Posted: March 16th, 2019
Assignment: Evidence-Based Project, Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews
Assignment: Evidence-Based Project, Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews
Your quest to purchase a new car begins with an identification of the factors important to you. As you conduct a search of cars that rate high on those factors, you collect evidence and try to understand the extent of that evidence. A report that suggests a certain make and model of automobile has high mileage is encouraging. But who produced that report? How valid is it? How was the data collected, and what was the sample size?
In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected.
To Prepare:
Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
Develop a PICO(T) question to address the clinical issue of interest for the Assignment.
Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles at the systematic-reviews level related to your research question.
Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.
The Assignment (Evidence-Based Project)
Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews
Create a 6- to 7-slide PowerPoint presentation in which you do the following:
Identify and briefly describe your chosen clinical issue of interest.
Write a page paper – Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.
Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
Provide APA citations of the four peer-reviewed articles you selected.
Write a page paper – Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.
Free Essay Sample
Advanced Levels of Clinical Inquiry
The clinical issue of discussion is about obese pregnant women who require to lose weight. During pregnancy the women have to balance between remaining healthy for the proper growth of the unborn baby and keeping their health in check. Obesity can lead to various complications which can negatively affect the unborn baby plus the mother. Therefore, the clinical issue is to query whether dietary changes or workout programs can be effective to reduce weight among pregnant women. Additionally, the clinical issue continues to query whether the dietary changes or workout programs can be applied during pregnancy and six weeks pastpartum and how effective they will be.
The PICO (T) question is framed as follows; how do pregnant women diagnosed with obesity prefer dietary changes or workout to reduce weight during pregnancy and six weeks postpartum? The question is designed in the PICO (T) framework which comprises of population or the problem, the intervention, comparison, outcome and time. In the PICO (T), the population is women diagnosed with diabetes, the intervention is dietary changes, the comparison is workout while the expected outcome is weight loss and the time frame is six weeks. Therefore, the question contains all the necessary components and thus it can be used to develop a solution since the solution is evidence-based.
The research databases were used to find the peer-reviewed articles that were used in research. The databases were derived from Walden Library which contains hundreds of databases that contain nursing peer-reviewed articles. The four databases include ScienceDirect, ERIC, PubMed, and CINAHL. The four databases contain hundreds of peer-reviewed nursing articles. The articles published in the databases are applicable to enhancing patient care, they comprise of systematic reviews, and control trials. Therefore, the databases can be relied on while searching articles that can help synthesize the PICO (T) further.
Peer Reviewed Articles
Holton, S., East, C., & Fisher, J. (2017). Weight management during pregnancy: a qualitative study of women’s and care providers’ experiences and perspectives. BMC pregnancy and childbirth, 17(1), 351.
Nyrnes, S. A., Garnæs, K. K., Salvesen., Timilsina, A. S., Moholdt, T., & Ingul, C. B. (2018). Cardiac function in newborns of obese women and the effect of exercise during pregnancy. A randomized controlled trial. PloS one, 13(6), e0197334.
Muktabhant, B., Lawrie, T. A., Lumbiganon, P., & Laopaiboon, M. (2015). Diet or exercise, or both, for preventing excessive weight gain in pregnancy. Cochrane database of systematic reviews, (6).
Moll, U., Olsson, H., & Landin-Olsson, M. (2017). Impact of pregestational weight and weight gain during pregnancy on long-term risk for diseases. PLoS One, 12(1), e0168543.
The articles presented contains various levels of evidence. The levels of evidence are assigned to research studies based on various qualities. One of the levels of evidence is the quality of design that is used in a research study. Other levels include the validity and applicability to patient care. The research studies can also have other levels of evidence including systematic reviews and control trials. Another level of evidence in research studies include expert opinion or evidence from qualitative studies. Therefore, the articles presented have different levels of evidence which makes them applicable to the current PICO (T) question on obesity of pregnant mothers and the options between dietary changes or workout programs.
Systematic reviews are essential since they are reliable compared to single studies. The single studies may be biased, but the systematic reviews eliminate any form of bias since they combine different opinions and perspectives. Additionally, systematic reviews are highly-preferred in research studies since they drive their conclusions from other research studies. Therefore, it is no need to carry out a new research which could involve a high cost. Systematic reviews are reliable since they can be applied or recommended for application in healthcare settings. Nurses can apply systematic reviews in their daily practice since they are evidence-based and thus can be used to enhance patient outcomes. For example, Muktabhant, Lawrie, Lumbiganon and Laopaiboon (2015) used randomized control trials to show that diet and exercise can control the risk of excessive gestational weight gain. The results are applicable in developed countries.
