When You Decide To Purchase A New Car You First Decid 100099

When You Decide To Purchase A New Car You First Decide What Is Import

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 Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources. Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least two different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest.

You should not be using systematic reviews for this assignment; select original research articles. Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. It is suggested that an Intervention-type PICOT question be developed as these seem to work best for this course.

Paper For Above instruction

This paper aims to demonstrate the process of transforming a clinical inquiry into a structured PICO(T) question, enhancing the efficiency and effectiveness of literature searches in healthcare research. The clinical issue selected pertains to the management of hypertension among middle-aged adults, a prevalent health concern with significant implications for cardiovascular disease prevention.

Identifying the Clinical Issue

Hypertension remains one of the leading modifiable risk factors for cardiovascular morbidity and mortality worldwide. Despite the availability of various antihypertensive medications, controlling blood pressure adequately remains a challenge in certain populations, particularly among middle-aged adults. Effective management strategies, including lifestyle modifications and pharmacological interventions, require continual appraisal of current evidence to inform clinical decision-making.

Developing the PICO(T) Question

The PICO(T) framework provides a systematic approach to formulate clinical questions. For the chosen issue, the PICO(T) components are as follows:

  • Population: Middle-aged adults with diagnosed hypertension
  • Intervention: Implementation of a structured lifestyle modification program
  • Comparison: Usual care without structured lifestyle intervention
  • Outcome: Reduction in systolic and diastolic blood pressure levels
  • Time: Six months

Thus, the formulated PICOT question is: "In middle-aged adults with hypertension, does participation in a structured lifestyle modification program compared to usual care lead to significant reduction in blood pressure over six months?"

Database Search Strategy

To locate relevant evidence, two databases were utilized: PubMed and CINAHL. Appropriate keywords such as "hypertension," "lifestyle modification," and "blood pressure" were used. Boolean operators and filters for peer-reviewed articles and publication date within the last five years were applied to refine the search results.

In PubMed, the search yielded numerous articles, from which four high-quality original research studies were selected based on relevance and methodological rigor. Similarly, the CINAHL database provided additional pertinent articles. Combining search results from both databases ensured a comprehensive review of current evidence related to the intervention.

Strategies to Enhance Search Rigor and Effectiveness

To improve the quality and focus of literature searches, several strategies are recommended:

  • Careful development of precise and comprehensive keywords, including synonyms and related terms.
  • Use of advanced search options, such as MeSH terms in PubMed and subject headings in CINAHL.
  • Applying filters judiciously to exclude irrelevant or low-quality studies.
  • Reviewing reference lists of key articles to identify additional relevant research.
  • Engaging in iterative search processes, refining keywords and strategies based on initial search results.

Developing a clear, focused PICO(T) question allows researchers and clinicians to target their searches more efficiently, ultimately leading to the synthesis of high-quality evidence to inform clinical practice.

Conclusion

Transforming a clinical concern into a structured PICO(T) question facilitates targeted and effective literature searches. Employing strategic search techniques enhances the likelihood of retrieving relevant, high-quality evidence, thereby supporting evidence-based clinical decision-making. As healthcare continues to evolve, mastery of these skills remains essential for clinicians committed to ongoing professional development and optimal patient outcomes.

References

  • Higgins, J. P. T., Thomas, J., Chandler, J., Cumpston, M., Li, T., Page, M. J., & Welch, V. A. (Eds.). (2019). Cochrane Handbook for Systematic Reviews of Interventions (2nd ed.). John Wiley & Sons.
  • Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice (4th ed.). Wolters Kluwer.
  • Melnyk, B. M., & Morrison, S. (2015). The Evidence-Based Practice Handbook: Research and Application. Lippincott Williams & Wilkins.
  • Rothman, K. J., Greenland, S., & Lash, T. L. (2012). Modern Epidemiology (3rd ed.). Lippincott Williams & Wilkins.
  • Sackett, D. L., Rosenberg, W. M., Gray, J. A. M., Haynes, R. B., & Richardson, W. S. (1996). Evidence-based medicine: what it is and what it isn’t. BMJ, 312(7023), 71-72.
  • Shaughnessy, A. F., & Slawson, D. C. (2008). Searching the literature: Strategies for finding best evidence for practice. Journal of Family Practice, 57(9), 563–567.
  • Greenhalgh, T. (2014). How to Read a Paper: The Basics of Evidence-Based Medicine. John Wiley & Sons.
  • LoBiondo-Wood, G., & Haber, J. (2017). Nursing Research: Methods and Critical Appraisal for Evidence-Based Practice. Elsevier.
  • Grove, S. K., & Duggan, T. (2013). Understanding nursing research: Building an evidence-based practice. Pearson.
  • Polit, D. F., & Beck, C. T. (2017). Nursing Research: Generating and Assessing Evidence for Nursing Practice. Wolters Kluwer.

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