Question

Chapter 2 Fundamentals of Evidence-Based Nursing Practice 29 Clinical Scenarios and the Need for Evidence Individual nurses make many decisions and are called upon to provide health care advice, and so they have ample opportunity to put research into practice. Here are four clinical scenarios that provide examples of such opportunities: . Clinical Scenario 1. You work on an ICU and notice that Clostridium difficile infection has become more prevalent among surgical patients in your hospital. You want to know whether there is a reliable screening tool for assessing the risk of infection so that preven- tive measures can be initiated in a more timely and effective manner. Clinical Scenario 2. You work in an allergy clinic and notice how difficult it is for many children to undergo allergy scratch tests. You wonder whether an interactive distraction intervention would help reduce children's pain when they are being tested for allergens. Clinical Scenario 3. You work in a rehabilitation hospital, and one of your elderly patients, who had total hip replacement, tells you she is planning a long airplane trip. You know that a long plane ride will increase her risk of deep vein thrombosis and wonder whether compression stockings are an effective in-flight treatment. You decide to look for the best possible evidence to answer this question. Clinical Scenario 4. You are caring for a hospitalized cardiac patient who tells you that he has sleep apnea. He confides in you that he is reluctant to undergo continuous positive airway pressure (CPAP) treatment because he worries it will hinder intimacy with his wife. You wonder if there is any evidence about what it is like to undergo CPAP treatment so that you can better understand how to address your patient's concerns. In these and thousands of other clinical situations, research evidence can be put to good use to improve nursing care. Some situations might lead to unit-wide or institution-wide scrutiny of current practices, but in other situations, individual nurses can personally exam ine evidence to help address specific problems. For individual EBP efforts, the major steps in EBP include the following: 1. Asking clinical questions that can be answered with research evidence 2. Searching for and retrieving relevant evidence 3. Appraising and synthesizing the evidence 4. Integrating the evidence with your own clinical expertise, patient preferences, and local context 5. Assessing the effectiveness of the decision, intervention, or advice

please answer questions 4 and 5 from the scenarios given in the picture.

using the PICO questions format and components, develop a clinical question for one of the four scenarios i have provides in the photo and then identify what type of question was it whether quantitative ( 4 types of questions) or qualitative ( 2 types of questions) and indicate which type the questions is quantitative or qualitative and the type.

Answer 1

4. In children's with complaints of allergy (P), how does the use of an interactive distraction intervention (I) compared to not using the interactive distraction intervention (C) for pain (O) during the allergy scratch test (T).

5. This a qualitative question because it is assessing the pain which is quality of life factor . How using an interactive distraction intervention reduces pain during the allergy scratch test.