1 Evidence Based Practice PICOT  Dr. Birthale Archie  1Transition into Professional Nursing Practice  NURS 425 / Week 7 2 Definition Evidence Based Practice (EBP)  According to Melynk et. Al. (2010)  “a problem-solving approach to the delivery of health care that integrates the best evidence from studies and patient care data with clinician expertise and patient preference and values.” (p. 1) 3 What is PICOT Statement  Carefully formulated question that encompass the acronym PICOT and the  “T” when pertinent. 1. Identify the problem or population(P) intervention (I) 3. Comparison (C) 4. Outcome(s) (O) 5. Timeframe (T) Template for PICOT QUESTION 4  https://www.aaacn.org/sites/default/files/documents/miscdocs/1e_PICOT_Questions_template.pdf  Handout in class.  Adapted from the PICOT Questions Template; Ellen Fineout-Overholt, 2006. This form may be used for educational & research purposes without permission 5 Definitions for Terms  Intervention/Therapy: Questions addressing the treatment of an illness or disability.  Etiology: Questions addressing the causes or origins of disease (i.e., factors that produce or predispose toward a certain disease or disorder). 6 Definitions for Terms Cont’  Diagnosis: Questions addressing the act or process of identifying or determining the nature and cause of a disease or injury through evaluation. 7 Definitions for Terms Cont’ Prognosis/Prediction: Questions addressing the prediction of the course of a disease. 8 Definitions for Terms Cont’ Meaning: Questions addressing how one experiences a phenomenon. 9 Intervention  Intervention: In African-American female adolescents with hepatitis B (P), how does acetaminophen (I) compared to ibuprofen (C) affect liver function (O) timeframe (T)? 10 Therapy  Therapy: In children with spastic cerebral palsy (P), what is the effect of splinting and casting(I) compared to constraintinduced therapy (C) on two-handed skill development (O)? 11 Prognosis / Prediction  Prognosis/Prediction: 1) For patients 65 years and older (P), how does the use of an influenza vaccine (I) compared to not received the vaccine (C) influence the risk of developing pneumonia (O) during flu season (T)? 2) In patients who have experienced an acute myocardial infarction (P), how does being a smoker (I) compared to a non-smoker (C) influence death and infarction rates (O) during the first 5 years after the myocardial infarction (T)? 12 Diagnosis  Diagnosis: In middle-aged males with suspected myocardial infarction (P), are serial 12-lead ECGs (I) compared to one initial 12-lead ECG (C) more accurate in diagnosing an acute myocardial infarction (O)? 13 Etiology  Etiology: Are 30- to 50-year-old women (P) who have high blood pressure (I) compared with those without high blood pressure (C) at increased risk for an acute myocardial infarction (O) during the first year after hysterectomy (T)? 14 Meaning  Meaning: How do young males (P) with a diagnosis of below the waist paralysis (I) perceive their interactions with their romantic significant others (O) during the first year after their diagnosis (T)? 15 References  Birthale Archie, DNP, MSN, BS, RN  Fineout-Overholt, E. Template for Asking PICOT Questions. Retrieved October 7, 2019, from http://www.unm.edu/~unmvclib/cascade/handouts/PICOTtemplates.pdf  Library Guides: Evidence Based Nursing Practice: Pico(t) and Clinical Questions https://journals.lww.com/nursing/fulltext/2014/02000/To_ma ke_your_case,_start_with_a_PICOT_question.7.aspx#pdf-link https://libraryguides.missouri.edu/c.php?g=28271&p=174073  https://libraryguides.nau.edu/c.php?g=665927&p=4682772  https://journals.lww.com/nursing/fulltext/2014/02000/To_make_your_case,_sta rt_with_a_PICOT_question.7.aspx#pdf-link …