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1 Finalizing PICO Question Joan Kamau Walden University NURS: 6431C, Section 3, Systems Design, Planning and Evaluation October 5, 2020 2 In any research project developing a PICO question is essential as it provides clear focus and structure on how the project will turn out to be (Twa, 2016). PICO question in nursing is used to describe the four elements of a good clinical question. It stands for: P- Patient/Problem/ Population, I- Intervention, C- Comparison, and O- Outcome. It enables one to clarify their questions, hence makes it easier to find an answer. Steps in constructing a research study that can yield usable results is a clearly stated question or hypothesis. It outlines where the study will be conducted, defines the population of interest, formulates the intervention, and selects the measures that will be utilized to collect data (Hastings & Fisher (2014). Seasoned investigators wrestle with the issue of deciding what to study and how. There is no formula, each evaluation, to some extent must be custom designed (Friedman & Wyatt (2010). A PICO question was presented to my peers for feedback, to evaluate the use of Computerized Physician Order Entry (CPOE) systems with Electronic prescription (E-Prescription) reduce medication errors among chronic pain patients in acute care. Based on the feedback received from last week’s discussion, the following PICO question will be used for the evaluation plan: In acute care patients with chronic pain, will the use of CPOE systems with e-prescriptions compared to paper methods decrease medication errors? The population or problem focuses on patients with chronic pain in acute care. The intervention is the reliability of using CPOE systems with e-prescriptions. The comparator is paper methods of documentation and paper prescriptions. The outcome is the reduction in medication errors with the new technology. PICO is an acronym used to assist researchers in developing well-worded questions that facilitate the search for evidence (Davies, 2011). The acronym stands for population or patients, intervention, comparison, and outcome (Davies, 2011). A well-developed PICO question will 3 guide the research process and reduce time wasted looking through journals (Burns & Chung, 2010). Following the PICO acronym will assist you in building a question that is clinically relevant, well-thought-out, and answerable (Burns & Chung, 2010). According to Quentin, Partanen, Brownwood, & Klazinga (2019), quality is a theoretical concept, having different meanings in different contexts, making it harder to measure directly. The use of CPOE system has essentially eliminated the need for handwritten paper orders. Hence, enabled healthcare organizations to cut down on unnecessary costs through increased efficiency (Charles et.al, 2014). 4 References Burns, P. B., & Chung, K. C. (2010). Developing good clinical questions and finding the best evidence to answer those questions. Plastic and reconstructive surgery, 126(2), 613–618. doi:10.1097/PRS.0b013e3181de24a7 Charles, K., Cannon, M., Hall, R., & Coustasse, A. (2014). Can utilizing a computerized provider order entry (CPOE) system prevents hospital medical errors and adverse drug events? Perspectives in health information management, 11(Fall), 1b. Davies, K. S. (2011). Formulating the evidence-based practice question: A review of the frameworks. Evidence Based Library and Information Practice, 6(2), 75-80. Retrieved from https://ejournals.library.ualberta.ca/index.php/EBLIP/article/viewFile/9741/8144. Friedman, C. P., & Wyatt, J. C. (2010). Evaluation methods in biomedical informatics (2nd ed.). New York, NY: Springer Science Business Media, Inc. Chapter 3, “Determining What to Study” (pp.48-84). Hastings, C. & Fisher, C. A. (2014). Searching for proof: Creating and using an actionable PICO question. Deceptive. Nursing Management, Volume 45 (8). Retrieved from https://www.deepdyve.com/lp/wolters_kluwer/searching-for-proof-creating-and-using-anactionable-pico-question-DkD0l5rDhR 5 Quentin W, Partanen VM, Brownwood I, Busse R, Klazinga N, Panteli D (2019). Measuring healthcare quality. Improving healthcare quality in Europe: Characteristics, effectiveness, and implementation of different strategies [Internet]. Copenhagen (Denmark): European Observatory on Health Systems and Policies (Health Policy Series, No. 53.) 3. Available from: https://www.ncbi.nlm.nih.gov/books/NBK549260/ Twa, M. D. (2016). Evidence-Based Clinical Practice: Asking Focused Questions (PICO). Optometry and Vision Science, 93(10), 1187-1188. Literature Review Protocol Summary Table NURS 6431 Name: Citation Type of Study Setting Key Concepts/Variables Findings Hierarchy of Evidence Level Design Type Framework/Theory Concepts: Type of Study: Choose an item. Design Type: Choose an item. Framework/Theory: Independent Variable: Dependent Variable: Controlled Variable: Type of Study: Choose an item. Concepts: Design Type: Choose an item. Independent Variable: Framework/Theory:
Dependent Variable: Controlled Variable: 1 © 2013 Laureate Education, Inc. Literature Review Summary Table NURS 6431 Citation Study Design Type Framework/Theory Setting Key Concepts/Variables Type of Study: Choose an item. Concepts: Design Type: Choose an item. Independent Variable: Framework/Theory: Dependent Variable: Controlled Variable: Type of Study: Choose an item. Concepts: Design Type: Choose an item. Independent Variable: Framework/Theory: Dependent Variable: Controlled Variable: Type of Study: Choose an item. Concepts: Design Type: Choose an item. Independent Variable: Framework/Theory: Dependent Variable: Controlled Variable: Findings Hierarchy of Evidence Level Literature Review Summary Table NURS 6431 Citation Study Design Type Framework/Theory Setting Key Concepts/Variables Type of Study: Choose an item. Concepts: Design Type: Choose an item. Independent Variable: Framework/Theory: Dependent Variable: Controlled Variable: Type of Study: Current Health Needs and Drugs Worksheet
Choose an item. Concepts: Design Type: Choose an item. Independent Variable: Framework/Theory: Dependent Variable: Controlled Variable: Type of Study: Choose an item. Concepts: Design Type: Choose an item. Independent Variable: Framework/Theory: Dependent Variable: Controlled Variable: Findings Literature Review Summary Table NURS 6431 Citation Study Design Type Framework/Theory Setting Key Concepts/Variables Type of Study: Choose an item. Concepts: Design Type: Choose an item. Independent Variable: Framework/Theory: Dependent Variable: Controlled Variable: Type of Study: Choose an item. Concepts: Design Type: Choose an item. Independent Variable: Framework/Theory: Dependent Variable: Controlled Variable: Type of Study: Choose an item. Concepts: Design Type: Choose an item. Independent Variable: Framework/Theory: Dependent Variable: Controlled Variable: Findings … Current Health Needs and Drugs Worksheet
Current Health Needs and Drugs Worksheet