Advanced Levels of Clinical Inquiry and Systematic Reviews

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 you identified in Module 2 for the Assignment. This PICOT question will remain the same for the entire course.
Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically-appraised topics (evidence syntheses), critically-appraised individual articles (article synopses). The evidence will not necessarily address all the elements of your PICO(T) question, so select the most important concepts to search and find the best evidence available.
Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.
The Assignment (Evidence-Based Project)

Part 2: 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.
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 relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.
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.

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Sample Answer

 

 

 

Clinical Inquiry and Systematic Reviews Presentation

Slide 1: Introduction

  • Title: Exploring Clinical Inquiry and Systematic Reviews
  • Your Name & Affiliation (e.g., School of Nursing, Walden University)

Slide 2: Clinical Issue of Interest

  • Pressure Injuries (PIs): Pressure injuries, also known as bed sores, are a significant concern for hospitalized patients and those with limited mobility. They can lead to pain, infection, and prolonged hospital stays.

Full Answer Section

 

 

 

Slide 3: Developing a PICO(T) Question

  • P (Population): Adult patients (18 years and older) at risk for developing pressure injuries.
  • I (Intervention): Use of prophylactic pressure-relieving mattresses compared to standard mattresses.
  • C (Comparison): Standard hospital mattresses.
  • O (Outcome): Incidence of pressure injuries.
  • T (Timeframe): During a hospitalization stay (up to 3 months).

Slide 4: Research Databases

  • Walden University Library offers access to a variety of databases relevant to healthcare research. Here are four databases I used for my search:
    • CINAHL Complete
    • PubMed
    • Cochrane Library
    • Joanna Briggs Institute (JBI) Evidence Synthesis

Slide 5: Selected Peer-Reviewed Articles

  • Article 1: Title: “Effectiveness of prophylactic pressure-relieving mattresses for the prevention of pressure injuries in adult critically ill patients: A systematic review and meta-analysis” (Citation will be provided in APA format after locating the full article)
  • Level of Evidence: Systematic Review with Meta-analysis (Highest Level)
  • Strengths of Systematic Reviews: This type of study provides a comprehensive analysis of existing research, reducing bias and increasing the generalizability of findings. Meta-analysis allows for the statistical pooling of data from multiple studies, strengthening the evidence base.
  • Article 2: Title: “The impact of pressure-relieving support surfaces on pressure injury development in critically ill patients: A Critically Appraised Topic (CAT)” (Citation will be provided in APA format after locating the full article)
  • Level of Evidence: Critically Appraised Topic (CAT) – High Level
  • Strengths: A CAT provides a comprehensive review and synthesis of existing research on a specific topic, offering valuable insights for evidence-based practice.
  • Article 3: Title: “A randomized controlled trial of the effectiveness of two different pressure-relieving mattresses in the prevention of pressure injuries in intensive care unit patients” (Citation will be provided in APA format after locating the full article)
  • Level of Evidence: Randomized Controlled Trial (RCT) – High Level
  • Strengths: RCTs are considered the gold standard for clinical research due to their strong internal validity and ability to establish cause-and-effect relationships.
  • Article 4: Title: “Pressure injury risk factors and prevention strategies: A retrospective cohort study” (Citation will be provided in APA format after locating the full article)
  • Level of Evidence: Retrospective Cohort Study – Moderate Level
  • Strengths: This type of study can identify associations between risk factors and outcomes, providing valuable insights for preventative measures.

Slide 6: Reflecting on the Process

  • Developing a focused PICO(T) question was crucial for directing my research and identifying relevant studies.
  • Searching multiple databases increased the likelihood of finding comprehensive and high-quality evidence.
  • Using systematic reviews and other high-level evidence strengthens the foundation for clinical decision-making.

Slide 7: Conclusion

 

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