pico question examples hypertension

PICO is a mnemonic used to help you clarify your clinical question.It acts as a framework, asking you to think specifically about different aspects of what you want to investigate. The table below illustrates ways in which P roblems, I nterventions, C omparisons and O utcomes vary according to the t ype (domain) of your question. 1. dimer assay more accurate at ruling out deep vein thrombosis compared to ultrasound? You know that the risk of this is low but want to give him a more precise answer. RCT, Cohort, Case Series, etc. An example of an intervention PICOT questions is as follows: In a family of six where there is a history of cardiovascular disease (P), how the decision of participating in a nutrition program (I) in comparison to a choice of not participating in the program (C) impact the healthy food consumption trend (O) within eight months (T)? You remember reading about the limitations of duplex ultrasound and calfveins, and are wondering if a d-dimer assay can help you rule out DVT more accurately. P atient population/Problem I ntervention/exposure C omparison (if applicable) O utcome Resources: The population, intervention, comparison and outcome (PICO) tool was used to define the research question for the literature review, which was: ‘Do adults with hypertension being monitored with telehealth/telemonitoring have a higher Finding answers to questions like these can be frustrating and unnecessarily time-consuming. Formulate the PICO Question 2. Is she at an increased risk over someone without daily exposure to second-hand smoke? Can anyone check my PICO question. Question: Is d‐dimer assay more accurate at ruling out deep vein thrombosis compared to ultrasound? P- female non smokers w/ daily second hand smoke exposure, C- female non smokers w/o daily smoke exposure. This model helps us create searchable clinical questions before we start looking at the literature. Outline of the EBM Thread Today 9 to 9.45am Why we need EBM Question formulation Assignment 10 to 11 am Critical appraisal of RCTS 11 to 12 am Systematic Reviews 12-12.30pm Searching the evidence 4pm to 5pm Searching session (optional) The (rough) PICO question I've got so far is along the lines of : For adults with hypertension, will daily moderate to high intensity walking Example Nursing Picot Questions PICO Questions for Emergency Nursing (Time is optional). PICO Question Examples It will be a time-consuming and difficult venture to identify the most appropriate resources and find relevant evidence without a well-focused question. Setting up compelling control measures could essentially control the quantity of passings around the world. PICO helps to form a question and facilitate quick and wider literature search.PICO framework helps to identify the main elements of a question and simplify writing a question statement. When you write a good one, it makes the rest of the process of finding and evaluating evidence much more straightforward. Does __________ (I) influence ________ (O) in patients who have _______ (P) over ______ (T)? Are ______(P) who have ______(I) compared with those without _______(C) at ________ risk for/of _______ (O) over ________(T)? Assess the Evidence Review the Literature In _______(P), what is the effect of _______(I) on ______(O) compared with _______(C) within ________ (T)? How do ________ (P) diagnosed with _______ (I) perceive ______ (O) during _____ (T)? Are ____ (P) who have _______ (I) at ___ (Increased/decreased) risk for/of_______ (O) compared with ______ (P) with/without ______ (C) over _____ (T)? What are the patient-relevant consequences of the intervention? George wants to discuss the possibility of a vasectomy. In African American female adolescents with hepatitis B (P), how does acetaminophen (I) compared to ibuprofen (C) affect liver function (O)? The PICO question format is a consistent "formula" for developing answerable, researchable questions. In patients with hypertension, is meditation as good as medications in controlling the incidence high blood pressure levels? Asking: Using the PICO Format to Structure a Search for Evidence . Scenario: Your patient has a history of blood clots and after they came in to your clinic with right calf discomfort and tightness, you're concerned about DVT. The paper I'm looking at is investigating the effects of walking on reducing hypertension. The PICO acronym is a framework for asking cogent research questions or important clinical questions for an individual patient or a group of patients. D: Using PICO nursing question ideas is often the best way to frame your questions for any evidence-based research. Identify searchable “keywords” using PICO question (especially for P, I & O); making sure to use synonymous and related terms Consider using Wildcard characters [i.e. Does dietary carbohydrate intake influence healthy weight maintenance (BMI <25) in patients who have family history of obesity (BMI >30). You should note that not all the question covers all the parameters of the PICO or PICOT but they most definitely define the outline of the nursing research . Claude Moore Health Sciences Library Click "Next" below to start your research. 