NURS FPX 4030 Assessment 3 Picot Questions and an Evidence Based Approach
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NURS FPX 4030 Assessment 3 Picot Questions and an Evidence Based Approach

NURS FPX 4030 Assessment 3 Picot Questions and an Evidence Based Approach

Name

Capella university

NURS-FPX 4030 Making Evidence-Based Decisions

Prof. Name

Date

PICO(T) Questions and an Evidence-Based Approach

Healthcare issues can be better explored and treated when a PICOT question strategy is implemented. The PICOT question expands to Population, Intervention, Comparison of Strategies, Outcomes, and Time frame. In healthcare, nurses compare the two approaches and conduct thorough research to find the most valuable and practical evidence to solve the healthcare issue for a specific patient or population (McClinton, 2022). This assessment will explore a specific healthcare issue through the PICOT question approach and evaluate evidence-based care practices that best match the problem. 

Exploring the Healthcare Issue with the PICOT Approach

Gastroenteritis is the healthcare issue which will be explored in this paper. The following PICOT question is developed for which further research will be conducted:

“In children with acute gastroenteritis (Population), does the adjunctive administration of prebiotics (Intervention) compared to standard treatment alone (Comparison) result in a reduction in duration of diarrhea and decrease in severity of symptoms (Outcomes) within 1-2 weeks of intervention (Time-frame)?

Gastroenteritis involves the rapid onset of diarrheal episodes for over three days with or without additional symptoms like nausea, vomiting, abdominal pain, and fever. Gastroenteritis, or acute diarrhea, is mainly caused by infectious agents like bacteria or viruses. This issue is critical to address by the PICOT question approach as one study reports that more than half a million children under age 5 faced death in 2013 (Florez et al., 2020). This issue can benefit from the PICOT approach as it allows research on the specific approaches related to gastroenteritis and evaluates which one can be more effective in the treatment plan. This approach saves time and resources by enabling researchers to target their search efforts to specific components of the question (Dubbs, 2022). Moreover, the PICOT framework aligns with principles of evidence-based practice (EBP), and formulating a question on gastroenteritis will enable clinicians to integrate evidence-based research findings into clinical practice to treat gastroenteritis and improve patients’ health outcomes (McClinton, 2022).

Sources of Evidence to Answer PICO(T) Question

One can research several evidence-based resources using different databases, journals, and websites. The databases that can provide substantial evidence on gastroenteritis and adjunctive treatment, along with standard therapeutic plans, include Google Scholar, PubMed, ProQuest, Cochrane Library, CINAHL, MEDLINE, and Capella University Library. The journals specific to gastroenteritis include “Gastroenterology,” Gastroenterology Research and Practice,” and “Clinical Microbiology and Infections.” These journals publish evidence-based research on acute diarrhea and relevant issues. The websites that can help answer the developed PICOT question on gastroenteritis include the American Gastroenterological Association, the Centers for Disease Prevention and Control (CDC), and the World Health Organization (WHO). 

The rationale used to determine the potential of these sources to answer PICOT is CRAAP criteria. The CRAAP criteria expand to Currency, Relevance, Authority, Accuracy, and Purpose. These criteria help nurses evaluate the relevance and accuracy of a resource in the research studied. Similarly, in answering the developed PICOT question, these criteria can be followed to find the specific resource that aligns appropriately and fits best to answer the question (Muis et al., 2022).

 Findings from Articles or Evidence-Based Sources

 One evidence-based resource shows no interaction between probiotic use in children with acute diarrhea and its efficiency based on diarrhea duration and frequency of diarrheal episodes (Schnadower et al., 2021). Another study provides a contradictory result showing that adding probiotics to the treatment plan for children with gastroenteritis shortened the duration of diarrhea. Moreover, it has increased treatment efficiency right after two days of treatment and reduced the length of stay at the hospital (Huang et al., 2021). The key findings from the resource by Florez et al. (2020) include that using symbiotics and zinc effectively treats gastroenteritis in children. Other interventions involve using anti-microbials and anti-emetics to treat gastroenteritis efficiently by managing all possible symptoms. All of these evidence-based resources are credible as they fulfill the CRAAP criteria and provide relevant details on gastroenteritis and the PICOT question. 

Relevance of Findings and Decision-Making 

The aforementioned chosen sources of evidence are specifically relevant to gastroenteritis and the PICOT question developed earlier. The resources shed light on the effectiveness of probiotics on diarrhea and the overall management of gastroenteritis in children. Considering the evidence-based resources and their findings, one article supports the use of probiotics in reducing diarrheal symptoms and the overall duration of infection (Huang et al., 2021). This resource is likely to lead to positive outcomes as it conducts thorough research on the impact of probiotics in decreasing the intensity of symptoms in gastroenteritis and reducing diarrheal span. Another resource also supports using symbiotics and probiotics in treating gastroenteritis in children. However, only one finding shows contradictory results and creates bias. Considering two supporting evidence, it can be concluded that probiotics can effectively impact the duration of diarrhea and its symptoms in children within 1-2 weeks of intervention.

Conclusion

In this assessment, gastroenteritis is explored by creating a PICOT question. In healthcare, the PICOT question helps gather data on specific concerns like gastroenteritis and choose a more effective clinical approach to practice to improve health outcomes for selected patient populations. The evidence-based sources to answer PICOT include gastroenteritis-relevant journals, websites, and databases encompassing substantial data on gastroenteritis and its treatment. The research findings are evaluated, and the best relevant findings indicate that probiotics can help reduce the duration of diarrhea and severity of diarrheal symptoms.

References

Dubbs, A. (2022). Probiotics and its gastro-intestinal protective mechanisms during antibiotic therapy: A training for ambulatory care clinic providers (Publication No. 29210964) [Doctoral Dissertation, University of Hawai’i]. ProQuest. https://www.proquest.com/openview/3f1f5d2a29707fec1faa8b7daec51012/1?pq-origsite=gscholar&cbl=18750&diss=y 

Florez, I. D., Niño-Serna, L. F., & Beltrán-Arroyave, C. P. (2020). Acute infectious diarrhea and gastroenteritis in children. Current Infectious Disease Reports22(2). https://doi.org/10.1007/s11908-020-0713-6 

Huang, R., Xing, H.-Y., Liu, H.-J., Chen, Z.-F., & Tang, B.-B. (2021). Efficacy of probiotics in the treatment of acute diarrhea in children: A systematic review and meta-analysis of clinical trials. Translational Pediatrics10(12), 3248–3260. https://doi.org/10.21037/tp-21-511 

NURS FPX 4030 Assessment 3 Picot Questions and an Evidence Based Approach

McClinton, T. D. (2022). A guided search: Formulating a PICOT from assigned areas of inquiry. Worldviews on Evidence-Based Nursing19(5). https://doi.org/10.1111/wvn.12598 

Muis, K. R., Denton, C., & Dubé, A. (2022). Identifying CRAAP on the internet: A source evaluation intervention. Advances in Social Sciences Research Journal9(7), 239–265. https://doi.org/10.14738/assrj.97.12670

Schnadower, D., O’Connell, K. J., VanBuren, J. M., Vance, C., Tarr, P. I., Schuh, S., Hurley, K., Rogers, A. J., Poonai, N., Roskind, C. G., Bhatt, S. R., Gouin, S., Mahajan, P., Olsen, C. S., Powell, E. C., Farion, K., Sapien, R. E., Chun, T. H., & Freedman, S. B. (2021). Association between diarrhea duration and severity and probiotic efficacy in children with acute gastroenteritis. The American Journal of Gastroenterology116(7), 1523–1532. https://doi.org/10.14309/ajg.0000000000001295

 

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