Loading...

Messages

Proposals

Stuck in your homework and missing deadline? Get urgent help in $10/Page with 24 hours deadline

Get Urgent Writing Help In Your Essays, Assignments, Homeworks, Dissertation, Thesis Or Coursework & Achieve A+ Grades.

Privacy Guaranteed - 100% Plagiarism Free Writing - Free Turnitin Report - Professional And Experienced Writers - 24/7 Online Support

EVIDENCED BASED PRACTICE

01/10/2020 Client: jwhite211 Deadline: 24 Hours

  


The Assignment (Evidence-Based Project)


Part 3: 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.


By Day 7 of Week 5


Submit Part 3 of your Evidence-Based Project.


Submission and Grading Information


To submit your completed Assignment for review and grading, do the following:


· Please save your Assignment using the naming convention “WK5Assgn+last name+first initial.(extension)” as the name.


· Click the Week 5 Assignment Rubric to review the Grading Criteria for the Assignment.


· Click the Week 5 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.


· Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK5Assgn+last name+first initial.(extension)” and click Open.


· If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.


· Click on the Submit button to complete your submission.


NOTE : I started working on this topic already the attached bellow are the discussions and responses from instructors and colleagues.


Main Post ; PICO/T Question


Population : Adult


Diagnosis : Major Depression


Intervention ; Treatment 


Comparison : ECT or Tricyclic Anti-depressants


Outcome: Sedation , shock exposure , Therapeutic interchange level of tricyclic /behavior modification comparison 


Time frame of : Three weeks - four weeks (Laureate Education (Producer). (2018). 


Clinical Research question:


In adults with diagnosis of major depression with bipolar disorder should Psychiatrist use Tricyclic anti-depressant more often as treatment of choice or Electroconvulsive treatment (ECT)? (Davies, 2011).


Upon working in adult psych unit in acute care setting, it was observed that most patients are not happy with ECT but due to one reason or the other they found themselves signing the consent to go through the shock therapy. It was further noted that some other psychiatrists treat patient of the same diagnosis and almost of the same behavior with medications. Considering the risks, rigors, and cost of the shock wave therapy, and comparing with the outcome of using medications, it worth knowing which is more effective and which will help more patient population (Davies, 2011).


Navigating Database


Using the school database, I started my research by printing ECT and Major depression, using Nursing research database that links me with CINHAL with Med-Plus and it  connected with EBSCO host which generated 1200 results and I narrowed down by  clicking on peered reviewed, within 2-3years and ends up with 1001 results. 


Outcomes/Results


The outcomes finally reveals 998 peer reviewed journals and with different topics as well. Some scholars claimed that ECT might be fast and thought to be effective but no clinical evidence has yet proven that particular patient will respond well to the treatment (Feng, & Youssef, 2020).


Reference


Feng, T., & Youssef, N. A. (2020). Can epigenetic biomarkers lead us to precision medicine in predicting treatment response and remission for patients being considered for ECT? Psychiatry Research, 284, 112659. https://doi-org.ezp.waldenulibrary.org/10.1016/j.psychres.2019.112659


Davies, K. S. (2011). Formulating the evidence based practice question: A review of the frameworks for LIS professionals. Evidence Based Library and Information Practice, 6(2), 75–80. https://doi.org/10.18438/B8WS5N


Laureate Education (Producer). (2018). The Value of Clinical Inquiry [Video file]. Baltimore, MD: Author.


Instructor’s response; Hello, Babatunde.  Thank you for your discussion post.  I appreciate that you chose the subject of major depression.  People living with mental health issues have a special place in my heart.  Electroconvulsive therapy (ECT) has been an intriguing intervention for me since I witnessed it implemented to a patient when I was still a nursing student.  I agree that an alternative intervention or at least a comparative study with a more conservative method is worth investigating as ECT. 


Although the efficacy of ECT has been well documented, especially in the area of memory improvement and reduction in psychopathology (Kalisova, Kubinova, Michalec, Albrecht, Madlova, & Raboch, 2018), there are still some risks involved in performing the procedure like fractures and in rare cases, heart problems (Mayo Clinic, 2020).  Usually, Psychiatrists would weigh the benefits against the risks before ordering an ECT intervention. 


