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When you decide to purchase a new car, you first decide what is important to you
When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data focused more on these factors and less on color options and sound systems.
The same holds true when searching for research evidence to guide your clinical inquiry and professional decisions. Developing a formula for an answerable, researchable question that addresses your need will make the search process much more effective. One such formula is the PICO(T) format.
In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question.
To Prepare:
Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.
Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least two different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. It is suggested that an Intervention-type PICOT question be developed as these seem to work best for this course.
Required readings
Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Wolters Kluwer.Chapter 2, “Asking Compelling Clinical Questions” (pp. 37–60)
Chapter 3, “Finding Relevant Evidence to Answer Clinical Questions” (pp. 62–104)
Davies, K. S. (2011). Formulating the evidence based practice question: A review of the frameworks
Links to an external site.
for LIS professionals. Evidence Based Library and Information Practice, 6(2), 75–80.
Library of Congress. (n.d.). Search/browse help – Boolean operators and nesting
Links to an external site.
. Retrieved September 19, 2018, from https://catalog.loc.gov/vwebv/ui/en_US/htdocs/help…
Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010). Evidence-based practice, step by step: Asking the clinical question: A key step in evidence-based practice.
Links to an external site.
American Journal of Nursing, 110(3), 58–61.
Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2009).Evidence-based practice: Step by step: Igniting a spirit of inquiry
Links to an external site.
.
Links to an external site.
American Journal of Nursing, 109(11), 49–52. doi:10.1097/01.NAJ.0000363354.53883.58
Stillwell, S.B., Fineout-Overhold, E., Melnyk, B.M., & Williamson, K.M. (2010). Evidence-based practice step-by-step: Searching for evidence.
Links to an external site.
American Journal of Nursing, 110(5), 41-47.
Walden University Library. (n.d.-a). Databases A-Z: Nursing
Links to an external site.
. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981
Walden University Library. (n.d.-c).Evidence-based practice research: CINAHL search help
Links to an external site.
. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthe…
Walden University Library. (n.d.-d). Evidence-based practice research: Joanna Briggs Institute search help
Links to an external site.
. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthe…
Walden University Library. (n.d.-e). Evidence-based practice research: MEDLINE search help
Links to an external site.
. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthe…
Walden University Library. (n.d.-f). Keyword searching: Finding articles on your topic: Boolean terms
Links to an external site.
. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/…
Walden University Library. (n.d.-g). Keyword searching: Finding articles on your topic: Introduction to keyword searching
Links to an external site.
. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/…
Walden University Library. (n.d.-h). Quick Answers: How do I find a systematic review article related to health, medicine, or nursing?
Links to an external site.
Retrieved September 6, 2019, from https://academicanswers.waldenu.edu/faq/72670
Walden University Library. (n.d.-i). Systematic review.
Links to an external site.
Retrieved January 22, 2020, from https://academicguides.waldenu.edu/library/healthe…
Example
Hi Everyone,
For this discussion we are first developing your PICO(T) question. For the week 3 assignment you used a topic to research, for this discussion you should use the same topic unless you did not find enough information. If this is the case, please email me so that I can help you work on a new topic.
From my experience, it is usually easier to use an intervention type question, but you can use any formats suggested in your textbook chapter 2, page 40, table 2.2 and there are some templates on page 44, table 2.2. Here is the intervention type format to use (if you like).
In_____________________(POPULATION) how does __________________(Intervention) compared with ___________________(Comparison) affect _______________________(Outcome) within______________________(time, optional).
Example: In acute care hospitalized patients (Population) what is the effect of using CHG caps on all central line ports (intervention) compared to current ports used (comparison) on rates of CLABSI (outcome…be sure it is measurable), over a 6-month period (time)?
The second part of this discussion post is to describe your experience in your database searches. Chapter 3 in your textbook offers some great strategies or database searches. This can be a narrative description, or some students like to use a chart. Something like this:
Search terms using Boolean operators
Database used
Number of Hits
Notes on any outstanding articles, what level of evidence were found
Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples.
Be sure to include a reference page including all the resources you used for this discussion post.
Thanks,
Dr. Sullivan
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