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Health, Medicine, Nursing
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English (U.S.)
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Database Search for Diabetes

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When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data focused more on these factors and less on color options and sound systems.
The same holds true when searching for research evidence to guide your clinical inquiry and professional decisions. Developing a formula for an answerable, researchable question that addresses your need will make the search process much more effective. One such formula is the PICO(T) format.
In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question.
To Prepare:
• Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
• Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.
• Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least two different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
• Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. It is suggested that an Intervention-type PICOT question be developed as these seem to work best for this course.
Post a brief description of your clinical issue of interest. This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question. Then, post your PICO(T) question, the search terms used, and the names of at least two databases used for your PICO(T) question. Describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples.
The clinical issue of interest is the effectiveness of self management education in diabetes. Facilitating self management education.

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Discussion Post
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Discussion Post
Within the current healthcare delivery landscape, positive patient outcomes constitute the primary focus of every evidence-based care process. According to Davies (2011), evidence-based practice guidelines are informed by well-formulated and answered research questions, thus providing practical solutions to real-world issues and problems. That said, the diabetes epidemic constitutes one of the leading healthcare issues that have been steadily spiraling out of control. Research indicates a rising prevalence of diabetes in the United States, with an estimated 34.1 million Americans living with the illness as of 2018 and 1.5 new diagnoses being recorded annually (Koyama et al., 2022). In this vein, diabetes has created a significant economic and health burden among Americans. As a lifestyle-related illness, self-management education proves an effective approach for reducing the prevalence and severity of the condition and thus addressing the high mortality rates. Based on the above background information, the following PICOT question proves feasible: In adult patients with diabetes (Population), how is the provision of self-management education (Intervention) by care professionals compared with those without access (Comparison) a significant factor in reducing the exposure to the risk of fatality (Outcome) during the treatment duration (Time)?
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