I support your clinical inquiry regarding using current data, but I would also recommend using current sources on researching discussion post foundations.  We can ask ourselves if the resource is current or, if not, if it is considered foundational (Walden University, 2020).  In your case, I think it is foundational in nature.  Keep it up.


Hi Babatunde, 


Thank you for that exciting post. According to Friedrich (2017), depression affects more than 300 million people and is the leading cause of disability worldwide (Luccarelli et al., 2020). Although relapse is common after discontinuation, Electroconvulsive therapy (ECT) is the most effective acute treatment for depression (Luccarelli et al., 2020). I worked in a psychiatric facility in the past, but ECT is not available for treatment in that facility. I am curious about what the outcome will be. 


If I may add how to improve your search to the database, limiting your search to a systematic review publication yielded 555 articles. According to Walden University (n.d.), a systematic review is on the top of the evidence pyramid, which provides a high level of evidence, but are also limited. Another technique that many forget is asking for help from the librarian. They can give tips about searching, where to search, and words that are important to use (Laureate Education, 2018).


References


Laureate Education (Producer). (2018a). Searching the Evidence [Video file]. Baltimore, MD: Author.


Luccarelli, J., McCoy, T. H., Jr., Seiner, S. J., & Henry, M. E. (2020). Maintenance ECT is associated with sustained improvement in depression symptoms without adverse cognitive effects in a retrospective cohort of 100 patients each receiving 50 or more ECT treatments. Journal of Affective Disorders, 271, 109–114. https://doi-org.ezp.waldenulibrary.org/10.1016/j.jad.2020.03.152


Walden University Library. (n.d.-h). Quick Answers: How do I find a systematic review article related to health, medicine, or nursing? https://academicanswers.waldenu.edu/faq/7267

Homework is Completed By:

Writer Writer Name Amount Client Comments & Rating
Instant Homework Helper

ONLINE

Instant Homework Helper

$36

She helped me in last minute in a very reasonable price. She is a lifesaver, I got A+ grade in my homework, I will surely hire her again for my next assignments, Thumbs Up!

Order & Get This Solution Within 3 Hours in $25/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 3 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 6 Hours in $20/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 6 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 12 Hours in $15/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 12 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

6 writers have sent their proposals to do this homework:

Instant Assignments
Financial Hub
Solution Provider
High Quality Assignments
Writer Writer Name Offer Chat
Instant Assignments

ONLINE

Instant Assignments

Good day dear client, I am a full-time freelance writer with years of experience. My strongest strengths are strong dedication to duty, reliability, quality and excellence. I am going to do an outstanding job for you, kindly PM me and let us commence. Thank you so much in anticipation of your positive response. Thank you very much.

$70 Chat With Writer
Financial Hub

ONLINE

Financial Hub

Hey, I have gone through your job posting and become very much interested in working with you.I can deliver professional content as per your requirements. I am a multi-skilled person with sound proficiency in the English language for being a native writer who worked on several similar projects of content writing and can deliver quality content to tight deadlines. I am available for both online and offline writing jobs with the promise of offering an incredibly responsive and supreme level of customer service. Thanks!

$70 Chat With Writer
Solution Provider

ONLINE

Solution Provider

I am an experienced writer who will be able to create the quality articles/blogs that you require for your website. My work is compelling enough that I am immediately able to engage the interest of the reader. I do not need much in the way of assistance; all you have to do is give me a title or topic. I include embedded hyperlinks as a standard feature in all my articles/blogs. I can also use SEO keywords if provided without any extra cost. No matter what the topic is, your articles/blogs will be entertaining and immensely readable. I take immense pride in my professionalism and ghost-writing technique. Thank you,

$70 Chat With Writer
High Quality Assignments

ONLINE

High Quality Assignments

With an extensive experience of over 10 years of writing and editing, I promise to meet or exceed your expectations. The days of automated, copied, plagiarized, and unethically optimized content are long gone. Today, you need engaging, well-researched, and optimized content that serves your SEO purpose and boosts your website ranking in the search engines. Not only this, you need EXCELLENT content that leaves a lasting impression on prospective customers and gives you an edge over the competition. This is exactly what I do.

