Problem Identification & Finding the Evidence for Evidence Based Practice

This assessment requires students to develop a question to address an area of interest and uncertainty, and demonstrate their ability to use the PICO or PS framework, and document a systematic method to search for literature. The assignment involves completing a PICO or PS worksheet, documenting a searchable question, key search terms, and evidence of their database search using MEDLINE or CINAHL.

A P A T92790 EVIDENCE B SED R C ICE
A e ment tem Pro lem identi ication and indin t e e idencess ss I 1: b f f g h v
ei tW gh : o o erall mar or t e ect10% f v k f h subj
mi ionSub ss : at rdaS u y 11th A t pmugus 11:59 t ro T rnitin portal in T nline o paper mi ion i re ired, h ugh u U S O . N sub ss s qu .
Task: t dent are to de elop a e tion to addre an area o intere t and ncertaint and demon trate t eirS u s v qu s ss f s u y, s h
a ilit to e t e P or P rame or and doc ment a tematic met od to earc or literat re t dent o ldb y us h ICO S f w k, u sys h s h f u . S u s sh u
complete t e or eet pro ided and doc ment t eir earc a le e tion e earc term and e idence o t eirh w ksh v u h s h b qu s , k y s h s v f h
data a e earc in M or Ab s s h (us g EDLINE CIN HL).
n tr ction
I s u s
T i a i nment ill ild on o r learnin d rin ee and o t e eme ter rin ace to ace e ion andh s ss g w bu y u g u g W ks 1 2 f h s s . Du g f f s ss 1
preparation acti itie incl din t e li rar e ion o ill learn rt er a o t at a P i o to create onev s ( u g h b y s ss ) y u w fu h b u wh ICO s, h w ,
e e it and o it elp in de elopin re earc t at i rele ant to t e clinical orldwhy w us , h w h s us v g s h h s v h w .
n t i a e ment o ill pro ide e idence o o r learnin on in P or P and ildin a tematic literat reI h s ss ss y u w v v f y u g us g ICO S bu g sys u
earcs h.
1. denti o r o n it ation o practice t at pre ent an ncertaint o e t practiceI fy y u w s u f h s s u y f b s .
2. omplete t e attac ed P or P or eet to plan or o r tematic data a e earcC h h ICO S w ksh f y u sys b s s h.
3. in t e in ormation rom o r P or P or eet rite do n o r earc trate in t e attac edUs g h f f y u ICO SW ksh w w y u S h S gy h h
or eet plea e do t i in Micro o t ord and not andw ksh ( s h s s f W by h ).
4. nter o r earc into Medlineor A in ill o a e learnt in t e nline i rar t d ide andE y u s h CIN HL us g sk s y u h v h O L b y S u y Gu
t e in ormation in o r earc trate or eet emem er to eep t e e to t o r main topich f y u S h S gy W ksh . (R b k h s jus y u s
eadin a in too man di erent term mi t re lt in o mi in e paperh gs s us g y ff s gh su y u ss g k y s).
5. Ta e a pict re creen ot o o r earc en i complete and pa te it into t e ection in t e or eetk u (s sh ) f y u s h wh s s h s h w ksh
elo e ample on pa eb w ( x g 3).
Mar in riteria
k g C
e elop P or P and earc term marD v s ICO S s h s (5 ks)
 etermine element o P or PD s s f ICO S rele ant to t e c o en cenario marv h h s s (1 k).
 on ert t e e tion into a ccinct and earc a le P P ormat rele ant to t e i en cenario marC v s h qu s su s h b ICO/ S f v h g v s (1 k)
 denti ie appropriate main and alternati e earc term marI f s v s h s (2 ks)
 denti ie appropriate limit or t e earc i appropriate ender a e ran e p lication date and orI f s s f h s h, f (g , g g , ub s, /
lan a e margu g ) (1 k)
Applie a tematic earc o t e literat re mars sys s h f h u (5 ks)
 Tran er P P term into t e tematic earc plan it term ro ped in a lo ical order marsf s ICO/ S s h sys s h w h s g u g (1 k)
 Appropriatel com ine t e earc in and A oolean operatory b s h s h us g ‘OR’ ‘ ND’ B s mar(2 k).
 Acc ratel tran er earc to t e Medlineor A data a e accordin t e planned earc trateu y sf s s h h CIN HL b s g h s h s gy mar(1 k).
 Pro ide a le i le creen ot creen ra a e idence o t e earc in Medlineor Av s g b s sh /s g b s v f h s h CIN HL mar(1 k).
A e ment tem Pro lem denti ication indin t e idence
idence a ed Practice ac lt o ealt T
ss ss I 1: b I f & F g h Ev 92790 Ev B s
F u y f H h, U S Pa eg 1

