Dhiren D Rabadia SID-

12111542

92318 EVIDENCE FOR NURSING

Assessment Item 1: Finding the evidence Weight: 10% of

overall mark for the subject
ASSESSMENT ONE: SUBMISSION TEMPLATE

Please complete your assessment activities in the following

pages and submit this into Turnitin:
PICO Worksheet
Search Strategy Worksheet
A picture (must be readable!) of your systematic literature search in
Medline

PICO Worksheet Development of PICO and terms to be used in search

1. Use the following categories to help define your problem and what you are
looking at in simple terms
PICO: Patient/Problem, Intervention, Comparison, and Outcome.
(remember to use your readings to help you if you are unsure)
Patient/Problem: Patients facing depression
Intervention: Use of anti-depressant medication
Comparison: the use of cognitive behavioural therapy (CBT) to treat depression
Outcome: For people refusing medication is the use of CBT effective in treating
or reducing depression.

2. Now use these terms from the question above to create your PICO research
question so that you have a clear purpose for your search:
In (P) Depression does (I) anti-depressants compared with (C) cognitive
behavioural therapy reduce (O) depression?

3. What type of clinical question do you think this PICO answers?

Therapeutic Etiology Diagnositic Prevention
Prognosis Others

4. The table below will help you to think of the other terms that you might also
like to look up when searching for evidence to help you answer your question
this is part of basic planning for a research search.

Assessment Item 1: Finding the evidenceRevised R Disler 22-7-14 92318 Evidence for Nursing,
Faculty of Health, UTS Page 1
 We ask you to look up alternative terms because sometimes articles from health systems
call things different names for example, in Australia we sometimes us the term
community nurses, but in the UK they often talk about district nurses if you only
searched under district nurse youd miss all the articles which used the other term you
would be missing some of the picture!

Population Intervention Comparison Outcome

(not commonly used in (not commonly used in
actual database search actual database search
strategy) strategy)
What is your What is your What is your What is youre
population? Main intervention? Main comparison? Main outcome? Main
search term: search term: search term: search term:

Depression Anti-depression medication Cognitive behavioural Reduce depression

therapy
What other terms
might have been What other terms What other terms
used? might have been What other terms might have been
Alternative search used? might have been used?
terms: Alternative search used? Alternative search
terms: Alternative search terms:
terms: Treatment
Mental illness Medicines Psycho-therapy Reduction
Dysthymia Drug Counselling
Major depression Behaviour therpy
5. Is there a particular group of people that you want to look at? List here any
inclusion criteria you might use to refine your search if you have too many
papers:

Gender: All Age Range: 19 +

Publication Dates: Last 10 years Language: English

6. What kind of study do you think would best answer your question? Select here
which type of article you might want to access. You can also use these to refine
your search if you have a lot of papers.
Systematic Review Qualitative Study
Randomized Controlled Trial (RCT) Economic Evaluation
Cohort Study Clinical Practice Guidelines
Case-control Study/Case Series

Systematic Search Plan (this is what we call a Search Strategy)

7. Now that you have decided on WHAT you will be searching, you need to put
down a plan of HOW you will search for your articles. This helps you and others
to see how you got your evidence and how you made sure you got the best
evidence to help you decide on your clinical action.
Using the PICO terms in your table, enter each term in a row (group them together under
the PICO categories).

Assessment Item 1: Finding the evidenceRevised R Disler 22-7-14 92318 Evidence for Nursing,
Faculty of Health, UTS Page 2
 The next step is to combine similar terms using OR so that you have all the papers on the
same topic together
The final step is to find papers which only talk about both the population AND the
intervention. To do this you use AND in the database.
Key terms:
1 Depression
2 Mental health
3 Mental illness
4 Dysthymia
5 Antidepressive agents
6 Anti-depressant medicine
7 Cognitive therapy
8 Behaviour therapy
9 Cognitive behaviour therapy
1 1 or 2 or 3 or 4
0
1 5 or 6
1
1 7 or 8 or 9
2
1 10 and 11 and 12
3
1 1__ OR__2_OR__3_OR___ (combine alternate terms for same topic)
4
1 _4_ OR__5_OR__6_OR___ (combine alternate terms for same topic)
5
1 ____AND____
6
OR = combine alternate terms for the same topic to get as many
potential papers as possible!
AND = combine the groups of topics to get papers which cover ALL the
terms!

8. The final step is to paste in a picture (screenshot/screengrab) of the search

that you did in the

Assessment Item 1: Finding the evidenceRevised R Disler 22-7-14 92318 Evidence for Nursing,
Faculty of Health, UTS Page 3
Assessment Item 1: Finding the evidenceRevised R Disler 22-7-14 92318 Evidence for Nursing, Faculty of Health, UTS Page 4