The Method Of The Pico

The PICO model (see Table 1) was used to design a research question for assessing the Appraisal of Guidelines, and to develop an effective evidence-based process. Springett & Campbell (2006) have underlined the importance that to formulate a good question the four components are required. These components include an identified of population; an intervention; a comparison point and an outcome.

The PICO question I am occupied with inquiring about is, for infants, does breastfeeding decrease the future risk of obesity contrasted to bottles formula? In particular, the P= Infants, I= Breastfeeding, C= Bottles Formula, and O= Decreased future risk of obesity. Indeed, I was keen on this theme on the grounds that, breastfeeding has been a well-researched subject as of late. Moreover, in the 21st century there is an ascent in obesity, particularly in kids. Accordingly, if this health issue can be resolved for infants, then this can diminish the obesity rate when older, simply through a one of a kind method of sustaining an infant. Besides, this exploration inquiry can be important in Obstetric nursing, and also, Pediatric nursing, since

In the treatment of inpatient adults with a primary depression diagnosis, does an outcome-monitoring instrument such as a PHQ-9 monitor depressive symptoms more effectively that traditional clinical interview techniques during acute hospitalization course?

PICO questions break down the components of an evidence based decision making process into chunks of information which are more easily compiled in order to formulate an appropriate research question. P= Patient problem or population, I= Intervention, C= Comparison (where it is applicable), and O=Outcomes. For this change project question, the PICO formatted question is broken down as follows:

The key steps involved in evidence based practice come from a thirst for knowledge that once ignited makes the next step to asking a well worded clinical question easier. A well formulated question improves patient outcomes and supports the implementation of change. One such method looks at foreground and background questions. A background question is usually a basic knowledge question and is usually answered by a textbook. Foreground questions are usually specific and once answered can help in clinical changes. An acronym useful for formulating a well worded question is PICOT. ( Stillwell, Fineout-Overholt, Melnyk, Williamson, 2010).

However, this is not the recommended protocol shown in the literature. The current unit practice and evidenced based practice will be compared. The barriers to performing evidenced based practice will also be assessed.

This project will employ a Population-Intervention-Comparative-Outcome (PICO) fromat for development of the research question to be investigated:

The PICO (T) format is a way to develop a clinical question that lends itself to searching for evidence. Select a common nursing practice (e.g., wound care management) in your clinical setting and formulate a PICO question. Once you have formulated your question, conduct a library search and locate one scholarly article that addresses the topic you have selected. Post your clinical question in the TD, explain the PICO(T) elements, and provide a full reference of the article you selected.

Evidence-based practice is an approach used by health care professionals to continually use current best evidence-based research to make ethical and reliable decisions regarding patient care. “Research to promote evidence-based practice is becoming more and more a part of the regular work of health care leaders” (Grand Canyon University, 2015, p. 1). However, it is important to determine the difference between solid research and flawed research that provides unreliable inferences. Evidence-based research includes focusing on a clinical question; and includes the review and incorporation of several studies to strengthen the results of the new study (Grand Canyon University, 2015). Roddy et al. and Ganz et al. articles will be assessed to determine if the recommended changes were backed by solid research that warrants changes in a hospital.

Define evidence based practice and discuss the possible facilitators and barriers for Sam to utilise the best research evidence in clinical practice.

The project began with the formulation of a PICO question in an area of interest to guide the literature search. The PICO (population, intervention, control, and outcomes) format was used as a strategy for framing a foreground evidenced-based question. Dissecting the question into its component parts and restructuring was an essential first step in the evidence-based practice project. After careful consideration of the clinical manifestations and practitioner professional experience, the PIO question emerged was, Does Kinesio taping decrease pain and improve engagement in functional tasks in patients with shoulder pathology? Fortunately, there was sufficient evidence within the literature to support the PIO question.

The first word that comes to mind when I think of searching for answers to a PICO question related to the physical therapy that I use in my clinic is “frustration”. This week we were to use PubMed to search for research that pertained to two of our PICO questions. We explored PubMed in the foundations class last semester. The only previous use of PubMed may have been through articles found in Google Scholar. Finding keywords was not difficult and my schedule allowed enough time for the search. Filters beyond “full text” “human” and “review” led to zero articles found. One to three filters brought up one to twelve articles and at the most seventy. This may be because from evaluating the PubMed research it appeared more common to pair exercise with fibromyalgia or ankylosing spondylitis than manual or craniosacral therapy.

A Descriptive research purpose was used to answer the quantitative research PICOT question. In human research, a descriptive study can provide naturally occurring health status, behavior, attitudes and other characteristics of a particular group. In descriptive studies, data is collected without interfering the environment and is also referred as observational study. Descriptive studies are conducted to examine

Only a few studies in nursing research provide some kind of study that looks into experiences of patients who choose to undergo bariatric surgical procedures or investigation. Within the growth of science in bariatric nursing, there is that need of information to support both the patient that is receiving the care and the physician that is providing the care and the support. In this time of continues growth in this bariatric procedures, it is a most that all healthcare providers initiate and Evaluate necessary changes in practice that will enhance the well-being and health of patients that undergo this procedure. With the current increase in the rate of obesity, people have now turned to bariatric surgery because they

Nursing is an ever-changing field and the way patients are taken care of should be no different; however, patient care can be heavily influenced by tradition. Nurses can have traditions so ingrained in their practice that they never stop to question if a practice could be done differently and still provide quality care. Evidence-based practice (EBP) can be defined as use of current, best evidence in making decisions about care of patients (Portney, 2004). EBP has become an important part to include in high-quality, cost-effective health care; it breaks through the traditional molds that have been set by having evidence support its benefit in practice. EBP all begins with a clinical question that undergoes research and testing. A good research questions can be easily formulated using the PICOT method. This paper will discuss the relationship that research and EBP share, how clinical questions are formed, and how PICOT is used and its key components.