PICOT question and article reviews
For the following PICOT question - In the care of Behavioral health patients entering the hospital through the
ED. does the use of evidence-based de-escalation communication techniques vs "usual" communication
techniques have a positive impact on de-escalating the patient and patient/staff safety during the patient's
time in the ED?
A. What is the purpose of the integrative review?
B. Clearly articulate the topic of interest, problem statement, and the research question being studied.
C. What variables of interest (such as concepts, target population. setting, interventions, etc.) will be used to
guide the review of literature?
D. Discuss the background and significance of the problem to nursing. Be sure to substantiate your claims
with specific examples from your research.
II. Literature Search Methods
A. Identify keywords, subject headings, and combinations used in the initial search.
B. Which databases were searched?
C. State the inclusion/exclusion criteria for the sample of research reports. In other words. how did you make
decisions to narrow the search and focus
the literature review? How was the final sample of research reports determined?
III. Data Analysis and Critical Appraisal
A. Analyze the quality of each study. In other words, is the problem well formulated and the purpose of the
study clear? Is the study approach well
designed and executed? Does the study demonstrate understanding of related studies? Do the findings
advance knowledge?
B. Note each study's strengths and limitations.
C. Identify gaps in the literature and reflect on why these may exist.
D. Identify similarities and inconsistencies across the studies.
IV. Synthesis, Interpretation and Presentation of Results