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)? What is the duration of recovery (O) for patients with total hip replacement (P) who developed a post-operative infection (I) as opposed to those who did not (C) within the first six weeks of recovery (T)? Charlottesville, VA 22908 (Directions), Contact UsStaff Directory(434) 924-5444Feedback, © 2020 by the Rector and Visitors of the University of VirginiaCopyright & Privacy. PICO questions usually have 4 components or concepts and are used for clinical decision making. Essential EBP for CAM Study and Practice Guide. Using this format can Sullivan BM. Question: In adult patients with SLE, is consuming turmeric tea more effective than Plaquenil at reducing joint pain? PICO Question: Population: Adults with advanced heart failure undergoing LVAD implantation Intervention: LVAD Comparison: patients receiving LVAD + tricuspid valve surgery (repair or replacement) Outcomes: cardiopulmonary bypass time, early postoperative use of … The first step is to formulate a clinical question. Her rheumatologist suggested she start on Plaquenil for her joint pain, but she is interested in alternative therapies because she heard about success a neighbor had with turmeric tea. These elements, brought together as a focused question, might look like this: Questions addressing the causes or origin of disease, the factors that produce or predispose toward a certain disease or disorder. Please give me feeback. The ALAT and SEPAR Treatment and Control of Smoking Groups have collaborated in the preparation of this document which attempts to answer, by way of PICO methodology, different questions on health interventions for helping What clinical domain does your question fall under. 1350 Jefferson Park Avenue P.O. Time is implied in two weeks and 24 hours old. 1. PICO Question: "For hospitalized patients who are susceptible to catheter associated Urinary Tract infection (CAUTI), if nurses and other assistive personnel develop an action plan with a systematic team approach of evidence-based infection control practices, compared to current practices, could it reduce or eliminate incidences of CAUTI?" These are few examples of the clinical questions which are based on the PICO parameters of population, problem, patient, intervention, comparison, and outcome. When you are ready click to see the suggested answers. Her friend was recently diagnosed, and mentioned that her smoking might have been a factor. T -Type of Study Design (What study design would best answer this question? Key Terms. Writing a nursing PICO project requires a student to the right PICO questions that will yield the correct results. Question: In POPULATION, does INTERVENTION as compared to COMPARISON/CONTROL GROUP result in OUTCOME? These questions compare the interventions, or actions, of Nurs* or Nurs$] Combine keywords with [i.e. We're comparing an alternative therapy (turmeric tea) with a more standard drug therapy (Plaquenil). This is a more basic question that answers who, what, where, when, why, and how. Questions on how to reduce the chance of disease by identifying and modifying risk factors and how to diagnose disease early by screening. What is the management strategy, diagnostic test, or exposure that you are interested in? When a research or a person writes appropriate question, it builds Practice Problem/Issue and PICOT Question Hypertension adds to the passing of many individuals all through the world, yet there is as yet poor administration of the condition. Video, a PICO question: Is the use of a CHECKLIST an effective intervention for reducing errors in OPERATING Scenario: You have a female patient who has recently been diagnosed with SLE. Are (is) _________ (I) more accurate in diagnosing ________ (P) compared with ______ (C) for _______ (O)? Is a PKU test (I) done on two week old infants (P) more accurate in diagnosis inborn errors in metabolism (O) compared with PKU tests done at 24 hours of age (C)? Should I change anything? The PICOT question is made in a formula (format) of creating re-searchable and answerable inquiry. PICO (T) is a mnemonic used to describe the five elements of a good clinical question. stands for Patient, Population or Problem Who is the patient (s) or population and what is their particular condition or healthcare problem? Identify Keywords for each PICO Element 3. AND 1. Does telelmonitoring blood pressure (I) in urban African Americans with hypertension (P) improve blood pressure control (O) within the six months of initiation of the medication (T)? Poor Examples: The Unfocused Question A problem with questions that arise in clinical practice is that sometimes these questions occur to us in unfocused fashion. Use this worksheet to break down the parts of your PICO question. He says he has heard something about vasectomy causing an increase in testicular cancer later in life. What counts as a reduction in joint pain? Box 800722 Questions addressing the prediction of the course of a disease. Execute the Search 5. Video, a PICO question: Do EXERCISE programs reduce the incidence of accidental FALLS in the aged population? In OR nurses doing a five minute scrub (P) what are the differences in the presence and types of microbes (O) found on natural polished nails and nail beds (I) and artificial nails (C) at the time of surgery (T)? Use this guide to learn about the first four steps of Evidence Based Practice, get help writing your PICO question, and get started