UTS: Evidence Based Practice - PICO, Search Strategy & Evidence

This assignment focuses on problem identification and evidence retrieval within the context of evidence-based practice. It involves developing a searchable question using the PICO framework (Patient/Problem, Intervention, Comparison, Outcome) to address an area of clinical uncertainty. The student identifies a quantitative question related to preventing nosocomial infections in ICU patients, specifically comparing chlorhexidine bathing cloths versus soap and water. The assignment includes a PICO worksheet, a detailed search strategy outlining key terms and Boolean operators, and a screenshot of the Medline search results. The goal is to demonstrate the ability to systematically search for and identify relevant evidence to inform clinical practice, which is then uploaded to Desklib as a resource for students.

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