Evidence-Based Practice Proposal

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PICOT

Patient, Population, or Problem (or Disease or Condition) First, think about the patient, population and/or setting you are dealing with. Try to be as specific as possible (In children under 12 years with diabetes). Try to identify all of their clinical characteristics that influence the problem, which are relevant to your practice and which would affect the relevance of research you might find How would you describe patients similar to your own – what are their most important characteristics? This can include the primary disease, co-existing conditions, gender, age, or race of the patient.

Example:

In this example, the patient is a middle-aged Hispanic woman, slightly obese with moderate hypertension.

Evidence Based Practice Asking the Relevant Clinical Question

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Think about the factors that you need to consider (disease or condition, age, sex, symptoms, setting)

It will help your search if you can be as specific as possible at this stage, but you should hear in mind that if you are too narrow in searching you may miss important articles.

Interventions, Exposure ,Maneuver (diagnostic tests, foods, drugs, environmental hazards etc)

Try to be as specific as possible with the intervention. Next, think about what you are considering doing. An intervention is something planned to be done (… would adding drug Y to their current therapy…) Which intervention, risk factor, or exposure is being considered (treatment regime, diagnostic test, specific risk factors, advice or information) – what will you be doing for the patient? This can include treatments or diagnostic tools. Was the patient exposed to something environmental or occupational?

Example:

Mrs. R.'s blood pressure and obesity will be treated with a diet plan and exercise.

Comparison or Control Compared to what? (to another group) Better or worse than no intervention at all or than another intervention? What is the main alternative to compare with the

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intervention, are you trying to decide between two drugs, a drug and a placebo, or two diagnostic tests? Is there an alternative to compare to your intervention? (A "good" clinical question does not always need a comparison or control to be valid.)

Example:

Mrs. R. not being on a diet before and now being placed on one.

Outcome (what are the person-level consequences we are interested in?

What is the effect of the intervention? (survival, disiase, quality of life) What do you hope to accomplish, measure, improve, or affect with this intervention? What are you trying to do for the patient, relieve or eliminate the symptoms, reduce side effects, reduce cost? .. .

Example:

The outcome is for Mrs. R. to lose weight and reduce blood pressure for a better quality of life.

Time or Type of question or type of study you want to find?

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Therapy/Treatment, Diagnosis,Prognosis, Harm/Etiology What would be the best study

Type of study you want to find design/methodology?