions. Patient preference and adherence, 6, 369–388. https://doi.org/10.2147/PPA.S29716

Gong, B., Naveed, S., Hafeez, D. M., Afzal, K. I., Majeed, S., Abele, J., Nicolaou, S., & Khosa, F. (2019). Neuroimaging in Psychiatric Disorders: A Bibliometric Analysis of the 100 Most Highly Cited Articles. Journal of Neuroimaging, 29(1), 14–33. https://doi.org/10.1111/jon.12570

Sansone, R. A., & Sansone, L. A. (2012). Antidepressant adherence: are patients taking their medications?. Innovations in clinical neuroscience, 9(5-6), 41–46. 

Walden University, LLC. (Producer). (2018). Introduction to Scholarly Writing: Purpose, Audience, and Evidence [Video file]. Baltimore, MD: Author.

Selected peer-reviewed article:

Gainotti, G. (2021). The relations between cognitive and motivational components of anosognosia for left-sided hemiplegia and the right hemisphere dominance for emotions: A historical survey. Consciousness and Cognition, 94, 103180. https://doi.org/10.1016/j.concog.2021.103180

Working as a family nurse practitioner has developed my interest in emergency care and this has necessitated my interest to enroll in advanced studies at Walden University to specialize in the same. Specifically, my concern is directed to patients with difficulty to move due to paralysis or half-paralysis and I look forward to addressing their concern in the emergency room (Gainotti, 2021). In order to access information relevant to this area of choice, I select to use an electronic database found at Walden University’s library. While doing my online research, I had difficulty in choosing the right online database in the library due to multiple options. However, since the university’s online library provides different options, I had to review the best database that gives good articles based on time limits and one that meets the criteria for best peer-reviewed materials (Justesen et al., 2021). Based on this premise, I chose CINAHL Plus with full text as the best database for online searches at the university’s library.

Despite being free, finding this database was a bit challenging especially due to multiple online options that are available in the online university library which then meant that I had to limit the search process to modes and expanders in order to get the reference above (Rao & Moon, 2021). On a positive flip-side, I find the database easy to navigate as I was able to narrow down my searches to specific words and parameters. Therefore, the CINAHL database can be used by colleagues at the university and I recommend it as the primary tool where they can look for information pertaining to area of study. Other than providing an easy-to-use platform, the database has an option for advance searches and can also be used by colleagues to cite references (Justesen et al., 2021). Moreover, the database can be used by colleagues to search for a wide range of topics in health sciences and nursing.

USING THE WALDEN LIBRARY NURS 6003 References

Gainotti, G. (2021). The relations between cognitive and motivational components of anosognosia for left-sided hemiplegia and the right hemisphere dominance for emotions: A historical survey. Consciousness and Cognition, 94, 103180. https://doi.org/10.1016/j.concog.2021.103180

Justesen, T., Freyberg, J., & Schultz, A. N. (2021). Database selection and data gathering methods in systematic reviews of qualitative research regarding diabetes mellitus-an explorative study. BMC Medical Research Methodology, 21(1), 1-12. https://doi.org/10.1186/s12874-021-01281-2

Rao, S., & Moon, K. (2021). Literature Search for Systematic Reviews. In Principles and Practice of Systematic Reviews and Meta-Analysis (pp. 11-31). Springer, Cham. https://doi.org/10.1007/978-3-030-71921-0_2

I’ve decided to pursue a career as a psychiatric/mental health nurse practitioner. After 28 years of working as a mental nurse, I made the decision to advance my career. The peer-reviewed article used is entitled. “How PMHNP Program Directors Facilitate Psychotherapeutic Skill Acquisition by the authors Wesemann, Convoy, Goldstein, and Melino. I looked for this article by typing “PMHNP” into the Walden library tab. Next, I selected the “peer-reviewed” link on the left and entered the keyword “psychotherapeutic,” I then restricted my search. A list of articles from the Thoreau/EBSCO search engine appeared, and I chose this particular one.

Finding this peer-reviewed article was not difficult for me. The library database at Walden University is quite trustworthy. Yes, I would recommend this database, because it is accessible, and the full articles are available for usage. “A good database should begin with valuable metadata and data”, (Siyavula. n.d.). Criteria used for selecting a good database is using one that is a reliable monitoring and alerting system, (Guo, 2022). This database will be very helpful to my colleagues for the reasons stated above. My search was able to be limited by a large number of alternatives. The Walden library’s EBSCO database has excellent themes and a big selection of articles, therefore I would definitely recommend it.

