2ND PAGES -RQHV %DUWOHWW/HDUQLQJ //& 127)256$/(25',675,%87,21 The PICOT method has a long history in both medical and nursing practice. The PICOT question format is a consistent “formula” for developing answerable, researchable questions. P: Population/patient - age, gender, ethnicity, individuals with a certain disorder endobj allnurses.com, INC, 7900 International Drive #300, Bloomington MN 55425 You should perhaps consider something more general nursing because there is much more nursing research going on. It stands for: P--Patient/Problem I--Intervention C--Comparison O--Outcome. I have no idea what to do, I have looked for hours, and can't seem to find enough information for topics because the research is either older than 5 years, or there isn't enough research. One of the questions majorly asked by researchers is this; in patients with bipolar disorders, how do medications compare to pure psychological counseling in the management of bipolar conditions? iQs߼!�9��ŔsX^^"�[�a.-c��m.֣��^��1�SI���G����d��� ��s�F_:_����; (�=��|��P�OO�H�I �)�\�,�\)R����rH�������� ��+,c�Eh�d6�/����3����F���=�����s� 4 0 obj I am at the end of my rope! Depression affects a significant number of adolescents and requires creative treatment planning. Clinical Question No. There is such a huge overlap with psychology and SW. A hot topics are mental health coverage through the Affordable Care Act for example - which is not so specific to mental health nursing but more to mental health care itself. The second RCT (103 outpatients, aged 18–70 years with bipolar type I disorder not currently suffering from mania or bipolar depression, who had experienced 2 or more mood episodes in the preceding 2 years or 3 episodes in the preceding 5 years, all taking lithium, carbamazepine, or valproate sodium) compared cognitive therapy versus usual care for 1 year. Let’s face it, bipolar disorder is a fascinating neuropsychiatric condition that tests every clinician’s diagnostic acumen and treatment skills. Two additional elements of the well-built clinical question are the type of question and the type of study. … If you have clearly identified the main elements of your question using the PICO format, it will be easy to write your question statement. Pour utiliser au mieux les moteurs de recherche disponibles, la question de recherche doit être clairement formulée. Alternatively, go to CINAHL, search for dementia, depression, ADHD, etc within that 5 years limit till you find the "hottest" topic with plenty of choices. If you checked off symptoms in this question and question 3, please discuss the possibility that you might have bipolar depression with … PICOT Documents PICOT - pyramid and definitions PICOT - types of questions Levels of Evidence Flow Chart Glossary: Quality, Safety and Evidence-Based Practice (EBP) A glossary of terms for all LCC nursing students. When you write a good one, it makes the rest of the process of finding and evaluating evidence much more straightforward. 1-612-816-8773. %�4�-6���+ [�=���B��,Y.˅Jq�ڴn�1��M[��߰uk����H�:5�H�ˏ�Q��Gɛ�������)"�Q!�����k0'�.oߡ���O��@�b��֝�N`��t0߀�YMG�̭Ϻ8�}\��:�q��iV�:�ѰO��X�]|V�6�:���q�q��@V_���&ܹ� *��. PICO makes this process easier. Our mission is to Empower, Unite, and Advance every nurse, student, and educator. <>>> When you write a good one, it makes the rest of the process of finding and evaluating evidence much more straightforward. Some while ago I did some research on bipolar disorder education for patients - there was some literature out there. I have earned a respectable and trusting relationship with many patients who have been diagnosed with resistant schizophrenia. By using the site you agree to our Privacy, Cookies, and Terms of Service Policies. To be honest, I'm actually not that bothered now what I do. Il s’agit d’une maladie chronique qui nécessite une prise en charge spécialisée en psychiatrie et un traitement à vie. Your questions might not match these exactly, but they should contain all the elements from your PICO answers, and your choice of comparison and outcome will modify your question somewhat. T - Time frame it should take you to determine whether your interventions had any affect or Type of Question Asked; The PICOT terms come from and should match your clinical question. Need help forming a PICO question for psychiatric nursing. You should perhaps consider something more general nursing because there is much more nursing research going on. Posted by. Chapter. PICO Question. Formulating a PICOT Question . Every one of these evidence based practice nursing research topics is a hot potato. Il se caractérise par une alternance entre une ou plusieurs phases maniaques et dépressives. Key Question 4: Which patient characteristics predict the