The purpose of this discussion is to teach students to use electronic databases and methodological filters to select the most relevant evidence to answer the clinical question
The purpose of this discussion is to teach students to use electronic databases and methodological filters to select the most relevant evidence to answer the clinical questions. A secondary purpose of this assignment is to teach students to format citations according to the American Psychological Association Style Handbook (7th Edition).
Instructions:
- For this discussion, you will use the PICO question you generated for the previous discussion: (In adult patients diagnosed with type 2 diabetes, does the implementation of a structured diabetes self-management education program compared to standard care result in improved glycemic control and reduced risk of complications over a six-month period?) (Use the PICO worksheet attached to this discussion).
- Select the most appropriate databases using information from the MDC Library databases. Explain in a short paragraph why you selected each one.
- Find synonyms for Population, Problem, Intervention, Comparison, Outcome. Fill out the list with synonyms.
- Using the advanced search feature, conduct separate searches for each of the above PICO, using “OR” with synonyms. Check for the number of hits for each search and revise as necessary.
- Using the search history feature, combine PICO searches, using “And.”
- Make note of the number of hits.
- Revise the searches combined, if necessary.
- Use methodological filter terms, first for systematic reviews, randomized control trials, cohort studies, etc. Note the number of studies found after applying the exclusion and inclusion criteria).
- Limit your searches to five (5) years.
- Write a paragraph describing the process ( this is the method section of the literature review).
- Title the discussion with the PICOT question.
- Your post should be within a range of 200-300 words.
- Cite your references APA 7th ed. (not included in the length of the post).
The Well-Built Clinical Question
PICO Worksheet
INSTRUCTIONS:
Think about a complex clinical problem that you encountered in your daily practice. Use the following table to identify the patient/population, intervention, comparison, and outcomes. Once is done try to formulate your question.
|
Question Components |
Your Question |
|
P – Patient or Population Describe the most important characteristics of the patient. (e.g., age, disease/condition, gender) |
|
|
I – Intervention; Prognostic Factor; Exposure Describe the main intervention. (e.g., drug or other treatment, diagnostic/screening test) |
|
|
C – Comparison (if appropriate) Describe the main alternative being considered. (e.g., placebo, standard therapy, no treatment, the gold standard) |
|
|
O – Outcome Describe what you’re trying to accomplish, measure, improve, affect. (e.g., reduced mortality or morbidity, improved memory, accurate and timely diagnosis) |
|
|
The well-built clinical question: |
INSTRUCTIONS: Fill in the blanks with information from your clinical scenario: THERAPY In_______________, what is the effect of ________________on _______________ compared with _________________?
PREVENTION For ___________ does the use of _________________ reduce the future risk of ____________ compared with ______________? DIAGNOSIS OR DIAGNOSTIC TEST Are (Is) ________________ more accurate in diagnosing _______________ compared with ____________? PROGNOSIS Does ____________ influence ______________ in patients who have _____________?
ETIOLOGY Are ______________ who have _______________ at ______________ risk for/of ____________ compared with _____________ with/without______________? MEANING How do _______________ diagnosed with _______________ perceive __________________?
INSTRUCTIONS: Scenario (check all that apply):
|
Type of Question |
Ideal Type of Study |
|
Therapy |
RCT |
|
Prevention |
RCT > Cohort Study > Case Control |
|
Diagnosis |
Prospective, blind controlled trial comparison to gold standard |
|
Prognosis |
Cohort Study > Case Control > Case Series/Case Report |
|
Etiology/Harm |
RCT > Cohort Study > Case Control |
|
Cost analysis |
economic analysis |
|
Note: Meta-analyses and systematic reviews, when available, often provide the best answers to clinical questions. |
INSTRUCTIONS:
|
OR |
|||
|
AND |
Main Concepts (PICO concepts) |
MeSH/Subject Headings |
Synonyms |
Search Strategy Development
INSTRUCTIONS: Finding the right words to get what you want. From your PICO, fill in as much as you can of the table below.
|
Primary search term |
Synonym 1 |
Synonym 2 |
|
|
P |
|||
|
I |
|||
|
C |
|||
|
O |
INSTRUCTIONS: List your inclusion criteria –i.e. gender, age, years of publication
INSTRUCTIONS: Check any limit that may pertain to your search:
_____ Age ___________________ Language __________ Year of publication
Type of study/publication you want to include in your search: (From Step 2 of tutorial)
|
__ Systematic Review or Meta-Analysis __ Clinical Practice Guidelines __ Critically Appraised Research Studies |
__ Individual Research Studies __ Electronic Textbooks |
Check the databases you searched:
|
__ Cochrane Library __ Joanna Briggs |
__ CINAHL with Full Text __ PubMed Clinical Queries |
What information did you find to help answer your question?
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Page 1 | 1 Lesson 4 – Discussion 3
NUR3165
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