How do you find the best evidence to answer PICO(T) questions? In EBP, it is essential to use your PICO(T) question and its components as the foundation of your search for the most relevant, best evidence to answer the question and address a health care challenge. Peer reviewed journals contain research studies with evidence to:
Support the need to improve the health care challenge you have identified in the PICO(T) question.
- Substantiate potential interventions that will improve the problem you have identified. Make sure the identified strategies and interventions are supported by the evidence-based literature and other credible sources. The strength of the evidence should be from a credible, peer reviewed source and evaluated for merit.
Use the PICO(T) question to conduct a thorough review of the literature. Likewise, it is crucial to master your skills using health care databases to conduct the search. Also, utilize the Capella library resources.Introduction
This assessment is a continuation of the steps of the EBP process. The purpose of the next step is to identify information available regarding the patient safety issue by obtaining literature to support potential interventions. The acquisition of literature starts with the search.Scenario
As we have discussed previously, in this course we are focusing on a patient safety issue of your choice and working through the six steps of the EBP process. We explored the step of “Ask the clinical question” with the first assessment and now we will look at the second step “Acquire the best evidence.”Keeping with the previous scenario and your role as the Director of Clinical Operations and Nursing Excellence, it is your responsibility to ensure that the best practices and protocols are implanted throughout the medical center. Your primary goals are to focus on problems in health care safety and how to solve them with evidence-based interventions as a quality improvement (EBP/QI) project.Instructions
Conduct research, create a PRISMA diagram, and write a 1-2 page narrative paper to describe the review process, using the following steps:
Review the resource on how to use and create a PRISMA diagram.
Using keywords derived from your PICO(T) question, use the available search engines to locate four EBP articles.
- Use filters, such as: items with full text online, peer-reviewed publications, and publications within the last five years.
- Use library tools, PRISMA, the Research Log spreadsheet, and RefWorks to organize and keep track of your search process.
- Be prepared to explain in a brief narrative report the steps in the process that you followed to find your literature sources.
Create a PRISMA diagram to illustrate your research process.
Complete the PRISMA 2020 flow diagram for new systematic reviews, including searches of databases and registers only.
You will use this to complete the diagram required for your assessment.
This library guide gives step-by-step instructions for how to create a PRISMA flow diagram.
Or create your own diagram using the PRISMA Flow Diagram Shinny App.
- Include this document as an appendix after your reference page.
- Create a 1-2 page paper to describe your exhaustive search process and include a PRISMA diagram. Include the following in your paper:
A brief statement of the patient safety issue and the research question in the PICO(T) format for the EBP/QI project you have been investigating.
- Identify evidence related to a gap or problem in a health care or public health situation.
- Explain how the evidence was gathered.
Create a narrative paragraph describing the literature search process, as illustrated in your PRISMA diagram.
- Include details of your exhaustive search process.
- List all keywords or search phrases, filters used, each database used, and how many articles were found with each search.
Explain what the inclusion/exclusion criteria for the articles were.
- Explain how many articles were retained and why.
- Submit 1-2 page paper, not including reference page.
Times New Roman, 12 point font.
Minimum of four resources.
Reference page in APA format.
Submit 1-page PRISMA diagram in the appendix after the reference page.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
Competency 1: Apply the steps of the evidence based practice process to a health care challenge.
- Describe a brief statement of the patient safety issue and the research question in the PICOT format.
- Create a PRISMA diagram for a new systematic review.
Competency 2: Differentiate qualitative, quantitative, and mixed research methods found in the literature.
Identify appropriate databases and key words as part of a search strategy for evidence.
Competency 3: Assess the quality of the research methods reported in peer-reviewed health care literature.
Explain the inclusion/exclusion criteria for the articles retained, how many articles were retained, and why.
Competency 4: Describe the theory and conceptual framework that informs an investigation and/or methodology.
Expert Solution Preview
To find the best evidence to answer PICO(T) questions, it is important to follow a systematic approach. Here are the steps you can take:
1. Identify the components of your PICO(T) question: Clearly define the patient population (P), the intervention or exposure (I), the comparison or control group (C), the outcome of interest (O), and the time frame (T).
2. Conduct a thorough literature review: Utilize health care databases and library resources to search for relevant articles. Use keywords derived from your PICO(T) question to refine your search. Apply filters, such as full-text availability, peer-reviewed publications, and recent publications (within the last five years) to narrow down your search results.
3. Evaluate the credibility of the sources: Ensure that the articles you select are from credible, peer-reviewed journals. Evaluate the strength of the evidence presented in the articles and consider the methodologies used in the research studies.
4. Use PRISMA diagram to organize the review process: PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) is a flow diagram that helps visualize the search process and identify the number of articles found, included, and excluded at each stage. Use the PRISMA diagram to document your research process.
5. Create a narrative report: Describe the steps you followed in your search process, as illustrated in your PRISMA diagram. Provide details of your exhaustive search, including the keywords or search phrases used, the filters applied, the databases searched, and the number of articles found in each search. Explain the criteria used for inclusion and exclusion of articles and justify the retention of selected articles based on relevance and quality.
By following these steps, you can effectively find the best evidence to answer PICO(T) questions and address healthcare challenges.