Skip to Main Content

The Clinical Inquiry Process Resource Guide

The goal of this guide is to provide nurses a resource to understand and carryout the steps of performing an evidence-based practice (EBP) project.

Developing a Question

Once you have started to make your question one that is focused (foreground question), the next step is to take that question and break it into parts.  This can be done using the PICO format.  This format will help in allowing you to more easily search for evidence on the topic as well as to better understand what needs to be known and the data that may be needed to measure the intervention. 

 

 

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.

Types Question - Answered By Different Types of Primary Studies

Ideally, want a practice guideline, systematic review or meta-analysis when gathering evidence for an EBP project or question. 

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.

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