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.
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 200â€“250 words, provide a summary of the clinical issue.
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).
The PICOT question will provide a framework for your capstone project.
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.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Literature Evaluation Table
Summary of Clinical Issue (200-250 words):
Obesity in young adults has become a concerning health problem. The prevalence of obesity among young adults aged between 18 to30 years in the United States has increased, which raises an alarm about the quality of their future life. According to the Centers for Disease Control and Prevention (CDC), approximately 14,2 million young adults are either overweight or obese, which translates to 19.3% of the young adult population. Young adults with obesity have increased health risks including glucose intolerance, high cholesterol, high blood pressure, heart diseases, and musculoskeletal problems. These health risks lead to poor health outcomes as well as affect the quality of life. Obesity can also lead to increased mortality. The World Health Organization report that approximately 2.8 million adults every year die as a result of being obese.
Obesity in young adults is caused by various factors, mainly by unhealthy eating habits, Young adults are prone to unhealthy eating because they find it easier to get fast foods that are unhealthy, to try to fit in their busy schedule. The research found out that most young adults have a busy life trying to balance work, school, and starting a new family. This makes them vulnerable to unhealthy eating, which when uncontrolled leads to overweight and obesity. An unhealthy diet including high sugar and high carbohydrate leads to an accumulation of fats in the body, leading to increased weight and gradually development of obesity. Diet modification is a proposed intervention to help in the obesity management among young adults. Diet modification involves the consumption of healthier foods with low calories to facilitate weight loss.
PICOT Question: Among young adults with obesity (P), does diet modification (I), compared to no diet change (C), help reduce obesity (O) in three months (T)?
|Criteria||Article 1||Article 2||Article 3|
|APA-Formatted Article Citation with Permalink||
Jia, L., Lu, H., Wu, J., Wang, X., Wang, W., Du, M., Wang, P., Du, S., Su, Y., & Zhang, N. (2020). Association between diet quality and obesity indicators among the working-age adults in Inner Mongolia, northern China: A cross-sectional study. BMC Public Health, 20(1). https://doi.org/10.1186/s12889-020-09281-5
|Md. Yusop, N. B., Mohd Shariff, Z., Hwu, T. T., Abd. Talib, R., & Spurrier, N. (2018). The effectiveness of a stage-based lifestyle modification intervention for obese children. BMC Public Health, 18(1). https://doi.org/10.1186/s12889-018-5206-2||Cheung, L. T., Chan, R. S., Ko, G. T., Lau, E. S., Chow, F. C., & Kong, A. P. (2018). Diet quality is inversely associated with obesity in Chinese adults with type 2 diabetes. Nutrition Journal, 17(1). https://doi.org/10.1186/s12937-018-0374-6|
|How Does the Article Relate to the PICOT Question?||The article is focused on investigating the relationship between diet and obesity. The results from the study will help address the PICOT question which involves an examination of the effectiveness of diet change in reducing obesity among young adults.||The study examines the effectiveness of lifestyle modification as an intervention to address to reduce obesity. This will help inform and answer the research question of how effective diet modification is in reducing obesity.||The study examines the association between the obesity and diet quality, which relates to the question of whether diet modification is effective in the management of obesity in young adults.|
|Quantitative, Qualitative (How do you know?)||The article is a quantitative research study. This is evidenced by the cross-sectional research design used for the study, which is a quantitative research design.||This study is a quantitative research study. This is evidenced by the experiment done to determine the effectiveness of lifestyle modification in obesity management.||The study is quantitative because it uses a cross-sectional study design to obtain numeric data.|
|Purpose Statement||The study was purposed to examine the association between the quality of diet and indicators of obesity through the use of the aMed and DASH methods.||The purpose of the research study was to assess the effectiveness of lifestyle modification as an intervention for obesity in children.||The study aims to investigate the association between obesity and diet quality among Chinese adults diagnosed with type 2 diabetes.|
|Research Question||The research question for the study is “What is the association between diet quality and obesity indicators among working-age adults?”||The implied research question guiding the research was “How effective is stage-based lifestyle modification as an intervention for obesity among obese children?”||The research question for the study is “What is the association between diet quality and obesity among Chinese adults with type 2 diabetes?”|
|Outcome||The outcome was obesity reduction as evidenced by reduced BMI and waist circumference.||The outcome was a significant decrease in carbohydrate and calorie intake by the participants as a result of lifestyle modification.||The outcome was that obese patients with type 2 diabetes had a lower alternate healthy eating index, thus higher total body energy.|
(Where did the study take place?)
|The study took place in inner Mongolia, China, and involved working-age adults.||The study was carried out in a primary school setting in three districts of Selangor.||The study was carried out in a hospital setting, the Center of the Prince of Wales hospital in Hong Kong, China.|
|Sample||The sample involved 1320 working-age adults divided into intervention and control groups.||The sample was 50 primary school children who were randomly grouped into intervention and control groups.||The sample involved 211 Chinese adults diagnosed with type 2 diabetes.|
|Method||The study used a cross-sectional study design.||The study design is a Randomized Controlled Trial (RCT), involving the randomization of participants into the study groups.||The study utilized a cross-sectional study design to obtain data.|
|Key Findings of the Study||The findings of the study were that diet quality has inverse association with obesity indicators including waist circumference and body mass index.||The findings were that diet modification as well as physical activity are effective in managing weight.||The results of the study were that diet quality has inverse association with obesity in adults with type diabetes.|
|Recommendations of the Researcher||The authors conclude that the quality of a diet has a close association with obesity. A Mediterranean diet is recommended as it is found to be a healthy diet that can help control weight effectively.||Recommendations are that physical activity and dietary modification can be used to help in weight management, thus reducing/preventing obesity in childre|