1 Effects of Mentored Orientation on Retention in Medical-Surgical Hospital Nursing Staff: Literature Search Assignment Aleshia A. Bloker Allen College NU535: Evidence-Based Practice I: Finding and Appraising Evidence Dr. Lisa D. Brodersen March 8, 2020 2 Determine Search Terms PICOT Question In medical-surgical hospital nursing staff (P), how does mentored orientation (I) compared with usual practice (multiple preceptors) (C) affect nurse retention (O) within one year (T)? This PICOT question is an intervention question Search Terms Table Search Term Categories Key Words Synonyms, acronyms, related terms CINAHL Subject Headin gs MEDLINE MeSH Terms P: I : C : O T "medicalmentor* precept* Retention* 1 year surgical*", "hospital nursing staff" med-surg., acute advisor, trainer, Mentor*, retain, keep, 12 months, 365 care, registered nurse orientator, teacher, same as attrition days, RN, LPN, BSN, instructor, precept previous column (related) turnmedical center, over/transfer infirmary, clinic, (antonyms), health care employment, institution, personnel infirmary, sanitarium loyalty MM "Nursing Staff, MM MM MM "Personnel I left off so not Hospital", MM "Mentorship” “Preceptorship” Retention", to narrow "Medical-Surgical MM "Personnel search too Nursing" Turnover", MM much "Personnel Loyalty" MM "Nursing Staff, MM MM MM "Personnel Left off to not Hospital", MM "Mentorship” “Preceptorship” Turnover", MM overly narrow "Medical-Surgical "Personnel Nursing" Loyalty" 3 Determine Databases to Search I met with Ruth Yan EdD, the director of Library Services at Allen College twice. The first time was on February 7th for 45 minutes and the second time was February 20th for 30 minutes. I met with her in person both times and have called and emailed her once in between. Through meeting with her and knowledge gained in class I determined the best databases to search for my topic were Cinahl, Medline, and Nursing Reference Center Plus (R. Yan (personal communication, February 20, 2020). When searching these I found Nursing Reference Center Plus difficult to narrow down my search field appropriately. I also did not find MeSH terms for my topics. This was later confirmed in the discussion wrap up posted by L. D. Brodersen (personal communication, March 6, 2020) for module 2.2. She stated, “NRC is not a first-line database for doing a comprehensive search of the literature to identify external evidence to answer a PICOT question…” Hartzell & Fineout-Overholt (2019) also stressed that searching Cinahl and Medline exemplified a thorough subjectspecific database search of peer-reviewed research and synthesis of that data. In conclusion, I finalized on searching Cinahl and Medline. In my first meeting with Dr. Yan she reviewed how to search using MeSH terms, how to use exclusion/inclusion, how to save/email searches/sources. I did learn a few useful things but felt it didn't meet the assignment requirements (personal communication, February 7, 2020). This meeting gave me confidence that I was applying what I had learned in class correctly. She also suggested that the Med-surg part of my PICOT question might be too specific. I informed her I had added that because when talking to Allen and Waverly Hospitals they had said not having it was too broad for them to pull data on. I suggested 4 that maybe my article research could stay broad while my local data could be more specific to where I want to apply it -she agreed. Yet, as I did my searches, I was able to find a sufficient amount of quality articles with the medical-surgical descriptor included. Overall I feel that Construct, Execute, and Document Search Strategy and Results Establish Inclusion/Exclusion Criteria During my search I used nursing staff, medical-surgical, articles in English, articles with full text retrievable for free (or low cost), academic journal/publication, and peer-reviewed as my inclusion criteria. As I review the literature I will also use articles that looked at data for at least 1 year and research that was applied to RN, LPN, BSN nurses. For my exlusions used for the search I used articles published before 2004. When reviewing the articles I also plan to exclude expert opinion articles, studies outside the hospital setting, ancillary staff, and loss of staff due to transfers within the hospital (Fineout-Overholt & Stillwell, 2019). I originally planned on excluding qualitative or descriptive single studies (or metasynthesis of these) but as I read the articles a lot of them are of this type because the mentoring topic is a little harder to quantify. As a result I may need to use these to help provide reference or description to the data. 5 Conduct Document Search Medline Search with Meaningful Limiters Cinahl Search with Meaningful Limiters 6 7 Select Appropriate Evidence to Read Figure 1 8 Figure 2 Obtain Appropriate Literature 9 I have submitted 3 interlibrary loan requests for literature from my Cinahl and Medline searches described above. I also plan to submit request for six more after doing the ancestry searching. In reviewing the references of my retrieved articles I have found fifteen ancestry articles so far. 10 References Fineout-Overholt, E., & Stillwell, S. B. (2019). Chapter 2: Asking compelling clinical questions. In B. M. Melnyk and E. Fineout-Overholt. Evidence-based practice in nursing and healthcare: A guide to best practice (4th ed., pp. 46). Philadelphia, PA: Wolters Kluwer. Hartzell, T.A., & Fineout-Overholt, E. (2019). Finding relevant evidence to answer clinical questions. In B. M. Melnyk & E. Fineout-Overholt (Eds.), Evidence-based practice in nursing and healthcare: A guide to best practice (4th ed., pp. 55-92), Philadelphia, PA: Wolters Kluwer.