Weightloss Counseling and Physical Exercise
PHASE II Search Paper
Scholarly Project
Dana Delatush RN BSN ONC
"I pledge my honor that I have neither given nor received inappropriate aid on this assignment."
Abstract Comment by Patricia: Place the abstract on a separate page for your final search paper
This paper is focused on the literature search related to the PICOT question: Does weight loss counseling and physical exercise improve pain and mobility in obese patients with a BMI >25 suffering from osteoarthritis? To answer this clinical question, six databases were searched including the Cumulative Index of Nursing and Allied health Literature (CINAHL), The Cochrane Library, PubMed/Medline, Google Scholar, PsycInfo®, and ProQuest Nursing and Allied Health Source™. The paper describes the search methodology. Keywords: osteoarthritis, obesity, weight loss counseling, pain, mobility
Introduction to Search Strategy
I will be creating a search strategy to help me clarify what information I need, and what keywords can be used to yield relevant information. The search strategy I will articulate will result in precise and refined outcomes of many relevant articles. The first step in my search strategy is to define my topic in a complete phrase or sentence. This was accomplished through the development of the PICOT question. PICOT Question: Does weight loss counseling and physical exercise improve pain and mobility in obese patients with a BMI >25 suffering from osteoarthritis? Next, I identified the keywords that I will use at the beginning stage of the search: Comment by Patricia: Avoid using the first person in scholarly writing
Osteoarthritis, obesity, weight loss counseling, physical exercise, reduce pain, increase mobility, BMI >25. Then, I identified some synonyms for the keywords listed above: Comment by Patricia: Comment by Patricia: Lists are not appropriate for this paper. Use paragraph format
Osteoarthritis: arthritis, swollen joints, painful joints, autoimmune disease
Obesity: overweight, body mass, BMI>25, fat
Weight loss counseling: diet, nutrition, guidance
Physical exercise: activity, fitness, flexibility
Reduce pain: comfort, anti-inflammatory, painkiller
Increase mobility: daily living, ambulation, independence
Additional considerations included decisions that I needed to make about the following:
Would I exclude any languages or include any particular languages? I determined that I would only use the English language in my searches. Comment by Patricia: Questions you asked yourself should not be included. Parameters you set for the search should be identified
Would I use controlled vocabulary? I determined that I would not use controlled vocabulary since I would be reviewing articles from researchers and felt this limitation would constrain my search.
How would I define my inclusion and exclusion criteria? I had determined that the articles needed to be scholarly, no older than five years, be available in full text format, be peer-reviewed articles from a juried journal, and written by practitioners or researchers.
Did I have any ideas at this stage in the search about any limits that I might set? I decided to use the functions in the CINAHL search platform to determine any limits, and assumed that I would quickly learn how well this was working after a few search attempts. If I needed to further articulate limits, I decided I would do so further into the study.
Would I search for grey literature? I decided that I would search for grey literature, as I was particularly interested in any current working papers from research groups on my topic. It was here, I thought, that I might best learn about innovative practices that were not yet mainstream.
I next moved on to finding the CINAHL headings and subject headings for my keywords and synonyms. After watching a Elton B. Stephens Co. (EBSCO) tutorial on the process (http://support.ebsco.com/training/flash_videos/cinahl_mesh/cinahl_mesh.html), I followed the steps outlined below.
Step 1: Defining Concepts
Step 2: Finding CINAHL Headings
Step 3: CINAHL Heading Options
Step 4: Adding the Heading to the Search
Step 5: Adding More Concepts to the Search
Step 6: Combining Search Terms
Step 7: Refining Results with Limits (Optional) Comment by Patricia: The step-by-step approach you used, while essential to a thorough search, should not be included in this paper. It is assumed that you did this.
As I built the list of documents to review, I considered the requirements for the articles that I would focus on to conduct my research. Moreover, I wanted to be sure to search within at least five different databases to ensure my initial search was comprehensive,...
Nursing Practice The CINAHL database provides an easy access for thousands of journals and articles in the field of nursing and allied health. Moreover, the CINAHL contains references to nursing journal articles from the United States, UK, and other countries. A search for articles and journals are carried out using the keywords and the process can bring out hundreds journal articles. Objective of the paper is to investigate the search
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