Strategies - Clinical - Structured - Psychopathology - Hypoglycemia - Assessment Answer

Strategies - Clinical - Structured - Psychopathology - Hypoglycemia - Assessment Answer 

Task:

Learning outcomes
This lecture will cover the first two steps of EIP. You will learn how to:
• Formulate a searchable clinical question
• Identify suitable databases to search
• Become familiar with search tools and strategies
• Carry out a structured search for research evidence

Asking the question
Well formulated questions guide us in searches for the most current literature.

There are two types of clinical questions:
• Background questions
• Foreground questions

Background questions
• Usually very broad and frequently posed by someone unfamiliar with an area
• Provide general knowledge rather than focussed clinical knowledge
• Answers usually found in textbooks, drug guides, and review articles, eg
– What is a fracture?
– What is the pathophysiology associated with haemorrhagic and ischaemic stroke?
– How do we manage severe hypoglycemia?

Foreground questions
• Focussed and relevant to a specific clinical situation
• Often compare two interventions to see which is most effective
• Can only be answered by searching current literature (research articles, clinical guidelines) for the latest studies
– In postoperative adult patients, how does guided imagery compared with music therapy affect analgesia use in the first 24 hours post operatively?
– Do pelvic floor exercises reduce incontinence in elderly women?
– What are student nurses’ attitudes to obesity and the management of obese patients?

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