Using Evidence to Inform Clinical Decision-Making

Using Evidence to Inform
Clinical Decision-Making
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Contents
INTRODUCTION...........................................................................................................................3
MAIN BODY..................................................................................................................................4
PAPER 1: Nebulizers versus pressurized metered-dose inhalers in preschool children with
wheezing......................................................................................................................................4
PAPER 2: Nebulisers or spacers for the administration of bronchodilators to those with asthma
attending emergency departments?..............................................................................................4
PAPER 3: Spacers Versus Nebulizers in Treatment of Acute Asthma - A Prospective
Randomized Study in Preschool Children...................................................................................5
CONCLUSION................................................................................................................................6
REFERENCES................................................................................................................................7
APPENDIX......................................................................................................................................8
Paper 1.............................................................................................................................................8
Paper 2.............................................................................................................................................9
Paper 3...........................................................................................................................................10
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INTRODUCTION
Evidence- based practice plays an important role in the nursing profession. The use of
evidence in practice ensures quality care to patients and it also increases the rate of optimal
health outcomes. In this case, the use of evidence- based practice is put into practical use in real
life medical situations (Madney and et. al., 2017). The scenario chosen has several important
factors to note which are necessary for formulating a searchable question using the PICO format.
In scenario 3, a 10-year-old child has been admitted to the emergency department for
exacerbation of asthma secondary to bronchitis. The patient has been prescribed salbutamol. The
point of argument is which delivery method is most effective, the use of a spacer or nebuliser for
treatment.
To answer the following question. Firstly, I formulated a searchable question and developed
a search strategy by using the PICO format. Using credible databases to help find relevant
research in answering the question, in children are spacers or nebulisers most effective in the
treatment of exacerbation of asthma secondary to bronchitis. Databases used were Embase,
CINAHL and MEDLINE.
PICO:
Problem Exacerbation of asthma secondary to bronchitis in children of
0 to 10 years
Intervention Method of delivery- a nebuliser or a spacer
Comparison Nebuliser and Spacer methods
Outcome Improved in health condition of children
The Boolean operations like ‘AND’ and ‘OR’ are utilized by me to search information on
the topic so that it can be answered appropriately. I search many articles among which I make
use of three articles which help me in addressing the question effectively and answered it
appropriately. Among the selected articles, two articles are qualitative and one is quantitative.
The main reason behind selection of these articles is to effectively compare the treatment
delivery by nebuliser or spacer method in order to address the question appropriately.
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