Case Study

· The scenario discusses a pediatric patient with a bleeding disorder with post-operative

complications. To answer the clinical question and determine how rare this complication is in

pediatric patients you must rely on evidenced based research.

According to Melnyk and Fineout-Overholt (2015) the foundation of good searching is well

developed PICOT question. Peer reviewed research is essential for clinicians to answer their

questions (Melnyk & Fineout-Overholt, 2015). You can find a number of peer reviewed

research with online library databases, textbooks, or journals (Melnyk & Fineout-Overholt,

· 2015). Zimmerman (2017) research confirmed the importance of peer reviewed research with

online databases in credibility of evidence based research.

Online databases are going to be the most efficient in finding evidence however you want to

use more than one source to find the answer to your clinical questions according to Melnyk

and Fineout-Overholt (2015). By utilizing scholarly sources, you ensure your sources are up

to date and credible. Google and Google scholar for example are not always the most up to

date reliable sources therefore you should use another source in conjunction with the

information found on their search engines (Melnyk & Fineout-Overholt, 2015). Power and

Siddall (2015) recommend keeping the search simple to avoid information overload. When

searching you should start with key words or the PICOT question then subject headings and if

no results then title searches can be used according Melnyk and Fineout-Overholt (2015).

References:

Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence Based Practice in Nursing &

Healthcare. (3rd ed.). Philadelphia: Wolters Kluwer.

Power, A., & Siddall, G. (2015). Ensuring practice is based on the best evidence: Masterclass

on literature searching. British Journal of Midwifery, 23(5), 356-358.

Zimmerman, K. (2017). Essentials of Evidence Based Practice. International Journal Of

Childbirth Education, 32(2), 37-43.

#5 Student’s DQ answer:

The case study is about a four-day old patient who just done with a cardiac surgery

with bleeding disorder noted. After pulling the arterial catheter, the patient showed signs of

distress that required to be back in the operating room to correct the cardiac tamponade. To

address the questions for the situation given, we first have to find evidence knowledge about

cardiac tamponade in infants related to cardiac surgery. We need to know if it’s a common

side effect from the surgery or is this a rare case. Then we can continue to formulate the PICO

model to investigate for further appropriate action. “PICOT represents the patient population,