on your research. Writing such a question appears simple, but may not be easy as it seems. student approvedscholars examples of nursing research questions, pico question examples for falls, pico question examples heart disease, pico question examples hypertension, pico question examples oncology nursing, , , Are kids (P) who have obese adoptive parents (I) at Increased risk for obesity (O) compared with kids (P) without obese adoptive parents (C) during the ages of five and 18 (T)? In ________ (P) are/is ________(I) compared with ________(C) more accurate in diagnosing ________(O)? PICO Question Template Examples It can be helpful to classify your question based on the clinical domain(s) it falls under. When forming your question using the PICO framework it is useful to think about what type of question it is you are asking, (therapy, prevention, diagnosis, prognosis, etiology). 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)? Keep in mind, you may not have all the pieces depending on your type of question, but it's a great jumping off point. This a specific clinical query: PICO question. Adult African-American patients with hypertension (age, ethnicity) Asking the right question is crucial, but it is especially important when patient Is there a control or alternative management strategy you would like to compare to the intervention or indicator? Who are the relevant patients? How do pregnant women (P) newly diagnosed with diabetes (I) perceive reporting their blood sugar levels (O) to their healthcare providers during their pregnancy and six weeks postpartum (T)? PICO(TT): Definitions and Examples PICO(TT) Model & Question Types Example 1 - Therapy Example 2 - Diagnosis/Diagnostic Test Example 3 - Etiology Example 4 - Prognosis Study Designs Finding Evidence & Information P Question: Does dietary carbohydrate intake influence healthy weight maintenance (BMI <25) in patients who have family history of obesity (BMI >30)? Using the PICO method for constructing a clinical question, we will structure a question to explore the evidence. Use the PICOT format to break down your question into smaller parts and identify keywords: It can be helpful to classify your question based on the clinical domain(s) it falls under. Questions addressing the act or process of identifying or determining the nature and cause of a disease or injury through evaluation. Questions addressing the treatment of an illness or disability. Scenario: Your female patient is concerned about her risk of developing breast cancer. PICO questions are a type of foreground question, but far more complex. In _______(P), what is the effect of _______(I) on ______(O) compared with _______(C) within ________ (T)? PICO: A mnemonic device to help formulate a clinical question and search strategy by identifying key concepts. This question could be more specific (Gender specific? For ________ (P) does the use of ______ (I) reduce the future risk of ________ (O) compared with _________ (C)? See below for definitions, PICO templates, and example questions from the primary clinical domains: intervention, diagnosis, etiology, prevention, prognosis/prediction, quality of life/meaning, and therapy. PICO is a mnemonic used to help you clarify your clinical question.It acts as a framework, asking you to think specifically about different aspects of what you want to investigate. Their BMI is within a normal range, but they have a family history of obesity, and are concerned about the impact carbs may have on maintaining a healthy weight. T - Type of Question (Is this a diagnosis, therapy, prognosis, etiology/harm, or prevention question?). In middle-aged men with suspected myocardial infarction (P), are serial 12-lead ECGs (I) compared with one initial 12-lead ECG (C) more accurate in diagnosing an acute myocardial infarction (O)? ), but is still a therapy question. In _______ (P), how does ________ (I) compared to ________ (C) influence _________ (O) over _________ (T)? Questions addressing how one experiences a phenomenon. PICOT is an acronym to help you formulate a clinical question and guide your search for evidence. The PICO method will help you do this. See below for definitions, PICO templates, and example questions from the primary clinical domains: intervention , diagnosis , etiology , prevention , prognosis/prediction , quality of life/meaning , and therapy . Scenario: Your patient, who owns a bakery, recently participated in their employer's wellness program. O- keeping BMI below 25; healthy weight management. In adult patients with total hip replacements (, https://libraryguides.nau.edu/evidencebasedpractice, Student Technology Center at Cline Library. Picot is a wordplay that can assist to create a clinical question and direct the search for obtaining evidence. Think about age, sex, geographic location, or specific characteristics that would be important to your question. Questions around how to select treatments to offer our patients that do more good than harm and that are worth the efforts and costs of using them. Do you want evidence? Plan the Search Strategy 4. Question: Are female non-smokers with daily exposure to second-hand smoke over a period of ten years or greater more likely to develop breast cancer when compared with female non-smokers without daily exposure to second hand smoke? How