NSG 6999 Week 4 Capstone PICOT

PICOT Question

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For adult female and male patients between the ages of 30-50 years of age who have been diagnosed with major depression (P) will exercise therapy (I) compared to pharmacological treatment with antidepressants alone (C) decrease symptoms of depression (O) over a period of 3 months (T).

Exploring the Literature

Picot Question:

Research Tool	Search Tips	Search Terms & Limits	Findings	Features
CINAHL CINAHL is an SU subscription-only resource that offers full text access to 336 scholarly journals and indexes over 3,000 journals from the fields of nursing and allied health. Indexed journals do not provide access to full-text. Just because it is indexed in does not mean the library has full-text access to the journal. SU can always request articles for students via Interlibrary Loan, but the service is not instantaneous	Look at the Major Subject Heading in the Full Record Use the Limits Feature: Example: Publication Type=Systematic Review Try the CINAHL Heading search:	Keyword search: Adult major depression; Exercise therapy; Pharmacological intervention: Antidepressants treatment Limits: Full Text; Research Articles: Evidence Based Studies: Publication Date = 2015-2019 CINAHL Heading search: Major depression: Adults with major depression: major depression exercise therapy; major depression antidepressant therapy. Limits: Evidence-Based Practice: Full-text; Peer-Reviewed	No articles were found with the specific features listed.	The CINAHL database is one that gives a student varieties. If you are looking for an article or articles in a topic, it gives the option to decide what you want through the filters.
PubMed PubMed is a free health science citation & abstracts index from the National Center for Biotechnology Information at the U.S. National Library of Medicine.	Look at MeSH Terms in Full Record Use the Limits Feature: Examples: Article Type=Meta-Analysis; Age=All Adult Look for the open access Free articles!	Keyword search: major depressive disorder exercise therapy Limits: Review: Free Full Text: Publication date =5 years; Age=All Adult: Open Access Free Articles MESH search: major depressive disorder: major depressive disorder adults: exercise therapy Limits: All fields: Open Access:	This search yielded 882 articles. This search yielded zero results	The fact that the database allows one to pull up articles that are related to a topic is impressive. Even more impressive is the fact that it allows one to decide the age group of various participants in the articles that they are interested in.
Cochrane Library Cochrane Library provides access to the Cochrane Library of Systematic Reviews. Full text of reviews are subscription only. Index summaries are a public resource. Indexed journals do not provide access to full-text. Just because it is indexed in does not mean the library has full-text access to the journal. SU can always request articles for students via Interlibrary Loan, but the service is not instantaneous	Use the Simple Search and the Advance Search Features Allows you to search with MeSH Terms Check out the New Reviews Browse reviews by topic	Keyword search: major depressive disorders; major depressive disorders adults: exercise therapy Limits: Cochrane Reviews: Cochrane Protocols; Publication dates= 2015-2019 MESH search: major depressive disorder: Limits: therapy (TH); Explode all trees; With Qualifier therapy.	Zero full-text articles from the Cochrane search. 1316 articles	Cochrane library is one of the foremost libraries in the academic world. It allows one to access rigorous, peer-reviewed articles through its subscription access feature. The articles were found on MeSH descriptor Depressive Disorder, Major; with all trees exploded. The article’s qualifiers was therapy while 1310 of the articles were Trials and 6 were Cochrane Reviews.
Dynamed	Use the Simple Search and the Advance Search Features Allows you to search with MeSH Terms Check out the New Reviews Browse reviews by topic	Keyword search: depressive disorders; Also browse by: major depressive disorders	100 articles found for the keywords	Dynamed is easy to use. However, it does not have advanced search features
TRIP Database TRIP is a clinical search engine to locate publicly available clinical evidence.	Limit to: Systematic Reviews Guidelines-US	Keyword search: (adult patients aged 30-50 with major depression)(exercise therapy )(pharmacological treatment with antidepressants )(decreased symptoms of depression) Limits: Systematic Reviews, Guidelines- USA	61 results were found with this search.	This one gives one the option to determine which country’s guideline they would like to use. It also has a variety of features that enable one to find the absolutely correct articles.
SU Library Search	Library Search is setup just like an EBSCO The Library even has a specialized PICOT search setup in Library Search—must go to Advance search to get to PICOT option	Keyword search: Major Depressive Disorder; Major Depression Adults; Exercise Therapy Limits: It was limited to systematic reviews that were published from 2015 onwards.	300 articles were discovered in this search using the above keywords.	The fact that you can search for your entire PICOT using the SU Library database makes it impressive. It eliminates the need to manipulate the keywords using various combinations.
Other Databases:	NSG 6999 Week 4 Capstone PICOT

NSG 6999 Week 4 Capstone PICOT

SUMMARY

The search undertaking reveals that whereas there is a wealth of information out there regarding a PICOT question, not all data bases have the necessary articles. The CINAHL database did not yield any search results. This search used the following keywords: Adult major depression; Exercise therapy; Pharmacological intervention: Antidepressants treatment. Moreover, the search was limited to Full Text; Research Articles: Evidence Based Studies: Publication Date = 2015-2019. In addition, even the CINHAL Heading search did not yield any results after using the above keywords and limiting it to Evidence-Based Practice: Full-text; Peer-Reviewed.

The PubMed Database search was a more fruitful as it yielded 882 articles using major depressive disorder exercise therapy as its keyword search. The search for relevant articles was limited to: Review, Free Full Text, and Publication date =5 years; Age=All Adult: Open Access Free Articles. These Limiters were important as they enabled me to filter only the articles that are relevant to this study. Moreover, the PubMed also allowed me to use the MESH search whose keywords were major depressive disorder: major depressive disorder adults: exercise therapy. However, it produced zero articles.

The Cochrane Library used the Keyword search for major depressive disorders; major depressive disorders adults: exercise therapy. The search was limited to Cochrane Reviews: Cochrane Protocols; Publication dates= 2015-2019. However, none of the search yielded any results. However, its MESH search using major depressive disorder keyword and therapy (TH); Explored both topics searched; With Qualifier therapy limiters producing 1316 articles.

In addition, the Dynamed database was also searched for relevant articles. It produced 100 articles using depressive disorders and major depressive disorders as keywords. Further, the articles were produced as a result of both Basic and Advanced searches.

On the other hand, the TRIP Database produced 61 articles that were limited to Systematic Reviews and US Guidelines regarding the management of depression in adults. The search used the PICOT format wherein all the PICOT aspects of the project were used as the keywords.

Lastly, the SU Library had various features. It allowed for one to either use conventional search or use the PICOT format. I employed the conventional format using the following keywords: Major Depressive Disorder; Major Depression Adults; Exercise Therapy. As a consequence, around 300 articles were found.