PICOT format clinical questions

Purpose: Comment on the PICOT format clinical questions Discussion

Thing to Remember:

• Answer this discussion with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.
• 1 References, find resources that are 5 years or less
• No errors with APA format 6 Edition

To Comment

My name is XXXX XXXX. I live just outside of Des Moines, Iowa. I received my BSN in 2003 and started out as an operating room nurse. I then transferred to the emergency department in 2006 and have been there ever since. I am currently the trauma program manager for my primary hospital which is only a regular part time job. In addition to that I work PRN in another ER, do paper and on-site trauma reviews for the Iowa Department of Public Health PRN, and am one of the clinical instructors for the capstone clinical for Kaplan’s ASN program in a critical care unit. I have been thinking about going back for my MSN-FNP for a while now and finally decided it was time. I love nursing and have been encouraged by a lot of my fellow nurses that have gone back and obtained their MSN-NP. I plan on staying in the emergency setting as an NP in our fast track area or as the trauma team NP when I am finished. On the personal side I am a busy wife and mother. My husband is a farmer and I help out where I can with the field work, but do all the books and most of the grain marketing. We have 3 children, a daughter, Cadence, that turned 4 this past Wednesday, a daughter, Sydney, that just turned 2 in August, and a son, Ryan, that is almost 9 months old. I’m looking forward to getting to know all of you throughout this exciting journey.

ORDER PICOT format clinical questions

Pediatric Case Study

I’m sure all of us have had a patient outcome in our practice that made us think, “what could we have done differently that could possibly gain a better outcome for the next patient?” I know I have had several over the years. In this case study I would first form a clinical question that would best help me to narrow my research focus for best results. Our text outlines using the PICOT format to form clinical questions. P is the patient population, I is the intervention or issue of interest, C is the comparison intervention or group, O is the outcome, and T is the time frame (Melnyk & Fineout-Overholt, 2015). Our text goes on to formulate the PICOT question for this study. In infants who have had cardiac surgery, how often does removing pulmonary artery catheters influence cardiac tamponade within the first week of surgery? (O’Mathúna & Fineout-Overholt, 2015). With this clinical question in mind I would start my research for evidence. One study that I read found that in order to appropriately review a topic, first one must identify appropriate databases for the review(Butler, Hall, & Copnell, 2016). For my nursing research I like to use CINAHL Plus, OVID, and PubMed Central. I would also develop a search strategy. When researching a topic I have always used the same criteria or key words in all the different databases that I use. I didn’t realize until I read one study recently that this is called a search strategy. This study noted that by using a search strategy the search can by conducted in the same way each time and will allow for the search to be replicated in the future by others to yield the same results (Aromataris & Riitano, 2014). After finding journal articles and studies from this search I would begin to examine them for the evidence that I would need to address my clinical question.

References

Aromataris, E., & Riitano, D. (2014). Constructing a search strategy and searching the evidence: A guide to the literature search for systematic review. American Journal of Nursing, 114(5), 49– 56

Butler, A., Hall, H., & Copnell, B. (2016). A Guide to Writing a Qualitative Systematic Review Protocol to Enhance Evidence-Based Practice in Nursing and Health Care. Worldviews on Evidence Based Nursing, 13(3), 241-249. doi:10.1111/wvn.12134

Melnyk, B. M. & Fineout-Overholt, E. (2015). Making the case for evidenced-based practice and cultivating a spirit of inquiry. In B. M. Melnyk & E. Fineout-Overholt (Eds.), Evidence-based practice in nursing & healthcare (3^rd ed.) Philadelphia, PA: Wolter Kluwer Health.

O’Mathúna, D. & Fineout-Overholt, E. (2015). Critically appraising quantitative evidence for clinical decision making. In B. M. Melnyk & E. Fineout-Overholt (Eds.), Evidence-based practice in nursing & healthcare (3^rd ed.) Philadelphia, PA: Wolter Kluwer Health.