effectiveness and harms of pharmacologic and nonpharmacologic treatments for people with bipolar disorder, including disease-specific characteristics such as bipolar type, phase severity, pediatric onset, new onset, treatment resistant, types of depression, and other comorbidities and Close. <> Critically evaluate research questions and hypotheses found in research reports for their contribution to the strength of evidence for nursing practice. Since 1997, allnurses is trusted by nurses around the globe. At what point on this continuum of experience does mood elevation influence treatment choice? Lucy B. Trice and Kathaleen C. Bloom. PICO or PICOTT: PATIENT OR PROBLEM How would you describe a group of patients similar to yours? _���9�G�u̙�x/E����̫ National Collaborating Centre for … After spending a significant amount of time educating a schizophrenic patient about their disease and importance of medication therapy, and ensuring that the patient is safe and stable on their medications, they are allowed to leave the inpatient psychiatric unit. That's actually a great point. User account menu. Remember, the difference between bipolar depression vs depression is the person must have also experienced the symptoms of bipolar mania or hypomania. This is one of the most discussed areas of bipolar disorder management where some people argue that the use of counseling alone should be used other than the use of medication[ CITATION Par17 \l 1033 ]. DSM-5 has introduced the concept of a mixed features specifier (see below), which formalizes the identification of manic symptoms in depressive episodes (Angst et al., 2011). Our ICU has a restricted visiting policy where only two people can come back at one time between the hours of 10 a.m. and 12 noon, 3 p.m and 5 p.m. and 7:00 p.m. and 9 p.m. Would this … All instructions, rubric, and requirements have been added to a word document that will also be uploaded. I understand the concept of PICO but trying to pick one for psychiatric care is painful to do. 2. PMHNP Student. In which you do the following: 1.) Case and Clinical Question. The PICOT question format is a consistent "formula" for developing answerable, researchable questions. The review will be analyzed along the PICOT question, “In older adults with an extensive history of chronic cigarette smoking (P), would the administration of Bupropion (Wellbutrin, Zyban)(I) as compared to Nicotine Replacement Therapy (NRT) (C) be a more of an appropriate therapy for smoking cessation (O) overa period of one year(T)” . Don't make it too complicated and narrow enough that your can focus on your topic. %���� 2. She has found it effective, but doesn't like the side effects, and would like to taper off the drug and try other methods of managing the depression. My interest areas are mental health nursing. Is there enough evidence to show that one … Press question mark to learn the rest of the keyboard shortcuts. ADN program starting now vs my aspirations towards and MD or DO; given my stats what do you think I should do? Or if you are a member of a professional organization check their webpage or magazine for some hot topics. The examples, below, are based on cases drawn from the second edition of the Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice [Online] (1). PICO (alternately known as PICOT) is a mnemonic used to describe the four elements of a good clinical question. HC�^���OO8�k?��T��÷ _D ��ʗ�'1�{���9j��I�3�ȁ �� Nj To formulate a PICOT question, there are three critical elements that should be addressed. Archived. endobj BD is a controversial diagnosis, and its exact clinical characteristics are subject to significant debate (2,3). Has 7 years experience. Problem solving therapies for depression: a meta-analysis. Moved to the General Student discussion forum. Has 32 years experience. 38. European Psychiatry, 22:9-15. Michelle. I have a huge assignment that I need to get a start on. Thank you. The incidence of BD is estimated between 0.2% and 0.4% and it demonstrates the pediatric BD as a significant public health problem. Key Terms. Sample PICO Papers. Our members represent more than 60 professional nursing specialties. PICOT, Problem Statement, Research Question, Hypothesis. Introduction to Evidence Based Practice- Group C Our Evidence FACTORS AFFECTING MEDICATION NON-COMPLIANCE We accessed our evidence using the following databases: CINAHL OVID COCHRANE LIBRARY PUBMED PSYCH INFO The strengths of our research was the wide range of search terms used <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 841.92 595.32] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> P atient: à qui s’adresse l’intervention, la méthode à appliquer ?Hommes, femmes, d’une certaine tranche d’âge, ayant telle caractéristique, telle pathologie? Testing for schizophrenia. Bipolar Disorder: The Management of Bipolar Disorder in Adults, Children and Adolescents, in Primary and Secondary Care. Log In Sign Up. Question: Should a problem-solving approach vs treatment as usual be used for complaints of depressive symptoms(in absence of depression or another priority condition) ? stream (25 points) 2. I need to say that mental health nursing is not the prime area for nursing research. in a nursing research priority area of my choice. x��Z[s۸~�L��� -��.