WORKSHEET FOR EVIDENCE-BASED TUTORIAL (Individual) Name:Florence_Boakai-Payne_____________________ PICO Worksheet and search strategy Define your question using PICO: Population(or patient c

WORKSHEET FOR EVIDENCE-BASED TUTORIAL (Individual)         Name:Florence_Boakai-Payne_____________________

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):

Adult patient with post-operative total hip replacement.

I – intervention (the types of clinical intervention):

Making post-operative pain effective on PCA pain medication.

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

Comparing prn IM pain medication.

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

Controlling post-operative pain. 

T – Time (if applicable)

Post-operative and recovery time of two weeks.

Write out your PICO question:

In adult patients on Transitional Care Unit with hip replacements, how are Patient Control Analgesics pain medication effective compared to IM pain medication in controlling post-operative pain during their recovery and postoperative time of two weeks?

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

_Managing hip replacement pain, better and earlier recovery to prevent chronic stage, how effective is PCA compared to IM meds_______________________________            _______________________________

Check any limits you applied to your search:

Year of publication:_____X_ Sample (such as age):____ Language:____ Other:_____________

Type of study/publication you want to include in your search:

___ Systematic Reviews or Meta-Analyses

___ Clinical Practice Guidelines

___ Critically Appraised Research Studies

___ Individual Research Studies

___ Electronic Textbooks

Check the databases you searched:

___ CINAHL

___ Cochrane  http://www.cochrane.org/reviews/

___ ACP Journal Club (probably not your first choice) http://annals.org/journalclub.aspx

___ Joanna Briggs http://www.joannabriggs.edu.au/

___ Evidence-Based Journals (see what journals cover the topic/population)

___ DARE      http://databases.unesco.org/dare/dareintro.shtml OR http://portal.unesco.org/shs/en/ev.php-URL_ID=12204&URL_DO=DO_TOPIC&URL_SECTION=201.html

___ Clinical Evidence http://clinicalevidence.bmj.com/ceweb/about/index.jsp

___ PubMed Clinical Queries http://www.ncbi.nlm.nih.gov/pubmed/clinical

___ AHRQ Evidence Reports http://www.ahrq.gov/clinic/epcindex.htm    

___ Guidelines Clearinghouse http://www.guideline.gov/

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.

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

2 days 4 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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