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Research Guides

Evidence-Based Practice Portfolio

The goal of this guide is to provide nurses and others a resource to understand and carryout the steps of performing a EBP project.

Developing a Question

What is the practice issue? The practice issue you identified needs to be converted into a focused structured question.  Skip down and complete PICO and the question may become easier to articulate.

PICO Format 

P - (Patient, Population or Problem) - Be specific. "Identify age, sex, patient setting, and symptoms" (Newhouse, Dearholt, Poe, Pugh, & White, 2007, p. 55)

  • Example - Adult trauma ICU patients with difficult peripheral access that do not require central venous access for IV therapy

I - (Intervention) - "can be a treatment or a clinical, educational, or administrative intervention" (Newhouse, et al., 2007, p. 55)

  • Example - Ultrasound guidance of PIV insertion by bedside RN

C - (Comparison with other treatments, if applicable) - Does a comparison group exist?

  • Example - IV cannulation via palpation, visualization or blind stick

0 - (Outcome) - The results we are interested  in from a clinical .and patient perspective  "may include  quality of life, improved  treatment  outcomes,  decreased rate  of adverse  events, improved  patient safety, decrease  cost or patient satisfaction."  (Newhouse, et al., 2007, p. 56)

  • Example - Reduce number of IV sticks before successful PIV cannulation, decrease patient discomfort, decrease need for central lines, increase patient satisfaction, decrease costs r/t central lines and potential for infection

Practice Question:

  • Example - For adult trauma ICU patients with difficult peripheral access, does the use of guided peripheral cannulation by bedside nurses reduce the use of central lines and increase patient satisfaction?

 

Newhouse, R.P., Dearholt, S.L., Poe, S.S., Pugh, L.C., & White, K.M. (2007). john hopkins nursing evidence-based practice model and  guidelines.  Indianapolis,  IN: Sigma Theta Tau  International.

Asking Different Types of Questions

Fill in the blanks with information from your clinical scenario:

THERAPY

In_______________, what is the effect of ________________on _______________ compared with _________________?

 

For ___________ does the use of _________________ reduce the future risk of ____________ compared with ______________?

DIAGNOSIS OR DIAGNOSTIC TEST

Are (Is) ________________ more accurate in diagnosing _______________ compared with ____________?

PROGNOSIS

Does ____________ influence ______________ in patients who have _____________?

ETIOLOGY

Are ______________ who have _______________ at ______________ risk for/of ____________ compared with _____________ with/without______________?

MEANING

How do _______________ diagnosed with _______________ perceive __________________?

Melnyk, B. M., & Fineout-Overholt, E. (2011). Evidence-based practice in nursing & healthcare: A guide to best practice. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins.

Types Question - Answered By Different Types of Primary Studies

References

Melnyk, B. M., & Fineout-Overholt, E. (2011). Evidence-based practice in nursing & healthcare: A guide to best practice. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins.

Newhouse, R.P., Dearholt, S.L., Poe, S.S., Pugh, L.C., & White, K.M. (2007). johns hopkins nursing evidence-based practice model and  guidelines.  Indianapolis,  IN: Sigma Theta Tau  International.

OHSU Clinical Inquiry Council. (2015). Oregon health & science university - evidence-based practice toolkit for nursing. Retrieved from http://libguides.ohsu.edu/ebptoolkit