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I’m working on a nursing discussion question and need a sample draft to help me understand better. Topic 1: Define and Describe Your Foreground and Background Information Using the PICOT question you identified, rewrite the question for your peers and define the difference between foreground and background information as it relates to your PICOT question. Also, provide a general overview on what evidence is available. Resources: Rapid Critical Appraisal to Evaluate Evidence Rapid critical appraisal is the opportunity to review evidence in a timely fashion. The ability to look at evidence and review it in a timely fashion will help your practice. You will learn how to look at the evidence that is returned from your database search, and identify what level of evidence is available from your search. For example, being able to identify that a randomized control trial is a reliable source of evidence, rather than an expert’s opinion. Five Components of a PICOT Recognizing the five components of PICOT questioning is the most pivotal aspect of evidence-based practice. Through PICOT, you can determine the patient population that you are working with, the intervention that you propose (based on the research), a comparison intervention and then review the outcome and the time it takes to reach the outcome. For example, determining how long it takes for the evidence-based intervention to improve the quality of life of a patient with terminal cancer. P = patient, population, or problem I = intervention, risk factor, assessment tool, or prognostic factor under scrutiny C = comparison (alternative to intervention; at times this element may be absent) O = outcome T = time (Is there a certain period of time that must transpire for the intervention to produce an outcome? At times this element may also be absent. How to Identify the Corresponding Research Design for the Foreground Question As you develop a PICOT format, you decide what research design you will use that best meets the needs of your clinical question. For example, if the intervention is a medication, then a case control study would be ideal to determine if the medication is effective compared to patients that do not receive the medication. How to Identify the Corresponding Research Design for the Foreground Question You will be able to identify the importance of evidence, recognizing that expert opinion and clinician opinion are the lowest level of evidence, with meta-analysis and randomized control trials at the top of the hierarchy. Difference Between Foreground and Background Foreground and background information must be distinguished for effective evidence-based PICOT development. Foreground information can be answered based on scientific evidence about diagnosing, treating, or even assisting patients. This would be the actual clinical question being researched. So, for example, the question of which analgesic works best to reduce a fever in a child would be foreground information Background information is broader in scope as it helps develop the foreground question. For this example on analgesic questioning, the background information would be “how do analgesics work in children?” After completing this unit, you should be able to: Outline a rapid critical appraisal to evaluate evidence. Recognize the five components of a PICOT (foreground) question. Identify the corresponding research design that would best fit each foreground question. Identify the hierarchy of evidence. Interpret the difference between foreground and background information. TEXTBOOK INFORMATION Title: Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice Edition: 4th (2018) Author: Fineout-Overholt, Melnyk Publisher: Lippincott Williams & Wilkins Book ISBN: 978-1-4963-8453-9 Ebook ISBN:

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