NURS 6052 Transforming clinical inquiry into a searchable question – Hospital acquired infections PICO(T)
When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data focused more on these factors and less on color options and sound systems.
The same holds true when searching for research evidence to guide your clinical inquiry and professional decisions. Developing a formula for an answerable, researchable question that addresses your need will make the search process much more effective. One such formula is the PICO(T) format.
In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question.
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To Prepare:
- Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources. Transforming clinical inquiry into a searchable question – Hospital acquired infections PICO(T)
- Review the Resources for guidance and develop a PICO(T) question of interest to you for further study.
Discussion
Post your PICO(T) question, the search terms used, and the names of at least two databases used for your PICO(T) question. Then, describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide
APA 6th edition
No Running head or page number
No cover pages
Peer reviewed articles/journals not to be older than 5 years
Please formulate according to instructions provided
PICOT question
In geriatric inpatients (P), does handwashing using soap and water (I) compared to the use of hand sanitizers(C), facilitate the reduction of Hospital Acquired Infection (HAIs) incidences (O) within 3 months (T)?
Search terms
Hospital acquired infections, inpatient geriatrics, hand sanitizers, handwashing
The databases used in this research include Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline and EBSCO. These provided both original research articles and systematic reviews. The search was limited to articles within 5 years, between 2016 and 2020. In addition, the search was guided by the relevance of the article towards the research question and were all related to handwashing, hand sanitizers and hospital acquired infections management. Two articles out of the three used were from original research. The research excluded articles based on provider involvement in HAIs management. Transforming clinical inquiry into a searchable question – Hospital acquired infections PICO(T)
The addition of search terms using the Boolean operators changed my search significantly. They greatly reduced the amounts of records returned and expanded on the articles provided based on their relevance to my study. It facilitated the attainment of more accurate results and helped in saving time as the results became more appropriate to my needs. It also eliminated unsuitable articles.
The strategies to increase rigor and effectiveness of a database search include the use of Boolean operators which quickens and limits the search to the most relevant results. Phrase searching uses multiple terms that increase the search surface area based on the researchers needs. The use of related articles feature is also essential in obtaining similar research articles. On the other hand, limiting the search to particular year range helps in returning current searches while searching multiple databases increases the variety of searches.
References
Fernando, S. A., Gray, T. J., & Gottlieb, T. (2017). Healthcare‐acquired infections: prevention strategies. Internal medicine journal, 47(12), 1341-1351.
Haverstick, S., Goodrich, C., Freeman, R., James, S., Kullar, R., & Ahrens, M. (2017). Patients’ hand washing and reducing hospital-acquired infection. Critical care nurse, 37(3), e1-e8.
Sharma, S. (2018). Hand hygiene and hospital-acquired infections. Medical Journal of Dr. DY Patil Vidyapeeth, 11(3), 201. Transforming clinical inquiry into a searchable question – Hospital acquired infections PICO(T)