USING THE WALDEN LIBRARY NURS 6003 References

Guo, L. (2022). How to efficiently choose the right database for your applications. PingCAP. Retrieved from https://www.pingcap.com/blog/how-to-efficiently-choose-the-right-database-for-your-applications/

Siyavula. (n.d.). Characteristics of a good database. Retrieved from https://www.siyavula.com/read/it/grade-12-it/database-design-concepts/02-database-design-concepts

Wesemann, D., Convoy, S., Goldstein, D., & Melino, K. (2022). How PMHNP Program Directors Facilitate Psychotherapeutic Skill Acquisition. Journal of the American Psychiatric Nurses Association, 10783903221091980. https://doi.org/10.1177/10783903221091980

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2 months ago

Kimberly Purcell-houck WALDEN INSTRUCTOR MANAGER

RE: Initial Discussion Post – Week 4

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Thank you for sharing. This is an area that I personally could not pursue. However, I admire those who do. We need providers in this area. Kim

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I am very excited for you to pursue a Psychiatric Mental Health Nurse Practitioner (PMHNP) career, and I wish you the very best of luck!

Your article references psychotherapy and how it is underutilized in PMHNP practice. The abstract talks about how the reduced use of this skill has potentially led to an under-emphasis in the PMHNP curriculum. This prompted me to search Walden’s curriculum and see whether it would be a skill we would acquire. Reviewing the course catalog, it appears that we will have opportunities to learn about this skill in psychotherapy with individuals and with groups and families (Walden University, n.d.).

I am thrilled to have the opportunity to learn and study psychotherapy in the future. I feel that one new area our learning may address is telepsychotherapy. Markowitz et al., report that as practitioners, the differences between treating patients with psychotherapy via video or phone rather than in person may be alarming. The researchers reported concerns that these forms of therapy can impede emotional engagement and lead to an under-display or underreporting of symptoms or behaviors by the client (Markowitz et al., 2020).

Regarding the article you found and coming from a place of wanting to learn more about suggestions or strategies for improving database searches, I have a question for you. I could not find access to the full text, which I feel happens often for me. Do you have any tips on how to do this when searching in a database? I have honestly encountered this issue a few times for articles I would like to read and utilize.

I was able to find something called ResearchGate, and I was able to make an account. I requested permission to read the full text, but I do not know how long this will take. When I created my account with ResearchGate, it brought up a few prompts to verify my identity. There were many articles by several people who go by M. Ham, and I was asked to select myself as the author of the work in question or decline that I was the author. It was definitely something you could skip, but I got a kick out of seeing how many M. Ham’s that exist and wondered if I would ever have research published.

This inspired me to learn more about ResearchGate, an investor-funded start-up and global community to connect researchers who share and put forth science (ResearchGate, n.d.). One of their dreams is that world leaders look to scientific advisors before corporate donors, and I feel that my heart and professional goals resonate with that. Have you heard of ResearchGate?

Happy Week 4, Cheryl!

USING THE WALDEN LIBRARY NURS 6003 References

ResearchGate. (n.d.). About researchgate. https://www.researchgate.net/about

Markowitz, J. C., Milrod, B., Heckman, T. G., Bergman, M., Amsalem, D., Zalman, H., Ballas, T., & Neria, Y. (2020). Psychotherapy at a Distance. American Journal of Psychiatry, 178(3), appi.ajp.2020.2. https://doi.org/10.1176/appi.ajp.2020.20050557

Walden University. (n.d.). Catalog search – Walden University – Acalog ACMSTM. Catalog.waldenu.edu. https://catalog.waldenu.edu/search_advanced.php?cur_cat_oid=196&search_database=Search&search_db=Search&cpage=1&ecpage=1&ppage=1&spage=1&tpage=1&location=33&filter%5Bkeyword%5D=PMHNP

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2 months ago

Essie Richardson 

RE: Initial Discussion Post – Week 4

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Hi Cheryl,

Thank you for your post. I totally agree with you about the easy process involved in finding these peer reviewed articles at Walden University Library. I am glad you did not face any dificulty in finding these resources at the Walden Library due to it’s easy access and user-friendly nature. One can see that the Walden Library was built with students in mind. Being a student is hard enough and having such resources as support go a long way. I really appreciated the study of how you looked up your peer-reviewed article in the Walden database. I’ll have to make an effort to follow your instructions step by step. I thought this discussion forum was quite beneficial because it helped a great deal. It is a genuine academic and professional networking initiative geared toward success. I’m grateful. Professional networking, according to Jain, D’Souza, and Shukri (2011), is “the process of creating a relationship with other professionals that is beneficial to both parties.” This is incredibly helpful, so I’m going to give it a shot and hope it works.

USING THE WALDEN LIBRARY NURS 6003 References

Jain, A. G., D’Souza, R. Q. P., & Shukri, R. (2011). Personal and professional networking: A way forward in achieving quality nursing care.

International Journal of Nursing Education(1), 1-3.

