Working PICOT Questions NURS 1261 Tips & Examples
Why use PICOT? I will find research that supports delayed progression of multiple sclerosis as found through MRIs over the course of ten years in diagnosed Canadian women between age 20 and 50 with Calcium and Vitamin D supplementation versus without. After: clarity & a question In Canadian women with multiple sclerosis between ages 20 to 50 (P), how does supplementation with calcium & vitamin D (I) affect MS lesion loads detected by MRI (O) over a 10 year period (T)? Before:
PICOT reduces cognitive load For you and your instructor! - don’t make extra work for your reader Enter elements in standard order - first P, then I, then C, then O, then T Identify the elements right inside your question: In older adults (P) how does hydromorphone (I) compared with acetaminophen (C) affect pain relief (O) within the first hour after administration (T)?
What type of question do you have? Intervention: what treatment has the best outcome? Prognosis: what is the course/likely complications of a condition? Etiology: what are the greatest risk factors or causes? Diagnosis: which test is most accurate and precise? Meaning: what is the meaning of an experience for an individual or group?
>1 working PICOT Q can be helpful In older adults over 75 (P), is cranberry juice (I) or water (C) more effective in preventing recurring UTI's after antibiotic treatment (O)? In older adults over 75 (P), is the amount of cranberry juice (I) or the frequency of administering cranberry juice (C) more effective in preventing recurring UTI's (O)? In older adults over 75 (P), is cranberry juice (I) or cranberry tablets (C) more effective in preventing recurring UTI's (O)?
1 scenario, 2 types of possible questions Etiology/risk question: Are adults over 65 who have COPD (P) who are smokers (I) at increased risk for reduced lung capacity (O)? Intervention/therapy question: In adults over 65 who have COPD (P), how does teaching breathing exercises (I) improve lung function/spirometry scores (O) over 6 months(T)?
1 scenario, 2 populations, 2 question types Intervention question: P adults over 65 years in residential care I receiving medication from RCAs C receiving medication from RNs O rates of medication errors Meaning question: P RCAs working in residential care I delivering medication to patients O workload and level of responsibility
1 scenario, C and O still tbd P adults over 65 years in residential care I daily checking and recording of vital signs C episodic checking and recording of vital signs / monthly checking and recording of vital signs O improved patient care? / improved monitoring of health conditions?
1 scenario, I and O tbd P adults over 65 years in residential care I who have communication barriers / ESL / physical speech impediment O greater risk for reduced pain management? / missed diagnosis / increased risk of neglect / missed symptoms / increased patient distress / social isolation
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