chapter 2 Flashcards
what are barriers to research evidence?
1) low comfort level/lack of skill using search techniques
2) lack of access to appropriate electronic databases
3) lack of time to search for the best evidence
why do we ask clinical questions?
uncertainty of what to do, contorversial therapy or action, lack of knowledge related to different diagnostic tests
basically lot of reasons lol
what are background questions?
Asks for general information about a clinical issue. It is composed of starting place of the questions (5Ws) and outcome of interest.
this needs to be answered BEFORE the clinical question
example: “How/why/when does temperature change with
an antipyretic/analgesic”
what is a foreground question?
Foreground questions are those that can be answered from scientific evidence. the focus is specific. Use of PICOT is recommended for a
focused literature search
Example: “In children aged 3 to 8 years, how does
acetaminophen compare with ibuprofen in lowering a
fever?
What are the 5 different types of foreground questions?
1) Intervention questions (What intervention most
effectively leads to an outcome?)
2) Prognosis/prediction questions (What indicators are most predictive of an outcome?)
3) Diagnosis questions (What test most accurately
diagnoses an outcome?)
4) Etiology questions (To what extent is a factor associated with an outcome?)
5) Meaning questions (How does an experience influence
an outcome?)
what are the 2 guides of a clinical question?
1) the search strategy
2) the type of design you expect to find
what does PICOT stand for?
P: population of interest
I: intervention or issue of interest
C: comparison of interest
O: outcome expected
T: time needed for the intervention to achieve the outcome or the time in the course of the
disease/symptom that the intervention is applie