WEB SITES AND SEARCH ENGINES 1
Using Web Sites and Search Engines
Kira E Wallace
NRSG 311 Unit 3 Individual Project
Professor Andrea Necaise
Colorado Technical University
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Effectiveness of Complementary and Alternative Therapies for Pain Management After Opioid , Essays (high school) of Nursing
This document examines the use of web search engines and databases to investigate the effectiveness of complementary and alternative medicine therapies, such as acupuncture, chiropractic care, and physical therapy, in managing pain for patients discharged from the emergency department with opioid prescriptions. The author conducts a comprehensive literature review, searching pubmed, ebscohost, and google scholar to identify relevant studies published between 2015 and 2020. The search strategies employed, the key findings from the selected articles, and the advantages and limitations of the different search platforms. It highlights the importance of using reliable and peer-reviewed sources to inform evidence-based decision-making in healthcare, particularly in the context of the opioid epidemic and the need for alternative pain management approaches.
Typology: Essays (high school)
2020/2021
1 / 5
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Using Web Sites and Search Engines Kira E Wallace NRSG 311 Unit 3 Individual Project Professor Andrea Necaise Colorado Technical University
Using Web Sites and Search Engines
- P: Adult ED patients discharged with opioid prescriptions I: Nonpharmaceutical pain management interventions C: Complementary and alternative medicine therapies (acupuncture, chiropractic care, physical therapy) O: Patient outcomes Do complementary and alternative medicine therapies like acupuncture, chiropractic care, and physical therapy manage pain better than opioid prescriptions after being discharged from the ED?
- While searching PubMed.gov I narrowed my search to full text articles published from 2015-2020. I first searched for “opioid prescription upon ER discharge” resulting in 4 articles. I searched again this time using “opioid prescription ED discharge” which resulted 189 results. I then used EBSCOhost.com also searching for full text articles written between 2015-2020. I searched “opioid prescription emergency department” which resulted in 37 articles.
- “Reduction of opioid prescribing through the sharing of individual physician opioid prescribing practices” written and published by Boyle et al in the American Journal of Emergency Medicine in 2018 was the first article found on PubMed.gov. The study consisted of pre and post intervention collection data. The intervention was to share individual opioid prescribing data. Ultimately this study showed the connection between the sharing of individual opioid prescribing data and a decrease in opioid prescribing for that specific health care organization’s emergency department.
Calcaterra SL, Yamashita TE, Min SJ, Keniston A, Frank JW, Binswanger IA. Opioid Prescribing at Hospital Discharge Contributes to Chronic Opioid Use. J Gen Intern Med. 2016 May;31(5):478-85. doi: 10.1007/s11606-015-3539-4. PMID: 26553336; PMCID: PMC4835366. Samuels, E. A. (2019). Emergency Departments as Barometers for Prescription Opioid Morbidity and Mortality. American Journal of Public Health , 109 (5), 655–656. https://doi-org.proxy.cecybrary.com/10.2105/AJPH.2019.
- Google Scholar was the finial search engine. I typed my PICO question – “Do complementary and alternative medicine therapies like acupuncture, chiropractic care, and physical therapy manage pain better than opioid prescriptions after being discharged from the ED?” and 1,060 results were found. They were, by default, sorted by “any time” and by relevance. It is helpful to view search results that are most relevant to the question, phrase, or words searched however the time frame would need to be adjusted. It would also be important to go through each result carefully. Although they are sorted by most relevant, the question is so specific and broad with several words – what did the search engine consider to be “relevant”?
- It might behoove the researcher to limit the time frame to articles that are peer reviewed, full text, written within the last five years to ensure true relevance to our ever-evolving world of information. I personally appreciate the ease of Google Scholar but prefer the sophistication of PubMed.gov or EBSCOhost.com. It is more effective to find articles that are relevant and reliable sources of information. Ideally, using both methods might
give the researcher a broader understanding of the topic in order to narrow the search down within the web site search.
- The difference between Google Scholar and PubMed/EBSCO lie in the types of websites found. Google Scholar will result .com websites while PubMed/EBSCO make it easy to narrow the search to peer reviewed, full text articles.
- I prefer to utilize PubMed, EBSCO, ProQuest or MedLine for the ease knowing you’ll be able to access peer reviewed, full text articles that can be listed by how many times it has been cited.