Walden University Library. (n.d.). Evaluating resources: Journals. Retrieved September 20, 2022, from https://academicguides.waldenu.edu/library/evaluating/resource-types/journals

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2 months ago

Stephen Blickley 

RE: Initial Discussion Post – Week 4

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Cheryl,

As a fellow future PMHNP, your article is very relevant and frightening to me. From what I gathered from reading it, it seems like if PMHNP’s want to have control over what type of work they do/how they practice they need to develop their skills independently. “However, PMHNP programs frequently rely on other professions (psychology and social work being the top two) to provide psychotherapy practicum experiences” (Wesemann et al., 2022). To me, that seems like nurses are going to have to prove their value in order to maintain their place in the future of mental health as the practice evolves. Another thing that scared me is how difficult it was for me to find the article that you cited. You cited it perfectly, but it took me longer than it should have to find the full thing. The reason for this is kind of embarrassing considering I just did this earlier this week. Once I reoriented myself to the Library’s resources I was quickly able to find what I needed.

I also found reading your post very helpful. The way you broke down how you can limit your results in several ways is super helpful and intriguing to me. I mentioned in my post the need for any nurse’s using this program to know how to tell the difference between good and bad articles quickly. Using these alternatives could help a nurse search for specific topics and exclude what they do not want. I will look at it more later today, but I wonder if you can search by topic AND type of research/study performed. That could be very useful.

USING THE WALDEN LIBRARY NURS 6003 References

Wesemann, D., Convoy, S., Goldstein, D., & Melino, K. (2022). How PMHNP Program Directors Facilitate Psychotherapeutic Skill Acquisition. Journal of the American Psychiatric Nurses Association, 10783903221091980. https://doi.org/10.1177/10783903221091980

You find something you enjoy in life, and you chase it. That is what I have done by deciding to further my nursing education at Walden University. I not only have a passion for caring for others, but I particularly have a passion for providing comfort to terminally ill patients. My position as a hospice nurse has been the most rewarding experience in my nursing career yet. Time after time, I provide families with comfort and support when they need it the most. I bring this to attention because I often provide families with education. At the end of life, many changes cause concern to families, especially in the home setting. My job is to provide facts about expectations during a very uncertain time in an individual’s life to comfort the patient and their family.

Symptom control drives the plan of care for our hospice patients. This significant detail led me to research a medication we commonly use to comfort patients in their final days. Morphine treats a variety of symptoms in hospice patients when not contraindicated. Morphine is more widely known for its ability to decrease pain levels. As a hospice nurse, I have observed the use of this medication for reducing pain, but I have also witnessed doctors prescribing this opioid to control breathing symptoms.

For my research regarding this topic, I utilized the Walden Library. I selected the “nursing” category on the library homepage to narrow my search. After choosing this topic, the library generated a list of databases available for research. From previous assignments, I have some knowledge of the listed databases. I have experience with the CINAHL database, specifically, so this is where I began my search (Walden University Library, 2022). My goal was to locate evidence-based information to back up the use of morphine for breathlessness or shortness of breath in terminally ill patients. It is important to me to provide families with education regarding the benefits of morphine, besides pain relief. Having the research to back up my field experience is what I need to continue to make a difference for patients and their suffering.

To my surprise, finding information regarding the use of morphine for shortness of breath was reasonably straightforward. In further detail, I researched a specific population of patients. Very commonly, cancer is the primary diagnosis in hospice patients. The article I found targeted results on the effects of oral morphine on breathlessness in cancer patients specifically. In further detail, the article I reviewed focused on the success of morphine for dyspneic patients from multiple sources of etiology. While lung cancer was the primary diagnosis for the patient population in the study, no patient health history will be identical. This study went beyond evaluating the response from different patient backgrounds and focused on personal bias toward morphine treatment. Like any part of health care, most patients or families have a preconceived idea of whether they agree with a course of treatment. The common stigma regarding morphine was addressed in this study and made reviewing it personally intriguing.

Like many studies conducted, this article had its weaknesses. This study lacked a control group but attempted to compensate for this downfall by having a large population and evaluating patients’ preconceived ideas about the treatment. The study used multiple tools and approaches to reduce bias. Subjective tests for the patients, in the form of questions, were implemented to determine the results. Some scales included in their research were the Cancer Dyspnea Scale (CDS), Visual Analog Scale (VAS), and the Numeric Rating Scale (NRS). While the study was not able to completely fix the dose of morphine given to all patients, they succeeded in setting a quantity of 5 mg for all the patients in question except for 2. This made the treatment almost unvaried.

I could go on about the positives and negatives of this study in length. One last detail I wanted to elaborate on was the choice to only evaluate the change in patient condition after one dose of morphine (Takahashi et al., 2019). This was an eye-opener for me. Many patients require drug titration, regardless of the medication, to see the full beneficial effect (Caffrey & Borrelli, 2021). While the fixed dose for morphine eliminated a great deal of bias in the study, it also limited the researchers’ ability to evaluate how effective morphine may be for each patient honestly. Adding evaluation for further response with additional dosing or titration of the dose would have been something I would have liked to see in this study.

Positively, this study was still able to conclude that oral morphine successfully reduced dyspnea based on the population evaluated and the tools utilized (Takahashi et al., 2019). I recommend this article for review by my colleagues, and I now have evidence to provide to families needing reassurance for using morphine outside of pain control. In the material resources for this course, I was enc