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What is Evidence-Based Practice (EBP)?

Definition: Evidence-Based Practice integrates best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care.  — QSEN Institute

PICO Tutorial

PICO(T)

PICO(T) is a process used in evidence-based practice to help formulate questions.

Frame the question:  Does hand washing reduce hospital acquired infections during stays of more than 14 days?

PICO(T) Elements Example
(patient/problem) Hospital acquired infection
I  (intervention) Hand washing
(comparison) No hand washing, other solutions, masks
(outcome) Reduced infection
T (time) *may not always be relevant Long term stays

Create a search strategy:  Use Boolean Operators  AND, OR 

Boolean Operator Search  Terms Results

AND

(narrows search)

handwashing AND infection

Retrieves citations with BOTH terms present

OR

(expands search)

cross infection

OR

hospital infection

Retrieves citations with either/any of the terms

AND, OR

handwashing OR hand washing

 AND

cross infection OR hospital infection

Retrieves citations with either form of handwashing, 

then searches those records for cross infection or hospital infection