PICOT question --- 3/8/22

PICOT Questions - Types of Evidence - Databases

Also see PICOT - pyramid and definitions

Outline Description Title: PICOT Questions - Types of Evidence - Databases

Also see PICOT - pyramid and definitions Look for the highest level of evidence appropriate for your clinical question.

Lansing Community College Library June 2019

Type of Clinical Question

· Therapy “What is the best treatment or intervention?”

· Prevention “How can I prevent this problem?”

· Diagnosis/Assessment “What is the best way to assess or best diagnostic test for this patient?”

· Causation “What causes this problem?”

· Prognosis “What are the long term effects of this problem?”

· Meaning “What is the meaning of this experience for patients?”

Primary Research in General

Use CINAHLPlus and Medline to find:

· Randomized controlled trials (RCT)

· Controlled Trials

· Case-control studies

· Cohort studies

· Descriptive studies

· Qualitative studies

· Instrument development research

Primary Research for Specific Types of Clinical Questions

· Therapy: Randomized controlled trials (RCT), Controlled trials

· Prevention: Randomized controlled trials (RCT), Controlled trials

· Diagnosis/Assessment: Instrument development research

· Causation: Cohort, Case control, Descriptive, or Qualitative studies

· Prognosis: Cohort or descriptive studies.

· Meaning: Qualitative studies.

Synthesized Research (Secondary Literature) in General

Use Cochrane Collection Plus , CINAHLPlus , and Medline to find:

· Systematic reviews

· Meta-analyses

Synthesized Research (Secondary Literature) for Specific Types of Clinical Questions

· Therapy: Systematic reviews

· Prevention: Systematic reviews

· Causation: Systematic reviews

· Prognosis: Systematic reviews

· Meaning: Systematic reviews

Other Evidence (Secondary Literature) in General

Use CINAHLPlus , Medline , Joanna Briggs Institute , nursing, healthcare, and government organizations to find:

· Clinical practice guidelines

Use published clinical articles (not research based), peer institution practices, expert clinician practices to find:

· Expert opinion

Other Evidence (Secondary Literature) for Specific Types of Clinical Questions

· Therapy: Clinical practice guidelines

· Prevention: Clinical practice guidelines

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