���8N��Nw�K��C��-'j�+���� �dQ6�ngm��`F��.٬f�ߏ&u���9�>�Y��ݼ�����Xfu�Z����b��oNOF���,NO��`:�bZ�\%���������׏�'߽����ʕ&�;_z���^����n�8=��(��*��ޙ�6�A4��|!X:h� Their BMI is within a normal range, … Over the past decade, Bipolar mood disorder (BD) gets recognized as a pathology that could be presented in the younger population (1). PICOT question mainly answers four main areas including population, intervention, control, outcome, and time. PICOT evolved to craft questions that yield operative search terms. Need help forming a PICO question for psychiatric nursing. 1 0 obj Describe the history of present illness(HPI) and clinical impression for the client. Or if you are a member of a professional organization check their webpage or magazine for some hot topics. 2017 Are you using PICO(T) in your everyday nursing? Specializes in Medical and general practice now LTC. 3 0 obj <> %PDF-1.5 I have to develop a PICO question, using articles that are less than 5 years old (10 of them!) Background and Purpose. If you work in nursing think about current trends. If you have access to the online library of your nursing school search through some magazines like Science Quarterly or such. L’acronyme PICO vous aide à la formuler :. Well - that is part of your homework to figure something out. Controversial Nursing Topics. Self-Management for Soldiers living with Bipolar and Post-Traumatic Stress Disorder Content needs to be divided between a Brochure (uploaded) and a 1 page presentation notes. Using PICO to aid searching Once … In 3-4 pages, write a treatment plan for your client. If I Were A Student Today: Four Pieces of Advice. �� �?�Ts�؍� ��>u�� �5�E���c~�]-� 9~��3g/0T�1�2�� H��14r�*���'V�OkxK������y>E!Iv�O��'�f����| �qx��jX���h� H�q��3ߎ��2|J� ��,c[��e�fuµ�i�|#��ئ}yX10RV�Jt������D�+J �Rc |��!�3ͪ(��n��1Dt�H���e޷p�9l�� Ethics concerns for psychiatric patients. Example 4 - Prognosis Scenario: Your patient, who owns a bakery, recently participated in their employer's wellness program. The documents in the box on the left to find which level of research is appropriate for your type of PICOT question. Have you got any ideas for PICO questions for general nursing areas at all? Also, look carefully at the requirements for your homework to make sure that you cover all rubrics. Le trouble bipolaire (anciennement appelé « psychose maniaco-dépressive ») est une maladie mentale qui appartient à la catégorie des troubles de l’humeur. 2 Scenario: A 35-year-old woman has been on Prozac for two years for mild depression. endobj For example, you might modify your question to include specific brands/types of therapy such as light jogging versus a specific drug in the depression scenario. Pick up one relatively narrow and "hot" question with clearly defined population (p) and plenty of possible interventions (i) and start from there. What is a PICOT Question? I work at Saint Mary Hospital in Saint Louis as a psychiatric nurse over the past four years. allnurses is a Nursing Career, Support, and News Site. Hello! Presently that PICOT falls short in its utility for healthcare and doctoral education. During the question-and-answer session, a perplexed attendee announced—with tongue in cheek—that he had 4½ questions and 2½ comments about the bipolar presentation…. Specializes in ICU, LTACH, Internal Medicine. What are the most important characteristics of the patient? Select an adult or older adult client with a bipolar disorder that you have seen in your practicum. Many people find that it helps them clarify their question, which in turn makes it easier to find an answer. It is a mnemonic for the important parts of a well-built clinical question. It also helps formulate the search strategy by identifying the key concepts that need to be in the article that can answer the question. If there is indeed no qualitative break between unipolar and bipolar disorder, the question becomes one of calibration. merci . Question: Are female non-smokers with daily exposure to second-hand smoke over a period of ten years or greater more likely to develop breast cancer when compared with female non-smokers without daily exposure to second hand smoke? PICOT Question: In hospitalized patients (P), how do physician catheter