KU Group Three EBP Discussion

bnickel · Jan 31, 2009

PICO, an acronym for “Patient” “Intervention”, “Comparison”, and “Outcome”, provides a framework for posing question. This is in our text and is an acronym used in several of the articles that Dr. Sousi wants us to have read.

bnickel · Jan 31, 2009

:redpinkheAhhhhh! I see! I've been posting a "quick reply" so these little things were not there. I can see that I am going to be totally obnoxious with these! Allyson, I am not worthy! :bowingpurYou're the best!

abbyroad · Jan 31, 2009

Allyson that is great if you want to do the research part. I would do the EBP model part and help with one of the bigger parts. I am also willing to help proofread and/or put all of the pieces together and help all of our writing styles flow......

I like the question that Allyson posted about length of time for NPO status :yeah:

abbyroad · Jan 31, 2009

I am willing to do any part of the paper though -- I am flexible.

So what do you guys think about the problem that we discuss in the intro being?

rhiannonwolf · Jan 31, 2009

Oh okay, LOL, PICO, you mean the articles I haven't read yet because my one hour pharmacology class has me in a tailspin right now. And by the way, I'm venting here, Nursing 731 should be a three hour credit, one hour is crap. Anyway, thank you for the clarification Abby, I am glad you have the syllabus there. I can write section two since I guess I am going to do most of the research for the articles, if that is okay with everyone. And back to the topic of NPO, so we are narrowing this puppy down to: Problem: NPO status in patients may be too long of time and we need to find through research studies what is the shortest critical window of time a patient can go under general anesthetic without eating so that he/she will not be at risk for postoperative complications such as aspiration or fluid deprevation. Once we find this information we should gather data by evaluating patient records to evaluate outcomes. If the outcomes are positive postoperatively, we can change hopsital protocols, or do I have it backwards? I think we should use the Iowa Model for the EBP because there is a great figure of it in our textbook. What do you think?

bnickel · Jan 31, 2009

:twocents: Here's my "money's worth"

Page 40 of our text provides this information:

P - population - any pre-operative patient (would this also include someone such as a patient getting a colonscopy and is given a mild sedative?

I - Intervention or exposure ("what are the treatments or interventions of interest? or "what are the potentially harmful exposures we are concerned about") - in this case, increased complications related to prolonged NPO status prior to surgical procedures

C - Comparison of interest - complications in those with long periods of NPO versus those with the recommended periods of NPO

O - Outcome

And the text includes "T - Time. According to the text, the "T" is not always needed, nor the "O".

rhiannonwolf · Jan 31, 2009

:bugeyes: :uhoh3: So I'm feeling a bit goofy now. Okay, thank you Abby for volunteering for the EBP part, what section is that again? I suggested that we use the Iowa Model because it is nursing based as I discussed on our board this week and there is also a great flow diagram of it in the book. Just a thought, what do you think Abby? :yeah: :yeah: :yeah:

rhiannonwolf · Jan 31, 2009

Brenda, you are quick! Awesome summarization of PICO, I love it! You all are on the ball, I am still in my pajamas and have been doing pharmacology since 9:00 this morning LOL.

abbyroad · Jan 31, 2009

Allyson I like the way you pose the problem and I really like the Iowa model as well. What do you think Brenda? :coollook:

bnickel · Jan 31, 2009

See my post on page 3 of this conversation. I tried to define the PICO more. :pntlft::tinkbll:Maybe we should just make a quick wish for this project to be done!

Seriously, is our next step to create the question using the PICO format and get it out to everyone in our group by Monday, ask that everyone look at and either give it a :up: or :down: by Tuesday afternoon, then get suggestions, finalize the question and submit to Dr. Sousi? Does he need our question in a preliminary form first?

rhiannonwolf · Jan 31, 2009

LOL Brenda, you are already using Tinkerbell in your posts? You are doing well, I can't even do that. I think you are right that we should use the PICO format that you quote on page three, email it everyone else in our group and get it approved and like you said have it to Dr. Sousi by Tuesday so he can read it and hopefully approve it! I will copy the PICO that you wrote down, to a word document, excellent by the way, and who wants to officially submit this to Dr. Sousi?

abbyroad · Jan 31, 2009

I think we should send an e mail to the missing group members and let them know what we discussed and what we are thinking. I also think we need to send Dr. Sousa an e mail before we go too much further. I just feel like I do not know what he is looking for so I want to make sure that we are on the right track before we put a lot more work into this.