Scholarly Paper: Using the PICOT process, analyze a current nursing practice-related issues.Select an issue from your NURS 412 clinical practice and write a PICOT research question.
Evidence Based Practice - PICOT
Dr. Birthale Archie
Transition into Professional Nursing Practice
NURS 425
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Definition Evidence Based Practice (EBP)
According to Melynk et. Al. (2010)
“a problem-solving approach to the delivery of health care that integrates the best evidence from studies and patient care data with clinician expertise and patient preference and values.” (p. 1)
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What is PICOT Statement
Carefully formulated question that encompass the acronym PICOT and the
The “T” must be included.
1. Identify the, patient, problem or population(P)
2. intervention (I) ( exposure , prognosis)
3. Comparison (C) (compare, control (versus)
4. Outcome(s) (O) ( affect)
5. Timeframe (T) ( duration)
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Template for PICOT QUESTION
https://www.aaacn.org/sites/default/files/documents/misc-docs/1e_PICOT_Questions_template.pdf
Handout in class.
Adapted from the PICOT Questions Template; Ellen Fineout-Overholt, 2006. This form may be used for educational & research purposes without permission
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Definitions for Terms
Intervention/Therapy: Questions addressing the treatment of an illness or disability.
Etiology: Questions addressing the causes or origins of disease (i.e., factors that produce or predispose toward a certain disease or disorder).
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Definitions for Terms Cont’
Diagnosis: Questions addressing the act or process of identifying or determining the nature and cause of a disease or injury through evaluation.
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Definitions for Terms Cont’
Prognosis/Prediction: Questions addressing the prediction of the course of a disease.
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Definitions for Terms Cont’
Meaning: Questions addressing how one experiences a phenomenon.
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Intervention
Intervention: In African-American female adolescents with hepatitis B (P), how does acetaminophen (I) compared to ibuprofen (C) affect liver function (O) timeframe (T)?
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Therapy
Therapy: In children with spastic cerebral palsy (P), what is the effect of splinting and casting(I) compared to constraint- induced therapy (C) on two-handed skill development (O)?
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Prognosis / Prediction
Prognosis/Prediction: 1) For patients 65 years and older (P), how does the use of an influenza vaccine (I) compared to not received the vaccine (C) influence the risk of developing pneumonia (O) during flu season (T)? 2) In patients who have experienced an acute myocardial infarction (P), how does being a smoker (I) compared to a non-smoker (C) influence death and infarction rates (O) during the first 5 years after the myocardial infarction (T)?
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Diagnosis
Diagnosis: In middle-aged males with suspected myocardial infarction (P), are serial 12-lead ECGs (I) compared to one initial 12-lead ECG (C) more accurate in diagnosing an acute myocardial infarction (O)?
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Etiology
Etiology: Are 30- to 50-year-old women (P) who have high blood pressure (I) compared with those without high blood pressure (C) at increased risk for an acute myocardial infarction (O) during the first year after hysterectomy (T)?
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Meaning
Meaning: How do young males (P) with a diagnosis of below the waist paralysis (I) perceive their interactions with their romantic significant others (O) during the first year after their diagnosis (T)?
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References
Birthale Archie, DNP, MSN, BS, RN
Fineout-Overholt, E. Template for Asking PICOT Questions. Retrieved October 7, 2019, from http ://www.unm.edu/~ unmvclib/cascade/handouts/PICOTtemplates.pdf
Library Guides: Evidence Based Nursing Practice: Pico(t) and Clinical
Questions
https :// libraryguides.missouri.edu/c.php?g=28271&p=174073
https :// libraryguides.nau.edu/c.php?g=665927&p=4682772
https://journals.lww.com/nursing/fulltext/2014/02000/To_make_your_case,_start_with_a_PICOT_question.7.aspx#pdf-link
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https://journals.lww.com/nursing/fulltext/2014/02000/To_make_your_case,_start_with_a_PICOT_question.7.aspx#pdf-link
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