Searching for Research Evidence -EBP
When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data focused more on these factors and less on color options and sound systems. The same holds true when searching for research evidence to guide your clinical inquiry and professional decisions. Developing a formula for an answerable, researchable question that addresses your need will make the search process much more effective. One such formula is the PICO(T) format. In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question. To Prepare: Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources. Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. By Day 3 of Week 4 Post your PICO(T) question, the search terms used, and the names of at least two databases used for your PICO(T) question. Then, describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples.Searching for Research Evidence -EBP
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Evidence-Based Practice
PICO(T) questions are inquiries in health care that allows the researcher to clearly state the population/problem, intervention, comparison or control, outcome, and in some cases the timeline. The question is generated from the field of interest of the researcher where they seek answers that have proven effective through practice. An example of an inquiry is the risk prevention between renal patients who receive a regimen of acetylcysteine and those who receive total hydration during contrast imaging (Faggioni & Mehran, 2016). The nurse must use the right database to obtain factual information. This paper focuses on the transformation of a clinical inquiry into a searchable question that increases the effectiveness and efficiency of electronic databases during research.
Guidance on Using Databases
The electronic libraries have massive information on various topics. The information could be false with sources that are not credible. The massive information might also consume a lot of the researcher’s time when trying to establish evidence-based practice. Therefore, they must know the effective use of electronic databases to avoid collecting false information or time wastage. They must learn to develop keywords on the topic of interest which they will use to look for precise information (Hopia & Heikkilä, 2020). For instance, in the inquiry mention above, keywords could include, contrast imaging, risk score, chronic kidney disease, acetylcysteine, renal protection.Searching for Research Evidence -EBP
Developing a PICO(T) Question
A PICO(T) question must address at least four areas the population, intervention, comparison, and outcome. The population which in other cases it’s a problem should be precise that a reader will understand the topic of discussions without much explanation (Hopia & Heikkilä, 2020). The intervention has to be a scientific aspect that the researcher aims to determine its effectiveness. The comparison may contain other scientific practices that have an impact on the problem stated. The outcome has to be measurable where the comparison may be better than the initial intervention or vice versa. Sometimes the study has a timeline where the researcher sets a goal to achieve the results within a stipulated time. Based on the inquiry mention above one can develop a PICOT question that will be used to obtain evidence-based data. For instance, when nursing patients with chronic renal failure using contrast during imaging, does the administration of acetylcysteine compared to just adequate hydration, produce renal protection?
Conducting Effective Research
The researcher should identify databases that have information related to the topic of interest and peer-reviewed for credibility. For instance, the National Institute of Health (NIH) has an online library of medical information that is based on research. Cumulated Index to Nursing and Allied Health Literature (CINAHL) is also a credible database that a nursing researcher can use. A nurse should use tools such as keywords and Boolean operators increase the effectiveness of the study (Hopia & Heikkilä, 2020). The use of keywords while searching in the databases reduces the number of articles provide. However, the few articles available are precise to the topic of interest rather than general information in the numerous articles provided after a search without the keywords. The Boolean operator “OR” is effective when comparing the risk involved when using adequate hydration or acetylcysteine during contrast imaging (Liu, Shan & Zhang, 2020).
Conclusion
A PICO(T) question helps a researcher identify a specific problem and that they will use when seeking the information. Evidence-based data in healthcare is obtained from specific databases that are known to have peer-reviewed information (Hopia & Heikkilä, 2020). However, the search from the databases can be time-consuming since they contain massive information on healthcare. Thus, the researcher should develop a PICO(T) question that has keywords and use the Boolean apparatus to ensure they obtain precise information. Searching for Research Evidence -EBP
References
Faggioni, M., & Mehran, R. (2016). Preventing contrast-induced renal failure: a guide. Interventional Cardiology Review, 11(2), 98.
Hopia, H., & Heikkilä, J. (2020). Nursing research priorities based on CINAHL database: A scoping review. Nursing Open, 7(2), 483-494.
Liu, S., Shan, X. G., & Zhang, X. J. (2020). The place of hydration using intravenous fluid in patients at risk of developing contrast-associated nephropathy. British Journal of Hospital Medicine, 1-7.
Searching for Research Evidence -EBP