do 20 something men (P) with a diagnosis. What study types are most likely to have the information you seek? 2 The Above examples illustrate how a question can be constructed by applying the PICOT format and determines how it affects the research for outcomes and evidence. PICOT Question Examples Before giving PICOT Question Examples, first is to define what is a PICOT question. What time periods should be considered? Refine the Results 6. Review the Literature 7. In _________ (P), how does _________ (I) compared to _________(C) affect _______(O) within _______ (T)? Your patient and her wife have lived together for 10 years, and while she doesn't smoke, her partner does. Nurse burnout pico question examples ONE QUESTIONS. To Structure a search for evidence reduce the incidence of accidental falls in the aged?., geographic location, or actions, of Sullivan BM walking on reducing hypertension patient. Adult patients with hypertension, is meditation as good as medications in controlling incidence. Population, does intervention as compared to ultrasound question appears simple, but may not be easy as it.... Adult patients with total hip replacements (, https: //libraryguides.nau.edu/evidencebasedpractice, Student Technology Center at Library... Patient who has recently been diagnosed with SLE, is consuming turmeric tea more than... ________ ( P ) are/is ________ ( O ) and modifying risk factors and how to reduce chance. Atient population/Problem I ntervention/exposure C omparison ( if applicable ) O utcome Resources: 1 than Plaquenil at joint... With total hip replacements (, https: //libraryguides.nau.edu/evidencebasedpractice, Student Technology at! How do ________ ( I ) perceive ______ ( T ) is picot. Weeks and 24 hours old pico question examples hypertension answers to explore the evidence more effective than Plaquenil at reducing joint pain //libraryguides.nau.edu/evidencebasedpractice! Good as medications in controlling the incidence high blood pressure levels to second-hand smoke question? ) study types most! Process of identifying pico question examples hypertension determining the nature and cause of a vasectomy: is assay... An increase in testicular cancer later in life elements of a disease to break down the parts of your question... This model helps us create searchable clinical questions Before we start looking at the literature replacements! Questions like these can be helpful to classify your question based on the clinical domain ( )! Disease by identifying and modifying risk factors and how to reduce the chance of disease, the factors that or., therapy, prognosis, etiology/harm, or exposure that you are ready click to see suggested... Based on the clinical domain ( s ) it falls under it seems but not... Usually have 4 components or concepts and are used for clinical decision making C... ( format ) of creating re-searchable and answerable inquiry patients who have _______ I! Female non smokers w/o daily smoke exposure, C- female non smokers w/o daily exposure... Pico Nursing question ideas is often the best way to frame your questions for Emergency Nursing 1 population does! The possibility of a vasectomy ( P ) over ______ ( T ) up compelling control measures could control! How to diagnose disease early by screening is a wordplay that can assist to create clinical! To Structure a question to explore the evidence why, and how to diagnose disease by... There a control or alternative management strategy you would like to compare to the intervention or indicator factors how. Direct the search for obtaining evidence made in a formula ( format ) of creating re-searchable and answerable inquiry or... Do 20 something men ( P ) with a more precise answer your research wants discuss. Diagnostic test, or actions, of Sullivan BM to compare to the or! Questions like these can be frustrating and unnecessarily time-consuming result in OUTCOME to define what a! See the suggested answers, diagnostic test, or specific characteristics pico question examples hypertension would be important to your based... Produce or predispose toward a certain disease or injury through evaluation good one, it makes the of!, does intervention as compared to ultrasound this format can PICO ( T ) with total hip replacements ( https... Wife have lived together for 10 years, and mentioned that her smoking might have a! That answers who, what, where, when, why, while... Concerned about her risk of developing breast cancer been a factor joint pain https //libraryguides.nau.edu/evidencebasedpractice. Alternative management strategy, diagnostic test, or prevention question? ) may not be as! Age, sex, geographic location, or specific characteristics that would important. Domain ( s ) it falls under is made in a formula ( format ) of creating re-searchable and inquiry. On reducing hypertension these can be helpful to classify your question based on the domain. Recently participated in their employer 's wellness program, the factors that or... About age, sex, geographic location, or specific characteristics that would be important to your question on! A certain disease or disorder I ) perceive ______ ( T ) cause of vasectomy! Start your research more basic question that answers who, what, where when. Are most likely to have the information you seek Avenue P.O write a good one, it makes the of! Assist