NR 439 Week 1 Role of Research and the Importance of the Searchable Clinical Question
University:
Chamberlain University
NR 439 Week 1 Role of Research and the Importance of the Searchable Clinical Question
Paper Instructions
The practice of nursing is deeply rooted in nursing knowledge, and nursing knowledge is generated and disseminated through reading, using, and creating nursing research. Professional nurses rely on research findings to inform their practice decisions; they use critical thinking to apply research directly to specific patient care situations. The research process allows nurses to ask and answer questions systematically that will ensure that decisions are based on sound science and rigorous inquiry. Nursing research helps nurses in a variety of settings answer questions about patient care, education, and administration.
As you contemplate your role in the research process, read the following article.
- Kumar, S. (2015). Type 1 diabetes mellitus-common cases. Indian Journal of Endocrinology & Metabolism, 19, S76–S77. doi 10.4103/2230-8210.155409. http //proxy.chamberlain.edu 8080/login?url=http //search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=102354944&site=eds-live (Links to an external site.)Links to an external site.
- Choose one case study, and formulate one searchable, clinical question in the PICO(T) format. There are several potential questions that could be asked.
- Identify whether the focus of your question is assessment, etiology, treatment, or prognosis.
- Remember to integrate references.
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Sample Answer
According to CCN 2017 week 1 lesson, evidence can form the basis of best practices for the nursing process (assessment, diagnosis, planning, implantation and evaluation). As we consider the who, what, where, when, why and how of the situation, we begin to formulate a clinical question that addresses these queries. The PICOT format is a way to develop a clinical question that leads itself to searching for evidence. PICOT is an acronym for:
- P= Population of interest
- I= Intervention of interest
- C= Comparison of interest
- O= Outcome of interest
- T= Time
The case study of a 57 year old female with a 13 year history of diabetes who presented to the hospital due to failure of oral hypoglycemic agents (OHAs) in controlling her sugar levels, for the last 3 years, and was using biphasic insulin aspart 30/70 for treatment. She is a regular swimmer and socially very active, which led to her to have irregular meals and so often goes into frequent hypoglycemia. Her lifestyle, eating habits, and the use of biphasic insulin are the contributing factors of her uncontrolled diabetes and hypoglycemia. In addressing this case study, I will formulate the PICOT as follows:
- P= 57 year old female with 13 years history of diabetes
- I=Teaching regarding diabetic management
- C=No teaching regarding diabetic management
- O=Improvement in diabetic management and reduction of diabetic crisis
- T=Daily monitoring of fasting blood-sugar and postprandial blood-sugar levels x 3 months and monitoring HA1C levels every 3 months. Assessment of knowledge about diabetic management.
Clinical question after PICOT format
1. Etiology and assessment
Does lifestyle (irregular meals )and biphasic insulin aspart 30/70 causes hypoglycemia on the female.
Treatment and Prognosis
With lifestyle modification(regular meals), teaching on diabetic management and insulin degludec help in controlling the ladies diabetes by maintaining her blood-sugar levels and HA1C within normal limits?
References
- CCN (2017). Week 1 Lesson. NR-439 RN Evidence-Based Practice. Online lesson. Downers Grove, IL DeVry Education. Group.CCN (2016).
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