PICO (T) question and annotation: EBP Searchable Clinical Questions with Annotated Bibliography Guidelines with Scoring Rubric

Purpose

The purpose of this assignment is to: a) formulate a PICO (T)-formatted clinical question, b) identify key terms for conducting a review of the literature,  c) search for relevant evidence in scholarly databases, and provide a summary of research articles to support an answer to the clinical question.

Course Outcomes

Through this assignment, the student will demonstrate the ability to:

(CO#3) Apply research principles to interpretation of the content of published research studies. (PO 9)

(CO#4) Analyze data from relevant sources, including technology, to inform the delivery of care.  (PO 4)

(CO#5) Analyze the American Association of Colleges of Nursing (AACN) Essentials of Master’s Education in Nursing. (PO 1)

 

Due Date: Sunday 11:59 PM MT at the end of Week 5.

Total Points Possible:  200

Requirements:

  1. Select a health-related topic applicable to your practice setting and formulate a clinical question using the PICO (T) format.
  2. Identify key terms that you will use to search the literature, based on the PICO (T) elements.
  3. Search for information on your formulated clinical question in each of these three databases: PubMed, CINAHL (Cumulative Index to Nursing and Allied Health Literature), and The Joanna Briggs Institute database.
  4. Present the results of the searches in the tables provided in the “Evidence-Based Practice Searchable Clinical Questions Form” found in Course Resources. Place this completed form in the Dropbox.
  5. From the articles you found during your database searches, choose ten scholarly peer reviewed articles that would help provide an answer or provide insight to your clinical research question and write them in an annotated bibliography format. Submit this APA 6thed format paper into the Dropbox for a Turnitin Review.
  6. Submit the Searchable Clinical Questions Form and your annotated bibliography paper to the Dropbox by the due date. The annotated bibliography is the only part of this assignment that you need to have the Turnitin similarity report less than 25%.

 

Preparing the paper

  1. In Course Resources, you will find the ‘Week 5 Evidence-Based Practice Searchable Clinical Questions Form’. This is the form that you can use to document your search process and results. Below, you will find an example of how to complete the tables as you are doing each search
  2. The notes section is to be completed in detail as each step of the search process is performed.
  3. An optimal range of 10-15 scholarly articles is to be achieved for each database search. If this is not possible, a detailed explanation is to be included in the notes section. Donot stop too soon or you may miss some valuable article to help answer your clinical question. You want to be able to identify ten scholarly peer reviewed articles that would help answer or provide insight to your clinical research question so you can summarize them in an annotated bibliography written in APA 6thed format. The annotated bibliography will be a separate Word document in APA 6thed format.

 

Example: PubMed

Clinical Question:  In patients with muscle spasms, is relaxation as good as anti-spasmodic medication in reducing the incidence of muscle spasms?*

The PICO (T) elements are:

P = patients with muscle spasms

I = anti-spasmodic medication

C= relaxation

O = reducing incidence of muscle spasms

T = not applicable in this case

Search Number P I C O T # of Results Notes
1 Patients with muscle spasms         8750 I searched on the P, “patients with muscle spasms” by typing it in the search field and clicking “Search”
2   antispasmodic       46690 I searched on the I, “antispasmodic” by typing it into the search field and clicking “Search.”
3     relaxation     119010 I clicked “Clear” and typed “relaxation” in the search field. CINAHL suggested “relaxation techniques” so I chose to search on this.
4     Relaxation techniques     35602 I added techniques to the search field and clicked “Search”.
5       muscle spasms   23937 I clicked “Clear” and typed “muscle spasms” in the search field and clicked “Search.”
6   Antispasmodic Relaxation techniques     936 I clicked on “advanced search” and combined Search #2 and Search #4 using the Boolean operator “AND”. I clicked “Search.”.
7   Antispasmodic Relaxation techniques     7120 I clicked on advanced search and used the Boolean Term “or”. I chose Full text and 5 years then clicked search.
8     Relaxation techniques Muscle spasms   285 I clicked on advanced search and combined relaxation techniques and muscle spasms.
9   Antispasmodic Relaxation techniques Muscle spasms   17 Still using the Advanced Search, I used all three terms with Boolean term “And” between antispasmodic and relaxation techniques and muscle spasms. Clicked search.
10   Antispasmodic Relaxation techniques Muscle spasms   5 I clicked on advanced search, added Boolean term “and” plus indicated English only, full-text, and time frame 2011-2016.(5 years) Clicked “Search”. This was in the range of 10-15 scholarly articles so I started looking at each of these articles to see if any of them would help answer my clinical research question. I then chose three of these articles for my annotated bibliography.

*This table reports the history of an actual search of this clinical question in PubMed

 

Category Points % Description
Content 20

 

10% Clinical Question written in PICO(T) format
Content 20 10% PICO(T) terms clearly identified

 

Content 20 10% Search performed in PubMed/MEDLINE database

 

Content 20 10% Search performed in EBSCO/CINAHL database

 

Content 20 10% Search performed in the Joanna Briggs Institute database

 

Content 20 10% Article Selection

 

Content 20 10% Credibility of sources chosen for annotated bibliography

 

Content 40 20% Annotations explain and support an answer to the clinical question

 

Grammar 10 5% Rules of grammar, spelling, word usage, and punctuation are followed.
Format 10 5% APA 6th ed followed for annotated bibliography
Total points  

200

 

100%

A quality assignment will meet or exceed all of the above requirements.

