Advanced Levels of Clinical Inquiry and Systematic Reviews PPT

Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
Develop a PICO(T) question to address the clinical issue of interest you identified in Module 2 for the Assignment. This PICOT question will remain the same for the entire course.
Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically-appraised topics (evidence syntheses), critically-appraised individual articles (article synopses). The evidence will not necessarily address all the elements of your PICO(T) question, so select the most important concepts to search and find the best evidence available.
Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.

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The Assignment (Evidence-Based Project)

Part 2: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

Identify and briefly describe your chosen clinical issue of interest.
Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.
Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.
Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.

APA format. Rubric provided. This is the second part of the assignment. The first part assignment is this: (please look over the topic if provided there)

PICO(T) is a framework that helps breakdown the question into searchable keywords (Davies, 2011). The question framework, PICO(T), standardizes the format for asking questions, which is the motivating force in evidence-based practice (EBP) (Davies, 2011). As nurses, we continuously ask and formulate questions out of curiosity and inquiry to provide the highest quality of care to our patients (Melnyk et al., 2009).

The clinical issue I am interested in is fall prevention. Working in a telemetry-neuro unit, we have many incidents of falls. These falls can lead to a longer stay in the hospital or cause complications, such as fractures or hemorrhages.

(P): Inpatient adults ages 40 and older

(I): Rigorous fall assessment and early ambulation

(C): bed alarms and fall education

(O): reduction of falls in Telemetry and Medical-Surgical floors

(T): during the hospital stay

Database Research

The two databases I used were PubMed and MEDLINE. It was a great start to my interest in the topic. The database allows me to advance my research by allowing me to choose the article type, change the publication date range, and search with Boolean operators. These features helped narrow down my search to the specific article I am looking for specifically with the Boolean operators. Boolean operators allow me to search combinations of keywords or phrases in a specified order (Library of Congress, n.d.). Having a question framework such as PICO(T) maximizes the effectiveness of the search as it helps guide the search results for the specific topic.