What type of clinical question do you think this pico answer

Reference no: EM131837088 , Length: word count:2000

Scenario: Managing Chronic Heart Failure

You are working as a clinical nurse specialist in the heart failure clinic and service in Dubbo. One of your patients travels 2 hours by car from Coonabarabran for his monthly consultation. His wife and he find the long trip from home very difficult and an added burden in their lives. Particularly as he takes frusemide for his chronic heart failure that causes diuresis, which means they have to stop the car often which is frustrating and makes the trip even longer and tiring.

They tell you that a friend of theirs, who also lives in regional NSW, uses a remote telemonitoring device to monitor their condition from
their home. This means that their friend doesn't have to travel to their clinic so much. They ask you whether you think it is better to
keep coming into the clinic or to see about getting a remote telemonitoring device to help them manage the chronic heart failure.

You are a little unfamiliar with telemonitoring, but you also don't want your patient to have to travel unnecessarily. You tell the couple
that you will search for the available research on the management of chronic heart failure using telemonitoring and bring this back to them.

Please complete the following the activities by filling in the spaces below.This is a word document so you can add space as needed.

PART 1: PARTICIPATES IN THE FIRST AND THE SECOND ONLINE DISCUSSION FORUMS.

PART 2.1: DEVELOPING A FOCUSED QUESTION AND ACQUIRING RELEVANT EVIDENCE.

1. Use the following categories to help define your problem and what you are looking at in simple terms
PICO: Patient/Problem, Intervention, Comparison, and Outcome.

2. Now use these terms from the question above to create your PICO research question so that you have a clear purpose for your search:

3. What type of clinical question do you think this PICO answers?

4. The table below will help you to think of the other terms that you might also like to look up when searching for evidence to help you answer your question - this is part of basic planning for a research search.

5. Is there a particular group of people that you want to look at? List here any inclusion criteria you might use to refine your search if you have too many papers:

6. What kind of study do you think would best answer your question? Select here which type of article you might want to access. You can also use these to refine your search if you have a lot of papers.

7. Now that you have decided on WHAT you will be searching, you need to put down a plan of HOW you will search for your articles. This helps you and others to see how you got your evidence and how you made sure you got the best evidence to help you decide on your clinical action.

PART 2: EVIDENCE OF APPLICATION OF SEARCH STRATEGY (PLAN) IN DATABASE SEARCHES

PART 3. APPRAISAL OF YOUR RANDOMISED CONTROLLED TRIAL

PART 4. SYNTHESISING THE EVIDENCE

Journal of Clinical Nursing - Telemonitoring for chronic heart failure: the views of patients and healthcare professionals - a qualitative study Peter Fairbrother, Jenny Ure, Janet Hanley, Lucy McCloughan, Martin Denvir, Aziz Sheikh and Brian McKinstry

Attachment:- Template.rar

Reference no: EM131837088

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Reviews

len1837088

1/29/2018 6:45:43 AM

12. What is a PICO? See Week 2 activities 13. What is a systematic search plan? See Week 2 activities 14. Does the assignment need an introduction? No, just the activities in the worksheets. This is a process assignment – you need to show us you understand and can apply the process. 15. What if I don’t know how to do the search? Go back to the UTSLibrary search guide in Week 2 where there is a guide to help you, use the online discussion board to ask your tutor and other students for help with this. You can also book in and see the librarian through the link in the Week 2 and library page.

len1837088

1/29/2018 6:45:38 AM

10. How do I find the databases? See the online UTSLibrary search guide in Week 2 Activities 11. What if I got no results? It probably means you have entered too many terms or you have used limits. It might also mean you are using OR and AND the wrong way. Simplify your strategy to just the key term, remove your limits, and check OR and AND. Also check you haven’t selected Full Text Only – this is never a good idea and you can usually get the full text once you have found the article.

len1837088

1/29/2018 6:45:32 AM

4. What is a screen shot? This is when you take a picture of the screen from your computer. You can do this by pressing ‘Ctrl+Print Screen’. This gives you a record of your search within the database and evidence of your understanding and ability to apply your search plan into a particular setting. 5. Is there a word limit? Please see the submission template for the word limits. 6. Why is it midnight for submission? Because online doesn’t need someone to close the assignment box, so you can have until midnight ? 7. What turnitin percentage should I be aiming for? There will be a high similarity because of the template. BUT, please don’t copy and paste from another source – that is not ok. That is cheating/plagiarism, and we will proceed with a misconduct case– you need to use the art of paraphrasing :-)

len1837088

1/29/2018 6:45:23 AM

Referencing and submission 1. How do I submit this assignment?? Please use Submission Template in the assignment section to complete the activities and submit this intoTurnitin. To get the database searches into your document you will need to take a screenshot and then copy and paste it in like a picture – see if a friend can show you. This must be READABLE! 2. Do I have to submit a hard copy or cover sheet? No, you don’t. Online submission only. 3. Can I fill in the PICO worksheet as a word document or do I have to write it by hand? Please complete the word document and an electronic word document.

len1837088

1/29/2018 6:45:13 AM

• When searching DO NOT limit to full-text or to nursing journals or to abstracts. This will restrict searches and valuable evidence is very likely to be missed. Remember that you are searching for the BEST AVAILABLE evidence. • In Medline (Ovid) do not use publication types (such as RCT) as a keyword but tick it in the limits box. • Use the activities from previous weeks to help you with your assignment, including the online Library Study Guide and individual tutor consultation.

len1837088

1/29/2018 6:44:42 AM

Tips to help you and frequently asked questions Searching tips • Be clear about the type of paper you are reading – is it an RCT? o Read the abstract to see what type of article it is. For example: ? Do not mistake a qualitative study with a quantitative study. ? If you are having trouble making the distinction, ask a librarian, a friend, or contact your tutor. • Only use articles that are actually in ENGLISH, even if the abstract is in English you have to have read the full article to do the quality assessment. • Do not rewrite/type abstracts – take a screenshot – this shows us you have understood how to search for the article.

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