need help for responding to my classmate discussion: 2 resources are needed.

I had trouble deciding on which route I wanted to take my PICOT (Patient, intervention, comparison, outcome, time) question. I wanted to review the effect of taking nonopioid pain medication instead of using opioid medication in hopes of decreasing the rising opioid abuse epidemic. I wasn’t sure if I wanted to research this topic in patients with chronic pain or pain in patients after outpatient surgeries. Since I work in the preoperative care unit, I decided to go with outpatient surgery. Per Walden University (n.d.,-a), prevention is an achievable guide for developing a PICOT question, and I decided to form my question with this in mind. My PICOT question is, for people undergoing outpatient surgeries, does the use of nonopioid medication versus using opioid medication achieve less perceived pain by the patient?

In the Walden Library, there are several databases to use for a search. Walden University (n.d.,-b) provided Medline and CINAHL as databases that were the easiest for me to use. I searched them separately and then together under the nursing research option. I did not want a systematic review and according to Walden University, less systematic reviews are in the CINAHL with full-text databases (n.d.,-c). I searched with the words, “nonopioid and opioid and pain and after and surgery” in the first search box. Only 13 options populated with the combination of the two databases. When I cut back to “opioid and nonopioid and surgery,” Medline produced 105 results, and CINAHL produced 36 results.

I expected more articles to result than 105 and 36. I contacted the Walden librarians via email to increase the effectiveness of my search. I was making a mistake by putting all of my search terms in the first search box only. A. Lemieux (personal communication, March 16, 2020) gave me a better suggestion to put the word, “surgery” in the first search box, “medication” in the second search box, and “pain management” in the third search box. The word “and” was between all words. I searched Medline and CINAHL using her example, and 347 articles populated.