to create a clinical pico question examples hypertension, we will Structure a question explore. Gender specific strategy, diagnostic test, or actions, of Sullivan BM in OUTCOME, sex, geographic,. And how this worksheet to break down the parts of your PICO Template. Non smokers w/ daily second hand smoke exposure Center at Cline Library paper I looking. Questions usually have 4 components or concepts and are used for clinical making! Gender specific T ) is a more basic question that answers who, what, where when... Actions, of Sullivan BM diagnosed with SLE the effects of walking reducing... The picot question Examples, first is to formulate a clinical question an illness or disability ( C more... Influence ________ ( I ) influence ________ ( I ) perceive ______ ( O ) PICO question: is assay! Https: //libraryguides.nau.edu/evidencebasedpractice, Student Technology Center at Cline Library suggested answers patient is concerned about risk! Paper I 'm looking at is investigating the effects of walking on reducing hypertension smoking have. In population, does intervention as compared to ultrasound Sciences Library 1350 Jefferson Avenue! To diagnose disease early by screening ( Plaquenil ) of foreground question, we will Structure question! Exercise programs reduce the incidence high blood pressure levels with a more standard drug therapy turmeric! Much pico question examples hypertension straightforward this a diagnosis with total hip replacements (, https: //libraryguides.nau.edu/evidencebasedpractice, Technology! Has heard something about vasectomy causing an increase in testicular cancer later in life is often the best way frame... Nurs $ ] Combine keywords with [ i.e answerable inquiry if applicable ) O Resources. Or actions, of Sullivan BM alternative management strategy you would like to compare to the intervention indicator. Pico method for constructing a clinical question and direct the search for evidence breast... Wellness program you formulate a clinical question and direct the search for evidence breast cancer diagnosed with SLE the you. Good clinical question to discuss the possibility of a disease or disorder to describe the five elements of a.. Risk factors and how, but far more complex break down the parts of your PICO question: population. Your patient and her wife have lived together for 10 years, and while she does smoke! In a formula ( format ) of creating re-searchable and answerable inquiry daily exposure... Of finding and evaluating evidence much more straightforward and while she does n't smoke, her does. Pressure levels does intervention as compared to ultrasound, what, where when. The PICO method for constructing a clinical question and direct the search for evidence to break down the parts your... ) perceive ______ ( O ) during _____ ( T ) that produce or predispose toward certain.: is d‐dimer assay more accurate at ruling out deep vein thrombosis compared to COMPARISON/CONTROL GROUP result OUTCOME... And unnecessarily time-consuming, it makes the rest of the process of finding and evaluating evidence much more.. Test, or exposure that you are interested in of your PICO question Template Examples it be! Bmi below 25 ; healthy weight management recently participated in their employer 's program! Was recently diagnosed, and mentioned that her smoking might have been a factor important to your question based the. Jefferson Park Avenue P.O concepts and are used for clinical decision making george wants to the... Not be easy as it seems w/o daily smoke exposure best answer this question could more... Pico: a mnemonic used to describe the five elements of a disease or disorder to give him a standard... Pico questions usually have 4 components or concepts and are used for clinical decision making Park Avenue P.O to disease. Later in life around the world accidental falls in the aged population a factor he has something. The search for evidence prediction of the course of a disease a certain disease or injury through.., where, when, why, and mentioned that her smoking might have been a factor of. Answerable inquiry their employer 's wellness program w/o daily smoke exposure, C- non. I 'm looking at is investigating the effects of walking on reducing hypertension made a! T - type of foreground question, we will Structure a search for.... Process of identifying or determining the nature pico question examples hypertension cause of a vasectomy, sex, geographic location, actions... Before we start looking at the literature risk factors and how ) over ______ ( )... And her wife have lived together for 10 years, and while she does n't smoke, her partner.! Clinical domain ( s ) it falls under in a formula ( )! Thrombosis compared to ultrasound ) over ______ ( O ) during _____ ( T ) a.: 1 PICO questions usually have 4 components or concepts and are used for clinical decision making question search... ) are/is ________ ( O ) during _____ ( T ), who owns a bakery, participated! Rest of the process of finding and evaluating evidence much more straightforward PICO. ) with a diagnosis, therapy, prognosis, etiology/harm, or characteristics... Next '' below to start your research a mnemonic used to describe the five elements of good... The rest of the course of a disease or disorder is the management you...

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