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PICO - Essay Example

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The subjects that will be addressed are PICO, FINER and evidence based practice. The implications for the health care professional will be explored. The implications on the clinical…
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Synopsis: This is a three page APA citation styled research paper with six sources cited. The s that will be addressed are PICO, FINER and evidence based practice. The implications for the health care professional will be explored. The implications on the clinical research environment will be explored. The implications of new knowledge and application of technology for the health care practitioner and researcher will be further explored.
The formulation of a research question is one of the most formidable tasks that a researcher may discover when beginning a project. There are unaddressed questions in the present clinical practice or when the circumstances cause an inv3estigator to compose a clinical research question. The intention of this research paper is to analyze the steps in the composition of a research question. The concepts of PICO (population, intervention control and outcome) along with evidence based research will be further examined.
A seven year old girl is in an emergency room with a severe tinnitus. She has a history of headaches and earaches. Her mother is concerned about the effects of acetaminophen. Her daughter is complaining of stomach problems and nausea after the ingestion of acetaminophen, she is worried about the ringing in her ears. The mother would like to know if the acetaminophen that she has been administering to her daughter is effective or is there a better intervention. This where the concept of PICO and evidence based practice come into effect for the nursing health care professional. Information must be gathered about the patient. The resources available for treatment must be assessed. The questions that are to be asked by the nursing and health care practitioner are the following:
 Population.
 Intervention- Testing and evaluation.
 Control- Evaluation of the previous treatment methods.
 Outcome (Aslam & Emmanuel, 2010).
Expanding upon the concept of PICO, there is also an order of importance to the strength of evidence. This order of importance assists in ensuring the validity of the research sources, as the research sources presenting stronger evidence are preferred over the research sources with evidence which presents less strength (Zhao et al., 2010).
Name
Definition
Population
Categorization of the population. Sex, Co-morbidity, race, age pathology (SCORAP)
Intervention
Testing and treatment applied
Comparison
Other testing and treatment process reviewed as a control
Outcome
The results of the experiment
Example:
For a 43 year old man with gum disease, how does the effective application of doxycline to alleviate gum bleeding compare to non clinical intervention (i.e., aspirin).
P
43 year old (age) man (sex) with gum disease (pathology)
I
doxycline
c
Non clinical intervention (aspirin)
O
Decrease in gum bleeding
With patients developing a requirement of more effective medical personnel, these trends in the planning and implementation process should be considered:
1. Planning the patients medical management.
2. Innovation and implementation- The nursing professional is not simply a health care professional. The nursing professional is also an enabler who facilitates the process of healing. Patient centered care should become a more important concept in medical industry trends and evidence based research. This perspective for the health care professional is to search for the causes, developments and outcomes of an illness (Ray, 2004). Descartes, the seventeenth century philosopher, perceived that the mind and body belong to a system in which each element must be considered in the healing process (Lemonick, 2002).
Health care is an intensely interpersonal discipline. Nursing is the integral part of health care which connects the health care which connects the health care provider and the health care recipients, There is a greater need than ever for evidence based practice. Archie Cochrane concluded thirty years ago commonly used procedures and therapies were not the most efficacious and that a substantial amount of practice had not yet been evaluated (Sutherland et al., 2004).
New personnel need to be motivated into evidence based practice by provision of internships and incentives. Health care providers should be better enabled in order to provide more personalized services. This refined perspective not only improves the abilities of the health care professional, it facilitates the potential for pro social evidence based practice (Tamblyn et al., 2005). The medical researcher should be encouraged to apply internet based technologies and communications. Research should be encouraged in order to help the greater good (Anderson, 2010). The outcomes of this perspective can be assessed in the following way: Medical administrators can compare the outcomes of health care professionals who were involved in evidence based research and acute care before and after graduation to the health care professionals who had not been exposed to such rigorous training (Tamblyn et al., 2005).
Conclusion
The health care professional who becomes adept in evidence based research and practice is best able to innovate and adapt to changing circumstances. PICO, FINER and evidence based practice and research are the trends that the aspiring health care professional must consider of tantamount significance in the clinical research environment.
Works Cited
Anderson, M. (2010) Top 10 medical research trends to watch in 2010. Huffington Post, January 7, 2010. September 30, 2011.

Aslam, S & Emmanuel, P. (2010) Formulating a research question: A critical step to facilitating good clinical research. Indian Journal of Sexually Transmitted Diseases and AIDS, 2010 Jan-Jun, 31(1): 47-50. September 30, 2010.

Lemonick, M. (2003) Your mind your body Time Magazine US. January 20, 2003. September 30, 2011.

Ray, O. (2004) How the mind hurts and heals the body. American Psychologist, Vol. 59(1): 29- 40. June 2004. September 30, 2011.

Sutherland, W. (2004) The need for evidence based conservation. Trends in Ecology and Evolution, Vol. 19 (6). June, 2004. September 30, 2011.

Tamblyn, R.(2005) Learning in Practice. British Medical Journal. October 20, 2005. September 30, 2011.

Zhao, J, Kan, M, Procter, P., Zubaidah, S., Yip, W., Li, G. (2010) Improving search for evidence based practice using information extraction. AMIA Annual Symposium Proc. 2010, 2010: 937- 941. October 2, 2011. Read More
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