$70 Chat With Writer

Let our expert academic writers to help you in achieving a+ grades in your homework, assignment, quiz or exam.

Similar Homework Questions

Discussion 1 - History study, weekly reading reflection3 - Rocksmith no sound windows 10 - Persuasive essay - Creative finish carpentry the villages fl - Geomorphology - Oracle bone script dictionary - Epidemiology for public health practice 5th edition test bank - Gcu integration of faith and work - Ingenico ict250 auto settlement - 1 2 dibromo 1 2 diphenylethane - Cams investor mailback services - First Draft Self-Evaluation and Reflection - Advertising Assignment II (Two-Part Assignment) PLEASE READ!!! - Which of the following option is true about k-nn algorithm - Power in Relationships - Odyssey Plan - Holt mcdougal biology study guide a answer key section 4 - Nsw state records keyname search - The fenders folsom prison blues - Project: Part 2: Putting Social Advocacy Skills into Action-6361-project - American dream research paper outline - Fry high frequency words - Carnival game project probability - Holes louis sachar family tree - Strategic planning assignment 1 - Formal and informal letter writing exercises - We didn't start the fire meaning - Final Project - Wk 4, HCS 430: Contracts & Liability - As 1940 audit checklist - Capsim foundation situation analysis answers - Warehouse 6 45-53 davies road padstow - Domain and kingdom characteristics chart - Faith evans corporation is a regional company - Av jennings house prices - Horus egyptian god jesus - Memory - Code of practice for earthworks - Idiot nation michael moore summary - After reading the introduction from Imagined Communities and watching/reading "La Marseillaise", respond to the following question in a paragraph or two (a double-spaced page or less) - Wk 5, HCS 335: DQ - How to get the answers to your homework - General power of attorney philippines - Dutch gable roof framing - Looking at movies 6th edition by barsam and monahan - Discussion Question - General physics 1 module - Medium voltage fuse sizes - Acs national average score - Walton is retelling a story he heard from Frankenstein. - O http://www.gpo.gov/fdsys/pkg/gpo-cdoc-103sdoc27/pdf/gpo-cdoc-103sdoc27-10-9.pdf - What is the theme observed in the literary works - Target behavior in observable and measurable terms - How to find the sample size in a histogram - Four square writing template - Bj mccabe and bear - Aftab iqbal family background - Individual leadership development plan sample - Perth solicitors property centre - Johnson and johnson strategic management - Human Resources - Hungry for success scotland - Eight days in a corset siri hustvedt pdf - Panera bread closest rivals - Arrow board replacement lights - Fenian rising 1867 - Dhcs ca gov services medi cal pages countyoffices aspx - Social - Minute to decimal conversion - Joe floyd sioux falls sd - What is an id dependent entity - Kansas city zephyrs case solution - Elements of traditional literature - Glaukon thinks that deep in our hearts we all believe that - 3 pages due 18 hours - Discussion post 3 - Choose my plate empty calories - Data sheet nesa physics - How does social media make the world bigger - Leasehold property depreciation rate - Extra linguistic elements of communication - MKT 301- Discusion 2 - Strategic - The lakota way chapters - Lakes entrance vic 3909 - Space station seventh grade chapter summaries - Cable act of 1922 - Ihi 6 steps of rca - I need 1500-2000 words about Volume Printing/High Volume 3D printing/Bulk printing - Why does morrie want to be cremated - Run c&w papa was a rolling stone - SOCW 6090 Week 3 Post Responses - Discussion: Assessing Suicide Risk - Sure thing by david ives analysis essay - Nhs fire safety e learning answers - Prime reality meaning - What is the name of nh4 - U.S History: Debate "Slavery" - Operation management ppt presentations - Week 3 discussion: Phenomenology Research Design;Observational Research