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Posted: September 1st, 2023
(Picot discussion to refer to)
Assignment: Evidence-Based Project, Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews
Your quest to purchase a new car begins with an identification of the factors important to you. As you conduct a search of cars that rate high on those factors, you collect evidence and try to understand the extent of that evidence. A report that suggests a certain make and model of automobile has high mileage is encouraging. But who produced that report? How valid is it? How was the data collected, and what was the sample size?
In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected.
To Prepare:
Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
Develop a PICO(T) question to address the clinical issue of interest for the Assignment.
Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles at the systematic-reviews level related to your research question.
Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.
The Assignment (Evidence-Based Project)
Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews
Create a 6- to 7-slide PowerPoint presentation in which you do the following:
Identify and briefly describe your chosen clinical issue of interest.
Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.
Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
Provide APA citations of the four peer-reviewed articles you selected.
Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.
By Day 7 of Week 5
Submit Part 3 of your Evidence-Based Project.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the naming convention “WK5Assgn+last name+first initial.(extension)” as the name.
Click the Week 5 Assignment Rubric to review the Grading Criteria for the Assignment.
Click the Week 5 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK5Assgn+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.
Grading Criteria
To access your rubric:
Week 5 Assignment Rubric
Check Your Assignment Draft for Authenticity
To check your Assignment draft for authenticity:
Submit your Week 5 Assignment draft and review the originality report.
Submit Your Assignment by Day 7 of Week 5
To submit your Assignment:
Week 5 Assignment
To go to the next week:
Module 4
Sample Powerpoint Assignment
PICO (T) is a clinical framework that is used to derive clinical questions to facilitate the search for an answer. PICO (T) is a mnemonic which stands for P–Patient/Problem, I—Intervention, C—Comparison, O—Outcome and T- Time (Elias, Polancich, Jones & Convoy, 2015). In this case, the clinical issue under investigation is the treatment of type 2 diabetes for patients using either bariatric surgery or medical therapy. The purpose of using the two methods is to increase the probability of remission of diabetes. The obesity treatment is being carried out among diabetic patients. Therefore, the PICO (T) framework is used to compare the effectiveness of the best strategy. Therefore, it is a crucial framework that simplifies nursing tasks and helps them to identify a problem and its respective interventions, the expected outcomes, the duration and comparisons available in the research.
Research Database
The search for peer-reviewed nursing articles involved various research databases. The various databases include PubMed, CINAHL Plus, Nursing Reference Center Plus, and Child Care & Early Education Research Connections. The databases publish only peer-reviewed nursing papers making it easy for nurses to refer to them with confidence (Chu et al., 2017). Additionally, they contain peer-reviewed articles from different fields in nursing such as diabetes and obesity. They also provide systematic reviews which have a high level of evidence. They are thus reliable while carrying out research or seeking an answer for a PICO (T) question. The reason is that they also have high levels of research evidence, which gives a researcher an upper hand while carrying out research.
References
Chu, H., Zeng, L., Fetters, M. D., Li, N., Tao, L., Shi, Y., … & Zhao, Y. (2017). How novice, skilled and advanced clinical researchers include variables in a case report form for clinical research: a qualitative study. BMJ open, 7(9), e016760.
Elias, B. L., Polancich, S., Jones, C., & Convoy, S. (2015). Evolving the PICOT method for the digital age: The PICOT-D. Journal of Nursing Education, 54(10), 594-599.
Adab, P., Pallan, M. J., Lancashire, E. R., Hemming, K., Frew, E., Barrett, T., … & Daley, A. (2018). Effectiveness of a childhood obesity prevention programme delivered through schools, targeting 6 and 7 year olds: cluster randomised controlled trial (WAVES study). bmj, 360, k211.
Abbade, L. P., Wang, M., Sriganesh, K., Mbuagbaw, L., & Thabane, L. (2016). Framing of research question using the PICOT format in randomised controlled trials of venous ulcer disease: a protocol for a systematic survey of the literature. BMJ open, 6(11), e013175.
Feng, L., Wei, D. M., Lin, S. T., Maddison, R., Mhurchu, C. N., Jiang, Y., … & Wang, H. J. (2017). Systematic review and meta-analysis of school-based obesity interventions in mainland China. PloS one, 12(9), e0184704.
Levels of Evidence
The levels of evidence or hierarchy of evidence are used to measure the strength of recommendation attached to a research study. For example, a study with a high level of evidence can be recommended for use by nurses in the treatment of obesity or diabetes. However, if the level of recommendation is low, it means the findings cannot be relied on to make informed decisions. The studies selected have high levels of evidence since they comprise of expert opinions from people in high authority (Adab et al., 2018). They also have systematic reviews which are used to reduce the level of bias and thus provide expert opinions on a topic. Additionally, they have control trials which are used to measure the level of evidence. When nurses are evaluating research studies, they focus on systematic reviews whose conclusions can be used to develop policies in the treatment of patients suffering from obesity or diabetes.
Strength systematic review
Systematic reviews are essential in the field of nursing. The reason is that they provide reliable conclusions compared to a single study. Reliable conclusions are free from bias or personal opinions. The reason is that they provide expert opinions which can be used in the medical field to develop policies. Systematic reviews are also preferable since they provide a summary of the available research. They thus present a summary of all the available research studies (Abbade, Wang, Sriganesh, Mbuagbaw & Thabane, 2016). Additionally, they are used to provide new findings compared to carrying out an independent study. The systematic reviews are thus crucial in the nursing field since they strengthen research studies that have already been carried out.
Systematic reviews are essential to the nursing field as illustrated by Feng et al. (2017). The scholars identify 66 school-based interventions for obesity students. The 66 school-based interventions are essential since they have been summarized from the various studies synthesized through systematic reviews. The systematic reviews thus provide diverse solutions to the treatment of obesity students. One of the benefits of systematic reviews is to provide multiple findings without carrying a new study. For example, the systematic review provides school-based interventions that can be used to reduce the rising prevalence of childhood obesity in China (Feng et al., 2017). The systematic analysis is essential since it provides custom interventions that can be implemented in schools to curb the rising cases of obesity. Therefore, it is essential to carry out systematic reviews which can be used by medical professionals to make informed decisions compared to single studies that may be biased.
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