Homework Answsers / Nursing
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.
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Question Components |
Your Question |
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P – Patient or Population Describe the most important characteristics of the patient. (e.g., age, disease/condition, gender) |
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I – Intervention; Prognostic Factor; Exposure Describe the main intervention. (e.g., drug or other treatment, diagnostic/screening test) |
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C – Comparison (if appropriate) Describe the main alternative being considered. (e.g., placebo, standard therapy, no treatment, the gold standard) |
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O – Outcome Describe what you’re trying to accomplish, measure, improve, affect. (e.g., reduced mortality or morbidity, improved memory, accurate and timely diagnosis) |
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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):
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Type of Question |
Ideal Type of Study |
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Therapy |
RCT |
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Prevention |
RCT > Cohort Study > Case Control |
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Diagnosis |
Prospective, blind controlled trial comparison to gold standard |
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Prognosis |
Cohort Study > Case Control > Case Series/Case Report |
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Etiology/Harm |
RCT > Cohort Study > Case Control |
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Cost analysis |
economic analysis |
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Note: Meta-analyses and systematic reviews, when available, often provide the best answers to clinical questions. |
INSTRUCTIONS:
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OR |
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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.
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Primary search term |
Synonym 1 |
Synonym 2 |
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P |
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I |
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C |
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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)
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__ Systematic Review or Meta-Analysis __ Clinical Practice Guidelines __ Critically Appraised Research Studies |
__ Individual Research Studies __ Electronic Textbooks |
Check the databases you searched:
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__ Cochrane Library __ Joanna Briggs |
__ CINAHL with Full Text __ PubMed Clinical Queries |
What information did you find to help answer your question?
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Page 1 | 1 Lesson 4 – Discussion 3
NUR3165
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