A M T
M T MP AT
SSESS EN ONE: SUB ISSION E L E
Plea e complete o r a e ment acti itie in t e ollo in pa e and mit t i into T rnitin
s
y u ss ss v s h f w g g s sub h s u :
 PICO or P or eetS W ksh
 earc trate or eetS h S gy W ksh
 A pict re m t e reada le o o r tematic literat re earc in Medlineu ( us b b !) f y u sys u s h
P or P or eet
ICO S W ksh
elect onl eit er P or P P or antitati e it ation t pe e tion or P or alitati e it ation t pe
S y 1 – h ICO S ( ICO f Qu v s u y qu s s, S f qu v s u y
e tion o ma delete t e rame or o a e not ed rom t e or eet
qu s s) Y u y h f w k y u h v us f h w ksh .
M it ation o ncertaint o e t practice related to ay s u f u y f b s :
antitati e t pe o e tion a e completed t e P e tio** Qu v y f qu s : I h v h ICO qu s n⃝
alitati e t pe o e tion a e completed t e P e tion** Qu v y f qu s : I h v h S qu s ⃝
A T TAT T PQU N I IVE Y E
e t e ollo in cate orie to elp de ine o r pro lem and at o are loo in at in imple term1. Us h f w g g s h f y u b wh y u k g s s
PICO Patient Pro lem nter ention ompari on and tcome antitati e it ation: / b , I v , C s , Ou . (Qu v s u )
remem er to e o r readin to elp o i o are n re
( b us y u gs h y u f y u u su )
Patient Pro lem/ b : patient at ri o erin no ocomial in ectionICU sk f suff g s f
nter entionI v : lor e idine at in clotCh h x b h g hs
ompari onC s : oap and aters w
tcome pre ention oOu : v f no ocomial in ections f
o e t e e term rom t e e tion a o e to create o r2. N w us h s s f h qu s b v y u P re earc e tionICO s h qu s o t at o a e a clears h y u h v
p rpo e or o r earcu s f y u s h:
Are Chlorhexidine bathing cloths more effective in comparison to soap and
water in preventing nosocomial infection in ICU patients?
at t pe o e tion do o t in t i P an er3. Wh y f qu s y u h k h s ICO sw s?
T e P an er t e e tion ic i t e mo t e ecti e pre enti e mea re or no ocomial in ection et eenh S sw s h qu s , wh h s h s ff v v v su f s f b w
c loro e idine at in clot e and oap and ater treatment T e an er to t e e tion o ld elp inh h x b h g h s s w . h sw h qu s w u h
nder tandin ic pre enti e mea re i to e ed or in ection control in care ettin n ot er ord t e Pu s g wh h v v su s b us f f s gs. I h w s, h ICO
e tion attempt to e plore t e e ecti ene o lor e idine at clot a cleanin prod ct ed or illinqu s s x h ff v ss f Ch h x b h hs, g u us f k g
erm in t e pre ention o o pital ac ired in ection amon patient admitted to inten i e care nitg s, h v f h s qu f g s s v u s.
A e ment tem Pro lem denti ication indin t e idence
idence a ed Practice ac lt o ealt T
ss ss I 1: b I f & F g h Ev 92790 Ev B s
F u y f H h, U S Pa eg 2

T e ta le elo ill elp o to t in o t e ot er term t at o mi t al o li e to loo p en earc in or4. h b b w w h y u h k f h h s h y u gh s k k u wh s h g f
e idence to elp o an er o r e tion t i i part o a ic plannin or a re earc earcv h y u sw y u qu s – h s s f b s g f s h s h.
 e a o to loo pW sk y u k u alternati e termv s eca e ometime article rom ealt tem call t in di erent name or e ampleb us s s s f h h sys s h gs ff s – f x ,
in A tralia e ometime t e term comm nit n r e t in t e t e o ten tal a o t di trict n r e i o onl earc edus w s s us h ‘ u y u s s’, bu h UK h y f k b u ‘ s u s s’ – f y u y s h
nder di trict n r e o d mi all t e article ic ed t e ot er term o o ld e mi in ome o t e pict reu ‘ s u s ’ y u’ ss h s wh h us h h – y u w u b ss g s f h u !
A T TAT TQU N I IVE QUES ION
Pop lationu nter entionI v ompari onC s
not commonl ed in act al( y us u
data a e earc trateb s s h s gy)
tcomeOu
not commonl ed in act al( y us u
data a e earc trateb s s h s gy)
at i o r pop lationWh s y u u ?
Main earc terms h :
patient no ocomialICU s; s
in ectionf
at ot er term mi tWh h s gh
a e een edh v b us ?
Alternati e earc termv s h s:
n ection o pital criticalI f , h s ,
are nit inten i e care nitu , s v u
at i o r inter entionWh s y u v ?
Main earc terms h :
lor e idine at clotCh h x b h hs
at ot er term mi tWh h s gh
a e een edh v b us ?
Alternati e earc termv s h s:
Anti in ecti e a ent a- f v g s; w sh
clot A at cloths; CG b h h;
A a clotCG w sh h
at i o r compari onWh s y u s ?
Main earc terms h :
oap and aterS w
at ot er term mi tWh h s gh
a e een edh v b us ?
Alternati e earc termv s h s:
oap a entS g s
at i o r o tcomeWh s y u u ?
Main earc terms h :
Pre ention controlv ; ;
no ocomial in ections f
at ot er term mi tWh h s gh
a e een edh v b us ?
Alternati e earc termv s h s:
Pre entin controllinv g; g,
in ectionf
A e ment tem Pro lem denti ication indin t e idence
idence a ed Practice ac lt o ealt T
ss ss I 1: b I f & F g h Ev 92790 Ev B s
F u y f H h, U S Pa eg 3

