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Evidence Based Practice  

Last Updated: Sep 7, 2016 URL: Print Guide RSS Updates
Montante Family Library Subject Guide Print Page


Why use PICO questions?  

1.  Clarifies question as it pertains to the patient

2.  Identifies keywords to search

3.  Elucidates relevancy of results


P= Patient problem

I= Intervention, prognositic factor or exposure

C= Comparison

O= Outcome



    D'Youville Library Resources

    The library databases allow you to find full text from journals, magazines, newspapers and other publications.


    PubMed comprises more than 25 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites.

    Google Scholar

    Google Scholar is an online, freely accessible search engine that lets users look for both physical and digital copies of articles. It searches a wide variety of sources, including academic publishers, universities, and preprint depositories looking for: Peer-reviewed articles. Theses.



      What is evidence-based practice?

      EBP is the integration of clinical expertise, patient values, and the best research evidence into the decision making process for patient care. Clinical expertise refers to the clinician’s cumulated experience, education and clinical skills. The patient brings to the encounter his or her own personal preferences and unique concerns, expectations, and values. The best research evidence is usually found in clinically relevant research that has been conducted using sound methodology.
      (Sackett, D. (2002) Evidence-based Medicine: How to Practise and Teach EBM, 2nd edn. London: Churchill Livingstone)

      There are three main steps in this process from an information gathering standpoint:  
      Ask Assess your patient and determine a pertinent clinical question to ask
      Acquire Based on your clinical question, create a search and conduct research in appropriate databases to acquire relevant resources
      Appraise Appraise the evidence presented in the resources for relevance to your patient and the validity of the results



        Evidence Pyramid


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