PICOT Question and Literature Search
The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.
For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-reviewed research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments.
Use the “Literature Evaluation Table” to complete this assignment.
1. Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.
2. Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).
3. The PICOT question will provide a framework for your capstone project.
4. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem.
Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles. Therefore, they should not be included in this assignment.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
Sample Answer
Literature Evaluation Table
Student Name:
Summary of Clinical Issue:
Postoperative pain is normally one of the major concerns among patients who undergo surgery. In most patients, postoperative pain results in disturbances in sleep, loss of appetite, and a generally reduced quality of life, among other adverse outcomes (Lin et al., 2019). Even though evidence-based practices indicate that large doses of analgesics can help to reduce postoperative pain, such drugs have been shown to have numerous adverse side effects such as depressing respiration, and circulation among others. There is, therefore, a need for nonpharmacological alternatives to pain management among patients who have just undergone surgery. Scholars have suggested different approaches to manage postoperative pain, like acupuncture, music therapy, and hypnosis (Lin et al., 2019). Music therapy has been widely used to manage postoperative pain among patients who have just undergone surgery in different settings. A lot of scholarly literature has therefore shown that music therapy interventions are effective in reducing postoperative pain and anxiety (Lin et al., 2019).
PICOT Question:
Among patients coming out of surgery (P), what is the effect of music therapy (I) compared to conventional medicine (C) in managing postoperative pain (O) for a period of two days (T)?
Criteria | Article 1 | Article 2 | Article 3 |
APA-Formatted Article Citation with Permalink | Zografakis-Sfakianakis, M., Karteraki, M., Panayiota, K., Christaki, O., Sorrou, E., Chatzikou, V., & Melidoniotis, E. (2017). Effect of Music Therapy Intervention in Acute Postoperative Pain among Obese Patients. International Journal of Caring Sciences. 10. 937-945. https://doi.org/internationaljournalofcaringsciences.org/docs/32_zografakis_original_10_2.pdf
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Gogoularadja, A, & Bakshi, S. S
. (2020). A Randomized Study on the Efficacy of Music Therapy on Pain and Anxiety in Nasal Septal Surgery. International Archives of Otorhinolaryngology, 24(2), 232-236. Epub May 18, 2020.https://doi.org/10.1055/s-0039-3402438 |
Schneider, M. A. (2018). The Effect of Listening to Music on Postoperative Pain in Adult Orthopedic Patients. Journal of Holistic Nursing, 36(1), 23–32. https://doi.org/10.1177/0898010116677383. |
How Does the Article Relate to the PICOT Question? | The article relates to the picot question because it explores the effect of music therapy in managing postoperative pain. | The article relates to the picot question in that it explores the efficacy of music therapy in controlling pain and anxiety among surgery patients. | The study relates to the picot question in that it explores the effects of music therapy on postoperative pain in a patient population. |
Quantitative, Qualitative (How do you know?) | Quantitative. The article utilizes the prospective randomized clinical trial method, which is a quantitative approach. | Quantitative. The study adopts a randomized controlled study method which is a quantitative approach.
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Quantitative The study adopts a descriptive comparative quasi-experimental design which is a quantitative approach.
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Purpose Statement | To determine the effect of listening to music on postoperative pain among obese patients who have undergone major abdomen surgery. | To determine the efficacy of music therapy on anxiety and pain management among patients who have just undergone nasal septal surgery. | To determine the effect of listening to music on postoperative pain in adult orthopedic patients.
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Research Question | What will be the effect of music therapy on managing postoperative pain among obese patients who have just undergone major abdomen surgery? | What is the effect of music therapy on anxiety and pain management among patients who have just undergone nasal septal surgery?
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What is the effect of listening to music on postoperative pain in adult orthopedic patients?
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Outcome | Music therapy combined with conventional analgesics will be more effective in managing acute postoperative pain among obese patients who have just undergone abdominal surgery compared to the use of conventional analgesics alone. A combination of music therapy and conventional analgesics, therefore, promotes more comfort and a tolerable perception of pain.
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Music therapy is an effective supplement in the control of postoperative pain and anxiety following nasal septal surgery.
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There was a statistically significant reduction in postoperative pain among adults who had just undergone orthopedic surgery after listening to music.
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Setting
(Where did the study take place?) |
Tertiary University Hospital
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Surgical unit in a healthcare facility. | Acute Hospital unit
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Sample | 87 participants
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59 patients
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55 participants
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Method | Prospective randomized clinical trial. | Randomized controlled study.
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Descriptive comparative quasi-experimental design. |
Key Findings of the Study | Music therapy combined with conventional analgesics will be more effective in managing acute postoperative pain among obese patients who have just undergone abdominal surgery compared to the use of conventional analgesics alone. A combination of music therapy and conventional analgesics, therefore, promotes more comfort and a tolerable perception of pain. | Music therapy is an effective supplement in the control of postoperative pain and anxiety following nasal septal surgery.
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There was a statistically significant reduction in postoperative pain among adults who had just undergone orthopedic surgery after listening to music. The patients also expressed an overall satisfaction rate of 100%.
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Recommendations of the Researcher | Nurses should utilize a combination of music therapy and conventional analgesics to effectively manage postoperative pain among patients in care settings. | Nurses should utilize a combination of music therapy and conventional analgesics to effectively manage postoperative pain among patients in care settings.
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Health care providers should utilize music therapy as an adjunct to pain medication in the management of postoperative pain.
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Criteria | Article 4 | Article 5 | Article 6 |
APA-Formatted Article Citation with Permalink | Lynch KA, Emard N, Liou KT, Popkin K, Borten M, Nwodim O, Atkinson TM, & Mao JJ, (2020). Patient Perspectives on Active vs. Passive Music Therapy for Cancer in the Inpatient Setting:
A Qualitative Analysis. Journal of Pain and Symptom Management. https://doi.org/10.1016/ j.jpainsymman.2020.11.014. |
Ullsten, A., Eriksson, M., Klässbo, M., & Volgsten, U. (2016). Live music therapy with lullaby singing as affective support during painful procedures: A case study with microanalysis. Nordic Journal of Music Therapy.26 (2), 142–166. doi:10.1080/08098131.2015.1131187. | Polascik, B. A., Tan, D. J. A., Raghunathan, K., Kee, H. M., Lee, A., Sng, B. L., & Belden, C. M. (2020). Acceptability and Feasibility of Perioperative Music Listening: A Rapid Qualitative Inquiry Approach. Journal of Music Therapy. doi:10.1093/jmt/thaa014. |
How Does the Article Relate to the PICOT Question? | The article relates to the picot question in that it explores the patient’s perspectives on pain management during the use of music therapy.
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The study relates to the picot question in that it explores the effectiveness of live music therapy as affective support for patients during painful procedures.
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The study relates to the picot question in that it explores the feasibility and acceptability of music therapy during surgical operations.
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Quantitative, Qualitative (How do you know?) | Qualitative. The article utilizes a semi-structured interview approach which is a qualitative method. | Qualitative the study adopts a case study approach which is a qualitative method.
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Qualitative. The article utilized the rapid qualitative inquiry approach, which is a qualitative method.
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Purpose Statement | To understand the perception of active and passive music therapy in pain management among patients with cancer.
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To determine the effectiveness of live music therapy as affective support among patients during painful procedures.
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To determine the feasibility and acceptability of music listening in care settings during surgical procedures. |