 

 

Grading Rubric

Assignment Criteria Exceptional

(100%)

Outstanding or highest level of performance

Exceeds

(88%)

Very good or high level of performance

Meets

(80%)

Competent or satisfactory level of performance

Needs Improvement

(38%)

Poor or failing level of performance

Developing

(0)

Unsatisfactory level of performance

  20 18 16 8 0
 

Clinical Question written in PICO(T) format

 

Clinical question is clearly written in the PICO(T) format Clinical question is written in the PICO(T) format but may not be clear Clinical question lacks occasional important element or specificity. Clinical question has several instances of inaccuracies and/or is too vague to conduct a search. Clinical question has multiple inaccuracies and/or is missing.
  20 18 16 8 0
PICO(T) terms clearly identified Chooses appropriate key search terms for 4(5) PICO(T) elements Chooses appropriate key search terms for 3 PICO(T)terms. Chooses appropriate key search terms for 2 PICO (T) terms. Chooses appropriate key search terms for 1 PICO(T) term. Does not choose appropriate search terms for the PICO(T) terms.
  20 18 16 8 0
Search performed in PubMed/MEDLINE database

 

 

Search performed in PubMed following guidelines in tutorial and retrieves an appropriate number of journal articles

(10 – 15 articles)

Search performed in PubMed partially follows guidelines in tutorial; however, retrieves an appropriate number of journal articles (10-15 articles) Search performed in PubMed partially follows guidelines in tutorial; Does not retrieve appropriate number of journal articles (less than 10 or more than 20 articles) Search performed in PubMed partially follow guidelines in tutorial and does not retrieve appropriate number of journal articles (less than 5 articles) and notes on search are missing. Does not perform search in PubMed.
  20 18 16 8 0
Search performed in EBSCO/CINAHL database

 

 

 

Search performed in CINAHL following guidelines in tutorial and retrieves an appropriate number of journal articles

(10 – 15 articles)

Search performed in CINAHL partially follows guidelines in tutorial; however, retrieves an appropriate number of journal articles (10-15 articles) Search performed in CINAHL partially follows guidelines in tutorial; Does not retrieve appropriate number of journal articles (less than 10 or more than 20 articles) Search performed in CINAHL partially follow guidelines in tutorial and does not retrieve appropriate number of journal articles (less than 5 articles) and notes on search are missing. Does not perform search in CINAHL
  20 18 16 8 0
 Search performed in the Joanna Briggs Institute database

 

Search performed in Joanna Briggs Institute following guidelines in tutorial and retrieves an appropriate number of journal articles

(10 – 15 articles)

Search performed in Joanna Briggs Institute partially follows guidelines in tutorial; however, retrieves an appropriate number of journal articles (10-15 articles) Search performed in Joanna Briggs Institute partially follows guidelines in tutorial; Does not retrieve appropriate number of journal articles (less than 10 or more than 20 articles) Search performed in Joanna Briggs Institute partially follow guidelines in tutorial and does not retrieve appropriate number of journal articles (less than 5 articles) and notes on search are missing. Does not perform search in Joanna Briggs Institute
  20 18 16 8 0
Article Selection

 

 

Articles chosen to answer clinical question are highly relevant to and answer the clinical question. Articles chosen to answer clinical question are relevant to and answer  the clinical question. Articles chosen are relevant but only somewhat answer the clinical question. Articles chosen are somewhat relevant to the clinical question but do not answer the clinical question. Articles are not relevant to the clinical question and do not answer the clinical question.
  20 18 16 8 0
Credibility of sources chosen for annotated bibliography

 

All 10 sources are from credible, scholarly peer-reviewed materials published within the past 5 years. 8-9 sources are from credible scholarly peer-reviewed materials published within the past 5 years. 6-7 sources are from credible scholarly peer-reviewed materials published within the past 5 years. 5 sources are from credible scholarly peer-reviewed materials or are published more  than 5 years ago. Sources lack credibility, are not scholarly or peer-reviewed materials or fewer than 4 sources are included.
  40 36 32 15 0
Annotations explain and support an answer to the clinical question

 

 

All annotations comprehensively summarize the source material and offers insight related to the article helping to answer the clinical question. 8-9 annotations summarize the source materials and offer insight helping to answer the clinical question. 6-7 annotations summarize the source materials but lack insight to answer the clinical question. 5 annotations summarize the source materials and offer very little insight to answer the clinical question. Annotations do not summarize the source materials or offer no insight to answer the clinical question.
  10 9 8 4 0
Rules of grammar, spelling, word usage, and punctuation are followed. Grammar, spelling, word usage, and punctuation are consistent with formal written work with no exceptions.

 

 

 Grammar, spelling, word usage, and punctuation are consistent with formal written work  with 1-2 exceptions. Grammar, spelling, word usage, and punctuation are consistent with formal written work with 3-4 exceptions Grammar, spelling, word usage, and punctuation are consistent with formal written work   with 5-6 exceptions. Grammar, spelling, word usage, and punctuation are followed with 7 or more errors.
  10 9 8 4 0
APA 6thed followed for annotated bibliography APA format in 6th ed followed with no exceptions. APA 6th ed format followed with 1-2 exceptions. APA 6th ed format is followed with 3-4 exceptions APA 6th ed format followed with 5-6 exceptions. APA 6th ed format is followed with 7 or more errors.
Total points 200 180 160 79 0

 

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