Focus on Evidence Based Practice Analysis.

Learning how to develop a comprehensive PICO(T) question is essential for an advanced nursing practice leader. As you practice developing your PICO(T) question, take this opportunity to share your PICO(T) question with your peer and offer feedback to each other.

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PICO (T) Question 1. PICO (T) is a question formatted to help search the literature to find evidence that your intervention is evidence-based. It is not your DNP Project. 2. The PICO (T) question can be asked in several different circumstances. 3. P—Population: Be specific, consider age, gender, or specific characteristics. I—Intervention: What strategy are you proposing? C—Comparison: The intervention can be compared to current practice or to another intervention. O—Outcome(s): Patient consequences of the intervention (T)—Time (time is not always necessary, especially when searching the literature, but is necessary in some circumstances) INTERVENTION/THERAPY In__________________________________ (P), how does___________________________________ __________________ (I) compared to_____________________________________________ (C) affect___________________________ (O) within_________________________ (T)? Be sure to use the word affect in this PICO question as you are not sure what the literature will show (do not use increase or decrease). DIAGNOSIS OR DIAGNOSTIC TEST In ____________________________________ (P) are/is_____________________ (I) compared with ___________________________ (C) more accurate in diagnosing ____________________ (O)? ETIOLOGY Are____________________(P), who have______________________________________________(I) compared with those without _______________________________________________(C) at ____________ risk for/of_______________________________ (O) over______________(T)? QUALITY OF LIFE/MEANING How do____________________________(P) with _______________________________________(I) percieve___________________________________________ (O) during_________________ (T)? BB/2019 Short definitions of different types of questions Intervention/Therapy: Questions addressing the treatment of an illness or disability. Etiology: Questions addressing the causes or origins of disease (i.e., factors that produce or predispose toward a certain disease or disorder). Diagnosis: Questions addressing the act or process of identifying or determining the nature and cause of a disease or injury through evaluation. Prognosis/Prediction: Questions addressing the prediction of the course of a disease. Meaning: Questions addressing how one experiences a phenomenon. Samples of PICO (T) Question Intervention/Therapy: (Most common type of PICO) 1) In African American female adolescents with hepatitis B (P), how does acetaminophen (I) compared to ibuprofen (C) affect liver function (O)? 2) In children with spastic cerebral palsy (P), how does splinting and casting(I) compared to constraintinduced therapy (C) affect two-handed skill development (O)? 3) In newborn infants who undergo minor surgery within the first month of life (P), how does acetaminophen (I) compared to Morphine (C) affect pain (O) within 24 hours post-operatively (T). Diagnosis: In middle-aged males with suspected myocardial infarction (P), are serial 12-lead ECGs (I) compared to one initial 12-lead ECG (C) more accurate in diagnosing an acute myocardial infarction (O)? Etiology: Are 30- to 50-year-old women (P) who have high blood pressure (I) compared with those without high blood pressure (C) at increased risk for an acute myocardial infarction (O) during the first year after hysterectomy (T)? Meaning: How do young males (P) with a diagnosis of below the waist paralysis (I) perceive their interactions with their romantic significant others (O) during the first year after their diagnosis (T)? BB/2019