Evidence-based Nursing Using Research in Practice

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  • Using the model for designing clinical questions found in the Rebar and Gersch text,Box 1.3 (Designing Clinical Questions Using PICO or PICOT),
  • BOX 1.3
    Designing Clinical Questions Using PICO or PICOT


    PICO – PICOT

    P = Population: Who you are
    interested in studying; the population

    I = Intervention: the treatment or
    intervention of interest

    C = Comparison: the intervention
    you are comparing “I” to in the question

    O = Outcomes: the outcomes you are
    planning to measure

    T = Time of data collection

    Example:

    What is the efficacy of individual
    versus group teaching methods for newly diagnosed adolescent diabetic patients
    on patient compliance with diabetic regimen?

    P = adolescent diabetic patients

    I = individual teaching method

    C = group teaching method

    O = patient compliance with diabetic regimen

    T = new diagnosed through patient compliance
    measurement

  • identify a clinical question based on your own nursing practice and briefly discuss why this is important to you. [Example: Would daily hygiene care (traditional AM care) be better scheduled in the evenings to prepare patients for restful sleep?]
  • Select whichever of the four traditional approaches to answering clinical questions discussed in Rebar and Gersch—authority, intuition, professional experience, and reference texts—you believe would best address the question. Include in your discussion why you would select this approach over the other three.
  • Answer the following questions:
    • How did you determine that this is an appropriate question to inform nursing practice?
    • Examine factors that would encourage or impede the use of evidence-based information to inform nursing care decisions where you currently practice?
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