hcmg 4901 june 2015
TRANSCRIPT
Introduction Effective Searching Barriers and enablers to access and
utilization of health care among African Americans.
HCMG 4901 Applied Research
HCMG 4901 is licensed under a Creative Commons Attribution-Noncommercial-ShareAlike 3.0 United States License.
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Articulate a Topic
Stress in the emergency room affects patient care What kind of stress? Whose stress? What is the effect on patient care? Are there multiple effects on patient care? Is it isolated to the ER?
Identify search concepts
workload stress fatigue sleep deprivation
patient care outcomes safety diagnosis
Concept or Problem I Related Concept I *
*perhaps a Variable
Identify search concepts
emergency room/ER intensive care medical error medication error
mortality rate outcomes misdiagnosis iatrogenic
Concept or Problem II Related Concept II
Pearl Growing Strategy
Conduct a simple search Find one article that is relevant to your topic Click the title of the article The link takes you to the abstract page Look for “pearls” (indexed terms)
Subject headings Terms in the abstract Recurring words
‼Use the “pearls” to conduct a better search
Search With Boolean Operators
AND = narrow
OR = expand
NOT = exclude
patient AND safety
fatigue OR stress
nurse NOT physician
Search Strategy Worksheet
Concept/Problem
AND
Concept/Problem
AND
Concept/Problem
Main idea Related idea Related Idea or Variable
OR OR OR
Synonym Synonym Synonym
NOT NOT NOT
Synonym Synonym Synonym
Search Strategy
“emergency room” AND (fatigue OR stress) AND outcomes
(“emergency room” OR “intensive care”) AND (stress OR fatigue) AND (mortality OR morbidity)
• Use “ “ or ( ) to keep words together & in order• Connect different concepts with AND• Connect similar concepts with OR
Truncation
truncation type part of a word plus an asterisk (*) into the search
box to find variations of a word stem:
nurs* finds nurse, nurses, nursing
medica* finds medical, medication
obes* finds obese, obesity
pregnan* finds pregnant, pregnancy
Research Models
A. Social-Ecological Model (SEM) A. Prevent negative behaviors before they beginB. Prevention requires understanding the factors that influence behaviorC. Identify individual, relationship, community, and societal factors
B. Health Belief Model A. Developed to study why people did not use public health programsB. Theoretical components Influence an individual’s choice to take action or notC. Address a subjects perceptions of threats, benefits, and barriers
C. Transtheoretical Model A. People go through several stages before change occursB. Also called the “stages of change model”C. A healthy outcome is achieved after the subject moves through these stages
J Centers for Disease Control and Prevention 2015 (Online) J J Salem Press Encyclopedia 2014 (EBSCOhost) J J J Salem Press Encyclopedia of Health 2014 (EBSCOhost)
Causes of Health Disparities Among AAs in the U.S.
Federal, state, and local policies and practices that ghettoized AA communities (past & present) in terms of economics, education, social existence, and health.
The "disappearance" of AA men (20-35) from their families' lives. Why and how has this happened? What multiple impacts has this had on the men and their families health & well-being?
Breastfeeding rates among AAs and the effects on the health of children and women.
Why is Georgia the hub of gun trafficking in the U.S.? How does this affect communities and their well being?