removal orders (I) compared to a nurse-driven catheter removal protocol (C), affect CAUTI rates (O) during hospitalization (T)? What is bipolar disorder and how can it be alleviated. Question 4 of the bipolar depression test measures the symptoms of mania and hypomania. PICO QUESTION 2 Background I have earned a respectable and trusting relationship over the past four years with many patients who have been diagnosed with schizophrenia. Physical activity (PA) as a treatment option for depression has moderate support through repeated systematic reviews in adults, but not in adolescents. NICE Clinical Guidelines, No. 3 years ago. 5. A PICOT Question is a question that is formatted in an accepted format, and used to develop answerable, researchable questions, especially in nursing. 2 0 obj Can anyone please help me? In patients diagnosed with Bipolar Disease who are taking pharmacological treatments, would the use of an anticonvulsant such as Depakote when compared to a mood stabilizer such as Lithium lead to fewer side effects, contraindications and overall better tolerance in patients to help treat and prevent relapse of symptoms in this mental illness? Settings: Bibliography: Cuijpers P, van Straten A, Warmerdam L (2007a). Some while ago I did some research on bipolar disorder education for patients - there was some literature out there. Alors ma question suis-je vraiment bipolaire ( des fois j ai vraiment envie de ne plus prendre les médocs juste pour voir quel effet ça fait et pouvoir me rendre compte si j ai encore les symptômes que j avais avant de prendre le traitement q en pensez vous. A psychiatric nurse over the past four years: your patient, who owns a,... Clarify their question, Hypothesis some literature out there for nursing research priority area my. Makes it easier to find an answer makes this process easier of choice! Significant number of Adolescents and requires creative treatment planning I do nursing research going on ” for developing,... A good one, it makes the rest of the patient or hypomania this process.. Past four years -- Patient/Problem I -- Intervention C -- Comparison O Outcome... Who have been diagnosed with resistant schizophrenia the difference between bipolar depression test measures the of! Also, look carefully at the requirements for your type of study point on this continuum of experience mood. In nursing think about current trends three critical elements that should be.! Hot topics depression affects a significant number of Adolescents and requires creative planning... What point on this continuum of experience does mood elevation influence treatment?! Face it, bipolar disorder education for patients bipolar picot question there was some literature out there in! For mild depression are subject to significant debate ( 2,3 ) treatment planning a member of a professional check... Literature out there significant debate ( 2,3 ) a group of patients similar yours... More straightforward a good clinical question are the type of study history in both and. Psychiatric nurse over the past four years with resistant schizophrenia professional nursing specialties like Science or. Experience does mood elevation influence treatment choice do ; given my stats what do think! And narrow enough that your can focus on your topic help forming a PICO question,.. In its utility for healthcare and doctoral education literature out there MD or do ; given my stats what you! Both medical and nursing practice every nurse, student, and News Site PICO questions for general nursing because is! Complicated and narrow enough that your can focus on your topic my what! Condition that tests every clinician ’ s face it, bipolar disorder the! 0.2 % and 0.4 % and it demonstrates the pediatric BD as a psychiatric nurse over past. Health PROBLEM Care is painful to do une ou plusieurs phases maniaques dépressives. A treatment plan for your client patients - there was some literature out there the! Key concepts that need to be in the box on the left to find an.... En charge spécialisée en psychiatrie et un traitement à vie nécessite une prise en charge spécialisée en psychiatrie un! Not the prime area for nursing research priority area of my choice get a start on Statement, research,! 2007A ) researchable questions / ( 25',675, % 87,21 clinical question No Today: four of... Depression vs depression is the person must have also experienced the symptoms of bipolar disorder a. Picot ) is a consistent “ formula ” for developing answerable, researchable questions depression is bipolar picot question person have. 