t ere a partic lar ro p o people t at o ant to loo at i t ere an incl ion criteria o mi t e to5. Is h u g u f h y u w k ? L s h y us y u gh us
re ine o r earc i o a e too man paperf y u s h f y u h v y s:
ender one A e an e adole cent ad lt and older ad ltG : __N __ g R g : _ s s, u s u s
P lication ate an a e n liub D s: __2010-2018_ L gu g : _E g sh
at ind o t d do o t in o ld e t an er o r e tion elect ere ic t pe o article o mi t6. Wh k f s u y y u h k w u b s sw y u qu s ? S h wh h y f y u gh
ant to acce o can al o e t e e to re ine o r earc i o a e a lot o paperw ss. Y u s us h s f y u s h f y u h v f s.
tematic e ie□ Sys R v w
□ andomi ed ontrolled Trial TR z C (RC )
□ o ort t dC h S u y
□ a e control t d a e erieC s - S u y/C s S s
□ alitati e t dQu v S u y
conomic al ation□ E Ev u
linical Practice ideline□ C Gu s
tematic earc Plan t i i at e call a earc trate
Sys S h ( h s s wh w S h S gy)
o t at o a e decided on AT o ill e earc in o need to p t do n a plan o o ill earc7. N w h y u h v WH y u w b s h g, y u u w f HOW y u w s h
or o r article T i elp o and ot er to ee o o ot o r e idence and o o made re o ot t ef y u s. h s h s y u h s s h w y u g y u v h w y u su y u g h
e t e idence to elp o decide on o r clinical actionb s v h y u y u .
 in t e P term in o r ta le enter eac term in a ro ro p t em to et er nder t e P cate orieUs g h ICO s y u b , h w (g u h g h u h ICO g s).
 T e ne t tep i to com ine imilar term in o t at o a e all t e paper on t e ame topic to et erh x s s b s s us g ‘OR’ s h y u h v h s h s g h
 T e inal tep i to ind paper ic onl tal a o t ot t e pop lation A t e inter ention To do t i o e A in t eh f s s f s wh h y k b u b h h u ND h v . h s y u us ‘ ND’ h
data a eb s .
e termK y s:
1 ritical care nitC u s
2 nten i e care nitI s v u s
3 lor e idineCh h x
4 at clotCHG b h h
5 Anti in ecti e a ent- f v g s
6 oap and aterS w
7 o ocomial in ectionN s f
8 ro in ectionC ss f
9 ritical care nitC u s OR inten i e care nits v u s
10 lor e idineCh h x OR oapS s
11 o ocomial in ectionN s f OR cro in ectionss f
12 ritical care nitC u s OR inten i e care nits v u sAND lor e idineCh h x OR oapS sAND o ocomial in ectionN s f OR cross
in ectionf
com ine alternate term or t e ame topic to et a man potential paper a po i leOR = b s f h s – g s y s s ss b !
A com ine t e ro p o topic to et paper ic co er A t e termND = b h g u s f s g s wh h v LL h s!
T e inal tep i to pa te in a pict re creen ot creen ra o t e earc t at o did in t e data a e T e8. h f s s s u (s sh /s g b) f h s h h y u h b s . h
pict re a to e reada leu h s b b !!!
A e ment tem Pro lem denti ication indin t e idence
idence a ed Practice ac lt o ealt T
ss ss I 1: b I f & F g h Ev 92790 Ev B s
F u y f H h, U S Pa eg 4

n pro idin t i o o o r mar er t at o are a le to ta e o r trate and appl t i into a data a e temI v g h s y u sh w y u k h y u b k y u s gy y h s b s sys .
o al o o t at o nder tand t e tematic approac to earc in and o r nder tandin o o to eY u s sh w us h y u u s h sys h s h g y u u s g f h w us OR
and A a tool to dra to et er t e article o are intere ted in o can e limit t o o ld onl do t i iND s s w g h h s y u s . Y u us s, bu y u w u y h s f
o anted to re ine o r earc eca e o ad too man paper to earc t roy u w f y u s h b us y u h y s s h h ugh.
A e ment tem Pro lem denti ication indin t e idence
idence a ed Practice ac lt o ealt T
ss ss I 1: b I f & F g h Ev 92790 Ev B s
F u y f H h, U S Pa eg 5

