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Systematic Reviews Of Qualitative Studies

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Systematic Reviews Of Qualitative Studies Question: Discuss about the Systematic Reviews of Qualitative Studies.     Answer: Introduction The paper deals with the case study of Mrs Peggy who is suffering from osteoarthritis in knees. In response to her condition, a PICO question is designed. To address the question database search is  performed and the relevant articles are retrieved.  The paper summarises the relevance of the article search. The above given PICO question is designed with the aim of comparing the effectiveness of using fish oil in treating the osteoarthritis knee condition in older adults. The purpose of the PICO is to facilitate search for addressing the developed PICO question that is directly relevant to the concerned patient. It is an evidenced based practice of finding the best clinical literature (O’Sullivan et al., 2013). If the literature review gives an evidence of efficacy of the intervention in concern, then the patient can be recommended to take the fish oil as a mean of relieving osteoarthritis knee pain. The two databases that have been used for literature review and extraction of the relevant article are MEDLINE and CINAHL. MEDLINE is the US based database that is recognised as “premier bibliographic” database. The database stands for “MEDical Literature Analysis and Retrieval System”. This premiere database contains more than 24 million references to academic journals, newspaper, magazines on the subject of medicine and life science. It is the primary content of PubMed. The database provides consumer oriented health information as an NLM service. The health care professionals prefer this database for its broad coverage (Rowe et al., 2017). CINAHL stands for “Cumulative Index to Nursing & Allied Health Literature”. It provides 2.3 million records that may be as old as of year 1981.  The database provides more than 3,000  journals and publications in English-language. The database covers information on 17 allied health disciplines, covers biomedicine, nursing, contemporary medicine and many others. It not only allows to access the journal articles but also gives access to health care books, selected conference proceedings, nursing dissertations, audiovisuals and educational softwares (Wright et al. 2015).  Both the databases offer comprehensive search mode with automatic term mapping facility. However, for this purpose, CINAHL is selected due to personal convenience.   Search Terms   Key words terms/phrases Alternative words P Osteoarthritis  women, arthritis elderly women, knee osteoarthritis women,  knee pain I Fish oil, Fish oil osteoarthritis, fish oil remedy, knee pain fish oil  fish oil pain relief, fish oil osteoarthritis, C fish oil, omega 3 fish oil, fish oil efficacy, Dietary fish oil fish oil, marine oil, Dietary fatty acids, O Fish oil knee treatment, Fish oil pain relief, knee treatment fish oil   fish oil relief osteoarthritis, Efficacy fish oil, Action Search mode Results Limiters/Expanders S1 SmartText searching- Effectiveness of  fish oil in osteoarthritis       206   Expander: Apply related words S2 SmartText searching- Fish oil in arthritis pain  treatment       155   Expander: Apply related words     S3 Find all my search terms- Fish oil OR Osteoarthritis women 137   Limiter- Publication type- The journal of clinical nutrition, Full text, Peer reviewed article, 2013-2017 S4 Find any of my search term – fish oil  IN arthritis pain#  WILDCARD searching 57   Limiter- Peer reviewed article, Publication type- The journal of clinical nutrition, Full text, 2013-2017 S5 Boolean/Phrase- fish oil AND Osteoarthritis patients* (Truncation)   29 Limiters- Publication type- The journal of nutrition, health & aging, Full text, 2013-2017, Peer reviewed   S6 Boolean Phrase- osteoarthritis treatment AND Fish oil#     7 Limiters- Peer reviewed article, 2013-2017,  Full text,   (Source: Richardson-Tench et al., 2016) Relevant Results As per the literature review, the recent research in the period 2013-2017 related to fish oil as remedy for osteoarthritis in older patient is  limited. It is evident from the literature that fish oil being the best source of omega-3-fatty acids does benefit to the body (Pittaway et al., 2015). However, there is limited studies of efficacy of fish oil on human. Mostly, its efficacy was studied in animal model. The two relevant results that are extracted after the article search from the CINAHL are one randomised control trial (Hill et al., 2016) and one systematic review by Senftleber et al., (2016).  Both the papers showed effectiveness of fish oil to alleviate osteoarthritis pain in older patients. Thus, the database search was relevant in addressing the PICO question. It can be considered effective to take fish oil along with other treatment process or medication. Presently it can be considered sole effective treatment option for osteoarthritis.  Conclusion As per my research, only one quantitative paper gave strong evidence of the efficacy of fish oil. Further, the research gave only moderate evidence from a qualitative paper regarding the effectiveness of the fish oil for treatment of osteoarthritis. Thus, there is a need of further research before it can be advocated to Peggy.   References Hill, C. L., March, L. M., Aitken, D., Lester, S. E., Battersby, R., Hynes, K., … & Jones, G. (2016). Fish oil in knee osteoarthritis: a randomised clinical trial of low dose versus high dose. Annals of the rheumatic diseases, 75(1), 23-29. O’Sullivan, D., Wilk, S., Michalowski, W., & Farion, K. (2013). Using PICO to align medical evidence with MDs decision making models. In MEDINFO 2013: PROCEEDINGS OF THE 14TH WORLD CONGRESS ON MEDICAL AND HEALTH INFORMATICS, PTS 1 AND 2 (Vol. 192). IOS PRESS. Pittaway, J. K., Chuang, L. T., Ahuja, K. D. K., Beckett, J. M., Glew, R. H., & Ball, M. J. (2015). Omega-3 dietary Fatty Acid status of healthy older adults in Tasmania, Australia: an observational study. The journal of nutrition, health & aging, 19(5), 505-510. Richardon-Tench, M., & Brown, S. (2014). Meeting the needs of cognitively impaired older adults in day surgery: a review of literature. Day Surgery Australia, 13(2), 18. Rowe, W., Dobson, P. D., Constantinides, B., & Platt, M. (2017). PubTree: A Hierarchical Search Tool for the MEDLINE Database. arXiv preprint arXiv:1702.08070. Senftleber, N. K., Nielsen, S. M., Andersen, J. R., Bliddal, H., Tarp, S., Lauritzen, L., … & Christense, R. (2016). PT09. 4: Fish Oil Supplements for Arthritis Pain: A Systematic Review and Meta-Analysis of Randomized Trials. Clinical Nutrition, 35, S40. Wright, K., Golder, S., & Lewis-Light, K. (2015). What value is the CINAHL database when searching for systematic reviews of qualitative studies?. Systematic reviews, 4(1), 104.

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