Evidence based practice begins with asking questions. Have you ever wondered why a certain procedure or process is done a certain way? Have you ever wondered why a certain procedure or process is done instead of a different one? Have you ever wondered if something could be done more efficiently or safer? Have you ever wondered if something more could have been done for your patient before they were discharged? These are all good questions and great places to begin. Phase 1 will be a brainstorming session, you will explore and look at some questions you may have had in the past or some you may have now. Next you will explore your question to see if there is enough evidence to support your question. If you cannot find enough evidence to support your question, you may have just thought of a good research question, however, it might not be the best question for the evidence-based practice project. Remember, EBP is looking at existing evidence and research along with clinical expertise and patient preferences to support our practice, whereas research is a systematic scientific process that leads to new knowledge.
Within your group discuss your interest as a nurse. Discuss questions you had or have as a student nurse, write down these questions and ideas. Consider the significance your question has to nursing and the potential impact your project could make. Research your questions and thoughts. Determine if your question could be a good question for this project. Determine if the issue has been addressed either through research or through EBP projects. You may need to revise your question or develop new questions. Finalize your question and be prepared to explain the rationale behind your question and why it would be a good question for the project.
Nursing Research (LoBiondo-Wood & Haber), Chapter 1, pg. 49-50, pg. 389
The Agency for Healthcare Research and Quality, AHRQ: www.ahrq.gov (Links to an external site.)
The National Guideline Clearinghouse, NGC: www.guideline.gov (Links to an external site.)
Sigma Theta Tau International, STTI: www.nursingsociety.org (Links to an external site.)
(Links to an external site.)Patty Hanks Shelton School of Nursing, PHSSN: library resources
Once you have found a good clinical question you will put that question in the PICO Question format. The PICO(T) model is the most commonly used model to frame EBP clinical questions. The PICO model helps to focus your question and research to enable you to find relevant research and evidence that can be applied to nursing practice. Please take some time to review the PICO(T) model and some examples.
P: Patient Population/Patient condition
i need just 2 question to discuss them with my group for phase one.