Chapter 2: Fundamentals Of Evidence-based Nursing Practice

Case: The patient is a 65-year-old male with long history of type 2 Diabetes and obesity. He does not smoke. He had knee surgery 10 years ago but otherwise has had no other major medical problem. Over the years he has tried low glycemic diet and Aerobic exercise program to reduce his weight but has not been very successful. His granddaughter just started high school and he wants to see her graduate and go on college. He understands that his diabetes puts him at high risk for heart disease and is frustrated that he cannot lose the necessary weight. His neighbour told him about a colleague at work who had his stomach stapled (Gastric or Bariatric surgery) and as a result not only lost over 100 lbs. but also “cured” his diabetes. In addition, one family member told him about intermittent fasting and Keto diet while other relative is regularly doing High-intensity interval training (HIIT). He wants to know which among those treatments or interventions would be the best option for him.  Question#1: Identify the PICO in the case (4 Marks) Note: There are lot of Research Problem that you could formulate ensure that you will not be the same with another group Research Problem P I C O

Case: The patient is a 65-year-old male with long history of type 2 Diabetes and obesity. He does not smoke. He had knee surgery 10 years ago but otherwise has had no other major medical problem. Over the years he has tried low glycemic diet and Aerobic exercise program to reduce his weight but has not been very successful. His granddaughter just started high school and he wants to see her graduate and go on college. He understands that his diabetes puts him at high risk for heart disease and is frustrated that he cannot lose the necessary weight. His neighbour told him about a colleague at work who had his stomach stapled (Gastric or Bariatric surgery) and as a result not only lost over 100 lbs. but also “cured” his diabetes. In addition, one family member told him about intermittent fasting and Keto diet while other relative is regularly doing High-intensity interval training (HIIT). He wants to know which among those treatments or interventions would be the best option for him.  Question#2: Construct a Good clinical question based on P-I-C-O (4 Marks) P I C O

Question#3: What type & level of EBP Design will be the BEST for this case? State the rationale. (2 Marks) Rationale: _____________________________________________________________________

Specify one website or data base to evaluate your proposed PICO question for the development/adoption of a clinical practice guidelines. (1 Mark)  

List two criteria that you should keep in mind when evaluating a clinical practice guideline. (2 Marks)

Enumerate two EBP models developed nurses. (2 Marks)

Is EBP integrated other factors in making clinical decisions true or false?

Is EBP involves efforts to institutionalize evidence to fit a specific patient’s needs & situations true or false?

Is  RU is focused on translating research findings into real world application true or false?

Is RU is based from previous evidence and evolve to a research innovation  true or false?

Is EBP begins with emergence of new knowledge true or false?