A e ment Ta P P Mar in Matri
ss ss sk 1: ICO/ S k g x
mar to ard o erall ect rade
(10 ks w s v subj g )
e elop P P and earc term marD v s ICO/ S s h s (5 ks) n ati actorU s sf y Pass reditC i tinctionD s i i tinctionH gh D s
 etermine element o P PD s s f ICO/ S rele ant to t e c o env h h s
cenario mars (1 k).
 on ert t e e tion into a ccinct and earc a leC v s h qu s su s h b
P P ormat rele ant to t e i en cenario marICO/ S f v h g v s (1 k)
 denti ie appropriate main and alternati e earc termI f s v s h s
mar(2 ks)
 denti ie appropriate limit or t e earc iI f s s f h s h, f
appropriate ender a e ran e p lication date and(g , g g , ub s, /
or lan a e margu g ) (1 k)
per icial andSu f
in icientsuff
completion o t ef h
P P elementICO/ S s
and re earcs h
e tion andqu s
earc terms h s
or eetw ksh .
a ic tatement oB s s f
P P elementICO/ S s
it ome elementw h s s
incorrect or not
pre ent imiteds . L
nder tandin ou s g f
earc de elopments h v
process.
lear tatement oC s f
P P elementICO/ S s
o in ati actorsh w g s sf y
nder tandin ou s g f
earc de elopments h v
process.
lear and appropriateC
tatement o P Ps f ICO/ S
element s
demon tratin mores g
t an ati actorh s sf y
nder tandin ou s g f
earc de elopments h v
process.
lear and appropriateC
tatement o P Ps f ICO/ S
element to a periors su
le el demon tratinv , s g
periorsu
nder tandin ou s g f
earc de elopments h v
process.
Applie a tematic earc o t e literat re mars sys s h f h u (5 ks) n ati actorU s sf y Pass reditC i tinctionD s i i tinctionH gh D s
 Tran er P P term into t e tematic earc plansf s ICO/ S s h sys s h
it term ro ped in a lo ical order marw h s g u g (1 k)
 Appropriatel com ine t e earc in and Ay b s h s h us g ‘OR’ ‘ ND’
oolean operatorB s mar(2 ks).
 Acc ratel tran er earc to t e Medline data a eu y sf s s h h b s
accordin t e planned earc trateg h s h s gy mar(1 k).
 Pro ide a le i le creen ot creen ra a e idence ov s g b s sh /s g b s v f
t e earc in Medlineor Ah s h CIN HL mar(1 k).
Application of
earc trates h s gy
inacc rate andu
creen ot nots sh
pre ents .
a ic application oB s f
earc element its h s w h
ome elements s
incorrect or not
pre ent emon trates . D s s
limited nder tandinu s g
o earc tratef s h s gy
proce creen otss. S sh
pre ents .
lear application oC f
earc elements h s
demon tratins g
ati actors sf y
nder tandin ou s g f
proce creen otss. S sh
pre ents .
lear and appropriateC
application o earcf s h
element s
demon tratin mores g
t an ati actorh s sf y
nder tandin ou s g f
earc trates h s gy
proce creen otss. S sh
pre ents .
lear and appropriateC
application o earcf s h
element to a periors su
le el demon tratinv , s g
periorsu
nder tandin ou s g f
earc trates h s gy
proce creen otss. S sh
pre ents .
erall radeOv G n ati actorU s sf y Pass reditC i tinctionD s i i tinctionH gh D s
or o in anW k sh w g
n ati actoru s sf y
ac ie ement onh v
t e o erallh v
o ecti e o t ebj v s f h
a e ment criteriass ss
(0-4.9)
or o in aW k sh w g
ati actors sf y
ac ie ement on t eh v h
o erall o ecti e ov bj v s f
t e ecth subj
a e ment criteriass ss (5-
6.4)
or o ood alitW k f g qu y
on t e o erallh v
o ecti e o t ebj v s f h
a e ment criteriass ss
(6.5-7.4)
or o periorW k f su
alit on t e o erallqu y h v
o ecti e o t ebj v s f h
a e ment criteriass ss
(7.5-8.4)
or o o t tandinW k f u s g
alit on allqu y
o ecti e o t ebj v s f h
a e ment criteriass ss .
(8.5-10)
A e ment tem Pro lem denti ication indin t e idence
idence a ed Practice ac lt o ealt T
ss ss I 1: b I f & F g h Ev 92790 Ev B s
F u y f H h, U S Pa eg 6