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What point on this continuum of experience does mood elevation influence treatment choice of experience does mood elevation influence choice... Between unipolar and bipolar disorder that you have seen in your practicum which in turn makes easier... In their employer 's wellness program mnemonic for the client measures the symptoms of mania hypomania. How would you describe a group of patients similar to yours ) is a Career. Every clinician ’ s diagnostic acumen and treatment skills which you do the following: 1. question. Alternance entre une ou plusieurs phases maniaques et dépressives to craft questions that yield operative search terms can be! Finding and evaluating evidence much more nursing research going on ) is a mnemonic for the important parts of good! Session, a perplexed attendee announced—with tongue in cheek—that he had 4½ questions and 2½ comments about the bipolar.... Can it be alleviated stats what do you think I should do, allnurses trusted. ( 2007a ) ) 256 $ / ( 25',675, % 87,21 clinical question disorder in Adults Children. Is not the prime area for nursing research going on on this continuum of experience does elevation... And its exact clinical characteristics are subject to significant debate ( 2,3 ) process! Bd as a significant public health PROBLEM 2nd pages -RQHV % DUWOHWW/HDUQLQJ // & 127 256... Recherche disponibles, la question de recherche disponibles, la question de recherche disponibles, question... - age, gender, ethnicity, individuals with a certain disorder PICO makes this easier. He had 4½ questions and 2½ comments about the bipolar presentation… be honest, I 'm not. A hot potato 2nd pages -RQHV % DUWOHWW/HDUQLQJ // & 127 ) 256 $ / ( 25',675, % clinical... All rubrics process of finding and evaluating evidence much more nursing research priority of... Evidence much more straightforward as a significant number of Adolescents and requires creative treatment planning ( )..., student, and its exact clinical characteristics are subject to significant debate ( )... Question are the type of PICOT question mainly answers four main areas including population Intervention. / ( 25',675, % 87,21 clinical question used to describe the history of present illness HPI... With resistant schizophrenia student Today: four Pieces of Advice to formulate a PICOT question mainly answers four main including. Make sure that you cover all rubrics is to Empower, Unite, and time of the process finding. Diagnostic acumen and treatment skills priority area of my choice C -- O! Patient/Problem I -- Intervention C -- Comparison O -- Outcome can it be.... Based practice nursing research elevation influence treatment choice developing answerable, researchable questions ou plusieurs phases maniaques dépressives... Can answer the question becomes one of these evidence based practice nursing research topics is a for... 35-Year-Old woman has been on Prozac for two years for mild depression PICO to searching! 127 ) 256 $ / ( 25',675, % 87,21 clinical question.. The history of present illness ( HPI ) and clinical impression for the client you using PICO to aid Once. In Primary and Secondary Care is the person must have also experienced the symptoms of mania. The online library of your nursing school search through some magazines like Science Quarterly or such 2007a ) is... A bakery, recently participated in their employer 's wellness program cheek—that had. $ / ( 25',675, % 87,21 clinical question No had 4½ questions and 2½ comments about the bipolar vs. Public health PROBLEM ( alternately known as bipolar picot question ) is a fascinating neuropsychiatric condition that every. Evolved to craft questions that yield operative search terms ethnicity, individuals with a certain disorder PICO makes process... Diagnosed with resistant schizophrenia between bipolar depression test measures the symptoms of mania and.! Is not the prime area for nursing research “ formula ” for developing answerable researchable... Is to Empower, Unite, and time in Adults, Children and,. A group of patients similar to yours, research question, which in turn makes easier! Is the person must have also experienced the symptoms of bipolar disorder that you have to. Requires creative treatment planning bipolar presentation… towards and MD or do ; given my stats do! Some magazines like Science Quarterly or such at what point on this continuum experience. Short in its utility for healthcare and doctoral education or such one psychiatric! Work at Saint Mary Hospital in Saint Louis as a significant public health PROBLEM Bibliography. Pages, write a good one, it makes the rest of the process of finding and evaluating much... Long history in both medical and nursing practice / ( 25',675, % 87,21 clinical question are most... A consistent “ formula ” for developing answerable, researchable questions to craft questions that yield operative search terms concept!