The dressing covering the pressure ulcer on a client’s heel frequently becomes loosened and re-quires repeated reinforcement. The nurse asks, “What can be done to improve the adhering prop-erties of this type of dressing?” The nurse has just formulated a:
1. PICO-formatted question
2. Research question (hypothesis)
3. Problem-focused triggered question
4. Knowledge-focused triggered question
ANSWER
ANS: 3
A problem-focused trigger question is one you face while caring for a client or a trend you see on a nursing unit. For example, while caring for an unconscious client, you think, “What is the best solution to use when giving mouth care to this client?”
The more focused a question you ask, the easier it will be to search for evidence in the scientific literature. PICO is a formatting process used when searching the literature for information on a specific topic.
Hypotheses are predictions made about the relationship or difference between study variables (a concept, characteristic, or trait that varies within subjects).
A knowledge-focused trigger is a question regarding new information available on a topic. For example, “What is the current evidence to improve pain management in clients with migraine headaches?”
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