Clinical Question and Theoretical Framework Purpose Asking the right question is a difficult skill to learn, yet it is fundamental to the evidence-based decision-making process. This process begins wi

Clinical Question and Theoretical Framework

Purpose Asking the right question is a difficult skill to learn, yet it is fundamental to the evidence-based decision-making process. This process begins with a patient question or problem. The PICO question that you previously wrote guides the search process.A theoretical framework provides a basis for understanding the phenomenon of interest (the underlying issue or problem) and connects pieces of evidence into a more cohesive whole.Directions 

1. Restate your PICO question. 2.

2. Present the following information about the issue:

• Your own observations (personal perspective, what you have seen or heard about this issue) 
• Suggestions from experts (e.g., CNS, Infection Disease Practitioner) 
• A preliminary review of the literature 
• Current practice guidelines (e.g. institutional protocols where you work or that you found in your literature review) 
• Professional organization that relates to the situation or problem (example: National Gerontological Nursing Association on a PICO question related to elderly patients falls) 

3. Identify databases used to search literature related to PICO question

• Identify search terms used 
• Identify years of publication used in limits of the search (It is best last 5 years) 

4. Find at least two nursing articles that are relevant to the PICO question

• Articles must be a report of a primary research study, meta-analysis, or systematic review 
• Describe the study and identify the article by APA reference format 

5. Theoretical framework of the articles - Review your selected articles for an identified theoretical framework. If they do not identify one, you will need to find a relevant theory that can help to understand your clinical question from another source.

This the Pico Question

PICO Worksheet and search strategy

Define your question using PICO: Population (or patient condition of interest), Intervention, Comparison, Outcomes and Time

P – patient, problem, or population (e.g., age, ethnicity, or gender, type of clinical problem):

Among  young women ages 25-40 taking oral contraceptive  

I – intervention (the types of clinical intervention):

Minimized the risk  for Developing blood clots  and Cardiovascular disease  in their life

C – comparison (a comparison of interventions) (if applicable):

Compare with young women  25-40  years of age  

O – Outcome (the type of patient care outcome):

Who use IUD for contraceptive  

T – Time (if applicable)

Five years’ Time frame  

Write out your PICO question:  

Young women ages 20-45 who is taking oral contraceptive, are at Minimized the risk for developing blood clots, and cardiovascular compare with young women ages 25-40 that use IUD for contraceptive over some five years’ time frame.

List the main topics and terms from your question that you can use to search.  

________Oral _contraceptive Use __________________________            _______________________________

___________________________________            _______________________________

Sources that may help to find a theory include the following: 

• Google Scholar  
• Nursing Theories: A Companion to Nursing Theories and Models 
• The following textbook is required in a different course and if you have it you could use it for this assignment:  

Hood, L. J. (2014). Leddy & Pepper’s conceptual bases of professional nursing (8th ed.). Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins

After you have found an appropriate theory 

• Identify and describe the theory used by the author(s) or from another source  
• Discuss how this theoretical framework might apply to your own personal PICO question.  

Paper Length: Approximately 5-6 pages (not including title page and reference page)Course Outcomes Assessed: 1,2,3Grading Method: Written Assignment RubricGradebook Category: Clinical Question and Theoretical Framework

Submission status

Attempt number

This is attempt 1.

Submission status

No attempt

Grading status

Not graded

Due date

Wednesday, September 18, 2019, 11:59 PM

Time remaining

5 days 23 hours

Grading criteria

Breadth

Writing covers all required material for the assignment (including integration of any required resources).

30points

Writing covers most required material for the assignment (including integration of any required resources).

24points

Writing covers some required material for the assignment (including integration of any required resources).

18points

Writing fails to address much of the required material of the assignment.

0points

Depth

Analysis, logic, and critical thinking are effective and complete, demonstrating depth, clarity, and understanding.

25points

Analysis, logic, and critical thinking are mostly effective and complete.

20points

Analysis, logic, and critical thinking are somewhat effective and complete.

15points

Analysis, logic, and critical thinking are ineffective and incomplete.

0points

Organization

Structure is clear. Ideas are effectively introduced, developed, and concluded.

20points

Structure is visible, but components may not be complete. Ideas are mostly introduced, developed, and concluded.

16points

Structure needs significant work. Major breakdown between ideas introduced, developed, and concluded. Flow of ideas is not always clear.

12points

Structure is not appropriate for this assignment.

0points

Mechanics

Spelling, sentence structure, grammar, and punctuation are perfect.

10points

Spelling, sentence structure, grammar, and punctuation are adequate. Some additional editing would have been helpful.

8points

Spelling, sentence structure, grammar, and punctuation are inconsistent. Significant editing would have been helpful.

6points

Spelling, sentence structure, grammar, and punctuation are poor.

0points

Citations

All sources are properly cited in-text and/or on the reference page. No potential plagiarism issues.

10points

Most sources are properly cited in-text and/or on the reference page. Few potential plagiarism issues.

8points

Some sources are properly cited in-text and/or on the reference page. Some potential plagiarism issues.

6points

Sources are not properly cited in-text and/or on the reference page.

0points

Length

Paper is neither too short nor too long (± 10% of assigned length).

5points

Paper is either too short or too long by more than 10%.

4points

Paper is either too short or too long by more than 20%.

3points

Paper length falls too far outside the parameters for this assignment.

0points

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◄ Journal Article Critique Practice: Qualitative study using semistructured interviews in focus groups

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