NUR3165 DISCUSSION 3: 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.
| Question Components
|
Your Question |
| P – Patient or Population
Describe the most important characteristics of the patient. (e.g., age, disease/condition, gender)
|
|
| I – Intervention; Prognostic Factor; Exposure
Describe the main intervention. (e.g., drug or other treatment, diagnostic/screening test)
|
|
| 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:
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|
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):
| Type of Question | Ideal Type of Study |
| Therapy | RCT |
| Prevention | RCT > Cohort Study > Case Control |
|
Note: Full answer to this question is available after purchase.
|
Prospective, blind controlled trial comparison to gold standard |
| Prognosis | Cohort Study > Case Control > Case Series/Case Report |
| Etiology/Harm | RCT > Cohort Study > Case Control |
| Cost analysis | economic analysis |
| Note: Meta-analyses and systematic reviews, when available, often provide the best answers to clinical questions. | |
INSTRUCTIONS:
| ß OR à | |||
|
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.
| Primary search term | Synonym 1 | Synonym 2 | |
| P |
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||
| I |
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| C |
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| O |
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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)
| __ Systematic Review or Meta-Analysis
__ Clinical Practice Guidelines __ Critically Appraised Research Studies |
__ Individual Research Studies
__ Electronic Textbooks |
Check the databases you searched:
| __ 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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RELATED: ASSIGNMENT 2: JUSTIFY STRATEGIES FOR TEAM COHESION
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