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.

www.clayton.edu/library

clayton.libguides.com

Off-Campus Access

‼ Ask the HUB about using a VPN

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?