Research Question III-4 (maternal co-morbidities [e.g., obesity, hypertension, hypercholesterolemia] as risk factors for type 2 diabetes) was rated the most feasible for a study to be conducted. Truncation symbols in a database, such as "*" or "?" To do this we can use search operators and truncation and wildcard symbols. PICOT Question: In patients with Type 2 Diabetes and Obesity, is Bariatric surgery more effective than standard medical therapy at increasing the possibility of remission of diabetes? Keywords can also come from the scope notes that are attached to subjects, they are lists of frequently used synonyms, but for best results, add truncation and wildcards where necessary. Many people find that it helps them clarify their question, which in turn makes it easier to find an answer. Sometimes time is a difficult concept, we often use “published in the last five years” as a criteria, but what is “early treatment” for example, is it an hour, a day or a week later ? Write an effective problem statement. PICO is a method of creating a strategy to find relevant information, to answer a clinical question. For some special subjects you may also need to include other searching strategies. … When you are ready click to see the suggested answers. Question formulation using PICO Element Tips Example Patient or Problem Starting with your patient ask “How would I describe a group of patients similar to mine?” Balance precision with brevity. Formulate a preliminary PICO question—one that is answerable—based on your analysis. PICO Elements Change According to Question Type (Domain) When forming your question using the PICO framework it is useful to think about what type of question it is you are asking, (therapy, prevention, diagnosis, prognosis, etiology). Do we really need to use Male ? Write a 3- to 4-page paper that includes the following: Reflect on an issue or problem that you have noticed in your nursing practice. Be prepared to explain your rationale. PICO(T) stands for Population, Intervention, Comparison (comparison can be with placebo or with no treatment), Outcome and Time frame (which is optional). Take note of specific school requirements, such as word count in the question. This example focuses on the multidisciplinary care of a patient and some of the many clinical questions that may arise: A 60 year old indigenous woman with poorly controlled diabetes and a past history of rheumatic valvular disease is admitted to … The question could be: In middle aged men with type 2 diabetes and normal blood pressure, does blood pressure lowering medication help prevent the risk of morbidity and mortality from cardiovascular diseases, such as stroke or diabetic kidney disease?. C-Alternative to hand washing such as wearing a mask or gloves. Using the PICO method for constructing a clinical question, we will structure a question to explore the evidence. 2. To search for the core topics discussed in your review, you are probably going to want to use a combination of approaches. The examples, below, are based on cases drawn from the second edition of the Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice [Online] (1). I-Hand washing . Let’s work through this example in Ovid, looking at where each of the items could be in the interface. Consider the significance of this issue or problem. YouTube Writing a PICO question is as easy as ABC when you go through the right channels. For example: Diab* (to retrieve diabetes, diabetic, diabetogenic) Autis* (to retrieve autism, autistic) Nurs* (to retrieve nurse, nurses, nursing, etc.) He says he has heard something about vasectomy causing an increase in testicular cancer later in life. Ps. 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