Clinical Practice Guideline – Article Example
Clinical Practice Guideline Affiliation Clinical Practice Guideline The paradigm of evidence-based practice (EBP) suggests that clinicians and physicians formulate clinical questions in terms of the problem or population, intervention, comparison and outcome (PICO) (Ely, Osheroff, Chembliss, & Rosenbaum, 2005). For practical, high quality evidence-based decisions and conclusions in a study, clinical practice guidelines are essential (CPG). CPG highlights development of focused clinical questions with well-articulated elements. According to early empirical studies, PICO structure enhances the specify and conceptual clarity of clinical problems, elicits more information during pre-search reference interviews, and leads to more complex study strategies and yields more precise research results (Ely, Osheroff, Chembliss, & Rosenbaum, 2005).
The research question must always state the (P), population or the problem that it targets in research. (I) Defines the intervention the health care management strategies, and diagnostic tests that are to be compared or studies. (C) Represents the control measures and alternative management strategies, tests and exposure in relation to the problem or population. Lastly, the (O) represent patient-relevant consequences of the intervention (Ely, Osheroff, Chembliss, & Rosenbaum, 2005).
In the case scenario, provision of trophic feeds has been found to results in faster maturity of the gut than the traditional view of withholding feeds in VLBW infants, thus making it more receptive for subsequent enteral feeds. Clinical research question: “Among very low birth weight infants (P), are slow enteral feeds (I), verses fast enteral feeds (C), better tolerated (O)?” The PICO frame would classify the research into a therapeutic question which will guide the researcher into using the best methodology for the study (Ely, Osheroff, Chembliss, & Rosenbaum, 2005). In this case scenario, the researcher would opt for a systematic review and meta-analysis of double-blind, randomized controlled trials.
Ely, J.W., Osheroff, J.A., Chembliss, M.H., & Rosenbaum, M.E. (2005). Answering Physicians’ Questions: Obstacles and Potential Solutions. J AM Med Inform Assoc., 12(2), 217-224.