Searchable Clinical Questions
Searchable Clinical Questions
NR 439 Week 1 Discussion 1 – Searchable Clinical Questions
Read the assigned case study and formulate one searchable, clinical question in the PICO(T) format. There are several potential questions that could be asked. Identify if the focus of your question is assessment, etiology, treatment, or prognosis. Remember to integrate references.
NR 439 Week 1 Discussion 2 – Role of Research
Why should nurses incorporate research? What trends have created a push for nursing practice based on evidence? Remember to use references.
This chapter expands on alterations of hematologic function by presenting disorders that affect children, such as disorders of erythrocytes, coagulation, and platelets.
McPhee, S. J., & Hammer, G. D. (2010). Pathophysiology of disease: An introduction to clinical medicine (Laureate Education, Inc., custom ed.). New York, NY: McGraw-Hill Medical.
- Chapter 6, “Blood Disorders”
This chapter begins by exploring the anatomy and physiology of blood and the coagulation system. It then examines two types of anemia caused by red cell disorders. White blood cell disorders and platelet disorders are also examined.
Ask: Write a focused clinical question
PICOT
Use the PICOT format to break down your question into smaller parts and identify keywords:
P |
I |
C |
O |
T |
Patient / Population |
Intervention / Indicator |
Compare / Control |
Outcome |
Time / Type of Study or Question |
| Who are the relevant patients? Think about age, sex, geographic location, or specific characteristics that would be important to your question. | What is the management strategy, diagnostic test, or exposure that you are interested in? | Is there a control or alternative management strategy you would like to compare to the intervention or indicator? | What are the patient-relevant consequences of the intervention? | What time periods should be considered? What study types are most likely to have the information you seek? What clinical domain does your question fall under? |
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Use this worksheet to break down the parts of your PICO question.
PICO Question Template Examples
It can be helpful to classify your question based on the clinical domain(s) it falls under.
See below for definitions, PICO templates, and example questions from the primary clinical domains: , , , , , , and .
Intervention
Questions addressing the treatment of an illness or disability.
In _________ (P), how does _________ (I) compared to _________(C) affect _______(O) within _______ (T)?
In _______(P), what is the effect of _______(I) on ______(O) compared with _______(C) within ________ (T)?
Diagnosis
Questions addressing the act or process of identifying or determining the nature and cause of a disease or injury through evaluation.
Are (is) _________ (I) more accurate in diagnosing ________ (P) compared with ______ (C) for _______ (O)?
In ________ (P) are/is ________(I) compared with ________(C) more accurate in diagnosing ________(O)?
Etiology
Questions addressing the causes or origin of disease, the factors that produce or predispose toward a certain disease or disorder.
Are ____ (P) who have _______ (I) at ___ (Increased/decreased) risk for/of_______ (O) compared with ______ (P) with/without ______ (C) over _____ (T)?
Are ______(P) who have ______(I) compared with those without _______(C) at ________ risk for/of _______ (O) over ________(T)?
Prevention
Questions on how to reduce the chance of disease by identifying and modifying risk factors and how to diagnose disease early by screening.
For ________ (P) does the use of ______ (I) reduce the future risk of ________ (O) compared with _________ (C)?
Prognosis/Prediction
Questions addressing the prediction of the course of a disease.
Does __________ (I) influence ________ (O) in patients who have _______ (P) over ______ (T)?
In _______ (P), how does ________ (I) compared to ________ (C) influence _________ (O) over _________ (T)?
Quality of Life/Meaning
Questions addressing how one experiences a phenomenon.
How do ________ (P) diagnosed with _______ (I) perceive ______ (O) during _____ (T)?
Therapy
Questions around how to select treatments to offer our patients that do more good than harm and that are worth the efforts and costs of using them.
In _______(P), what is the effect of _______(I) on ______(O) compared with _______(C) within ________ (T)?
