*** In 858 we will focus on Steps 1-4. Steps 5 and 6 will be covered later in the program.*****
Step 1: ASSESS the Patient/ Problem/ Population
• Start with the patient or community—a clinical problem/ question arises out of the care of
the patient or community issues.
• EBP always begins with the end in mind.
PICOT/: Things to consider as Components of a Searchable Question
PICOT | Things to Consider: |
(P): Patient, Problem, Program or Population |
Who or what should be included ethnicity, age, sex, gender, etc to define the Problem |
(I): Intervention |
What can you do to fix the problem or situation |
(C) Comparison | Not every intervention or issue has a comparison problem; no is an acceptable comparison |
(O) Outcome | What do you want to happen, reduce disease, rate, etc |
(T) Type of Question | What type of foreground question are you asking |
(T) Time | How long |
Type of Question |
Best Type of Study/ Research Design |
Therapy |
Randomized Control Trial (RCT) -> cohort -> case control -> case series |
Prevention |
RCT -> cohort study -> case control -> case series |
Prognosis |
Cohort study -> case control -> case series |
Diagnosis |
Prospective, Blind comparison to a Gold Standard |
Etiology/ Harm |
RCT -> cohort -> case control -> case series |
Cost analysis |
Economic Analysis |
Qualitative |
Ethnography, Phenomenology, Grounded Theory, Focus Group |